| Resume alert | Resumes 11 - 20 of 280 |
Customer Service Due Diligence
Columbus, OH
... CVS Health – Columbus, Ohio February 2024 – April 2024 Medicare Grievances and Appeals Sr. Coordinator Review, analyze, and process policies associated with claim events to establish the company's liability, deficiencies, and entitlement. Create ... - Jul 18
... CVS Health – Columbus, Ohio February 2024 – April 2024 Medicare Grievances and Appeals Sr. Coordinator Review, analyze, and process policies associated with claim events to establish the company's liability, deficiencies, and entitlement. Create ... - Jul 18
Customer Service Data Entry
Columbus, OH, 43219
... Processing of medical claims for all lines business Medicare, Medicaid, MMP and Marketplace. Resolves and prepares written response to incoming provider reconsideration requests relating to claims payment and requests for claim adjustments or to ... - Jul 17
... Processing of medical claims for all lines business Medicare, Medicaid, MMP and Marketplace. Resolves and prepares written response to incoming provider reconsideration requests relating to claims payment and requests for claim adjustments or to ... - Jul 17
Data Entry Utilization Management
Columbus, OH
... Time Management, Utilization Management, Proficient with InterQual Criteria, Molina Guidelines, NCQA, Medicaid and Medicare Guidelines, Psychiatric Care, Nursing Work Experience Sun Behavioral Columbus Oct 2017 – Present Utilization Management ... - Jul 17
... Time Management, Utilization Management, Proficient with InterQual Criteria, Molina Guidelines, NCQA, Medicaid and Medicare Guidelines, Psychiatric Care, Nursing Work Experience Sun Behavioral Columbus Oct 2017 – Present Utilization Management ... - Jul 17
Customer Service Rep
Columbus, OH
... equipment and accessory usage, including replacement of accessory parts ● Procured documentation for commercial ins and Medicare authorizations on all equipment provided Abrasive Technology (2008-2014) Dental Tool Diamond Plater ● Prepped, painted ... - Jul 17
... equipment and accessory usage, including replacement of accessory parts ● Procured documentation for commercial ins and Medicare authorizations on all equipment provided Abrasive Technology (2008-2014) Dental Tool Diamond Plater ● Prepped, painted ... - Jul 17
Customer Service Medical Biller
Columbus, OH
... Verified the patients' insurance with the commercial insurance, Medicaid, and Medicare. Answer patients' questions about their medical coverage if they had any or refer them to the financial counselor to obtain assistance if they did not have any. ... - Jul 15
... Verified the patients' insurance with the commercial insurance, Medicaid, and Medicare. Answer patients' questions about their medical coverage if they had any or refer them to the financial counselor to obtain assistance if they did not have any. ... - Jul 15
Project Manager Software Development
Columbus, OH
... (Iconma), Norfolk, VA April 2016 – October 2017 Technical Project Manager – GBD Planning and Execution April 2017 – October 2017 Responsible for managing health plan Mega Reg (Medicare/Medicaid) Coordination of Benefits (COB) Agreement rollouts, as ... - Jul 11
... (Iconma), Norfolk, VA April 2016 – October 2017 Technical Project Manager – GBD Planning and Execution April 2017 – October 2017 Responsible for managing health plan Mega Reg (Medicare/Medicaid) Coordination of Benefits (COB) Agreement rollouts, as ... - Jul 11
Home Health Information Technology
Columbus, OH
... cdc FIELD OF INTERESTS • Health Information Technology dxcx SKILLS • Knowledge of: HIPPA Regulations, JCAHO, AHIMA, Medicare/ Medicaid, Medical Terminology, ICD-9 Coding, CPT Coding, Billing, and Reimbursement. Business Skills: Multi-tasking, ... - Jul 10
... cdc FIELD OF INTERESTS • Health Information Technology dxcx SKILLS • Knowledge of: HIPPA Regulations, JCAHO, AHIMA, Medicare/ Medicaid, Medical Terminology, ICD-9 Coding, CPT Coding, Billing, and Reimbursement. Business Skills: Multi-tasking, ... - Jul 10
Data Scientist /Coach
Columbus, OH
... Drug and Alcohol Abuse Therapist, Dr. Natural Medicine, Drug and Alcohol Abuse psychology, Massage Therapist, Coach, Data Scientist, AI Machine Learning, Full Stack Developer, Researcher Analysis will relocate and further career. I've worked 15 ... - Jul 07
... Drug and Alcohol Abuse Therapist, Dr. Natural Medicine, Drug and Alcohol Abuse psychology, Massage Therapist, Coach, Data Scientist, AI Machine Learning, Full Stack Developer, Researcher Analysis will relocate and further career. I've worked 15 ... - Jul 07
Customer Service Administrative Assistant
Columbus, OH
... Medical Laws & Ethics CMS 1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Basic Coding Skills for ICD-10 & CPT Insurance Verification Anatomy & Physiology EDUCATION & ... - Jun 29
... Medical Laws & Ethics CMS 1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Basic Coding Skills for ICD-10 & CPT Insurance Verification Anatomy & Physiology EDUCATION & ... - Jun 29
Customer Service Health Information
Columbus, OH
... scanning, filing, copying and faxing as directed by the Medical records coordinator and processed billing and reimbursement claims forms from health insurance firms, MOs and Medicare/Medicaid as directed by the Business office operations Manager. ... - Jun 21
... scanning, filing, copying and faxing as directed by the Medical records coordinator and processed billing and reimbursement claims forms from health insurance firms, MOs and Medicare/Medicaid as directed by the Business office operations Manager. ... - Jun 21