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Claim Processor Resume Savannah, GA
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Title Claim processor
Target Location US-GA-Savannah
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Savannah Ga Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEEXPERIENCECardinal HealthSept- November 2023Care Coordinator IIEnroll patient in patience assistance programCommunicate with case managerVerify patient application is updatedOutbound to provider on file verify ICD -10Enroll in patient programUS MedJune 2023 - July 2023Billing And AuthorizationVerification of ICD-10Facet claimsMake correct to denial claimsUpdate provider notation on claimsProcess claims in timely mannerProcess adjudicationAnthem (BCBS)December 2022 - April 2023Dental claimsMedical claimsPharmacy authorizationMedical overrideData entryCollection on billing systemsProcessing adjudicationHandle love with Care Home healthMay 2020 -currentCNAHome health/private dutyDaily essentials need for clientsFeed assistanceBathingMedication reminderPhysical therapyHumanaJuly 2021 - December 2022- Dual CSRMedicaidMedicareMedical claims codingClaims correctionEnrolled eligibilityWeb departmentData entryCollectionsPearl interactive network- CDC CSR Vax IIMarch 2012 - July 2021Schedule vaccinationScheduled ride to vaccinateLanguage lineCustomer call resolution departmentAlorica, work from home  insurance verification provider August 2017 - March 2021Verify coverage levels and works with individuals to educate them on their benefits information Medical billingCustomer service resolutionMedical terminologyEverise, Work from home  Customer Resolution Specialist September 2018 - January 2021 Investigating claims and analyzing supporting documents to resolve complaints. ... Provide members with accurate and appropriate information to answer questions, troubleshoot issues, and resolve member complaintsHermann Memorial Hospital (NICU) (CNA)2019 March - February 2021Setting up a health monitor, IVs, and other health equipment, changing diapers, feeding newborns, cleaning equipment and rooms, stocking storage areas, and getting medications from the pharmacyKindred At Home Care (Hospice), Katy Texas  CNA/ CMA May 2015 - March 2021assists with various personal care issues including changing bedding, changing clothing, bathing hospice patients and helping with hygienic routines such as brushing teeth, washing hair and keeping wounds and dressings cleaned.Medial assistantMedical coding and billingmedical appointments in a electronic industry record system (EMR/EHR) EDUCATIONFoster High School, Richmond Texas High School Diploma August 2005 - May 2010Prairie View A&M University,Prairie View  Bachelor Degree August 2011 - May 2016Major - Management Information SystemMinor- Social work

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