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Thursday, August 22, 2013

Mayans

To obtain a smear where I can visualiset on all my skills to returns a company, with the opportunity for in the flesh(predicate) step-up in a fast and reasonable fashion, and the force to branch out my intimacy and experience.| Experience| Membership spec IIITransmitted readjustment, dis enrolment and conception changes to the focus on for Medicaid and Medicare run (CMS).Identified rejection codes more limited to the flush side adjust from CMS.Used triplex information processing system applications and systems to shape rush issues and gentle enrollment system rejections amongst WGS and CMS including WGS, ProPBM, accost care browser, SMS and Marx.Received monthly reports, classify in different categories whence worked. Volume exceeded 10,000+ members.Applied monies for members, wrote off when applicable.Worked more tall level projects as salubrious as supple and evaluated escalated issues.Performed whole tone audits on several(prenominal) members of the rush team pertaining to TRCs.Handled billing issues including members be sick drafts, SSA as salutary as sending and voiding bills. * | | | satisfaction AuditorTransmitted enrollment, disenrollment and plan changes to the Center for Medicaid and Medicare work (CMS).Identified rejection codes received from CMS.
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Used multiple computer applications and systems to solve membership issues and fabricate enrollment system rejections between WGS and CMS including WGS, ProPBM, Call care browser, SMS and Marx.Researched and contemplate membership issues and adhered to CMS guidelines.Worked many high level projects as well as processed and evaluated escalated issues.Performed quality audits on several members of the satisfaction team as a QA department was not in effect at the time.Handled billing issues including members cant drafts, SSA as well as sending and voiding bills. * | | , disenrollment and plan changes to the Center for Medicaid and Medicare Services (CMS).Used multiple computer applications and systems to solve membership issues and...If you want to get a full essay, order it on our website: Ordercustompaper.com

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