M Bush Location: Helena, MT 59604 ... rConduct audits on provider bills, by requesting & reviewing medical records for appropriate charges / services.Provide education for external providers regarding correct billing practices, as well as training for MSF staff regarding coding issues & bill auditing.Review medical bills and payment vendors for correct processing and payment in accordance with MSF rules, Montana workers compensation statute, and Administrative Rules of Montana.11/05 - 6/19/09 Blue Cross Blue Shield of Montana 560 Park Ave, Helena, MT 59604 Supervisor: Rachel Peura RNTitle: Medical Review RNPrior authorizations for CHIP children, outpatient therapies, home health, & hospice ...
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B Kimble Location: Kalispell, MT 59901 ... ance training. I have a huge amount of energy and initiative combined with being a people person ready to go to work for you. MAJOR ACCOMPLISHMENTS I have started and operated a successful small business serving builders and homeowners alike in the drywall and painting trades for over ten years. In that time I have also served in various positions of ministry and church involvement, including teaching and training leadership and as an executive assistant. I have been actively involved in forming a subdivision coalition of agreement to solve major water supply issues. I am licensed in property, casualty, life, health, and surety insurance in the states of Montana and Ohio and hav ...
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T Richardson Location: Bonner, MT 59823 ... ribution & performance, while utilizing practical & applied analytical, organizational, supervisory, customer service, and managerial skills. EDUCATION OREGON STATE UNIVERSITY (June 1986) Corvallis, Oregon Bachelor of Science, Business School, Sales & Marketing and Finance (Dual Major) BUSINESS EXPERIENCE FIELD CLAIMS SUPERVISOR (09/05-PRESENT) Farmers Insurance Group, Tigard, Oregon; Bend, Oregon; Missoula, Montana www.farmers.com Responsible for overseeing team of Auto Physical Damage Claims representatives settling all facets of first & third party property damage claims in Montana, Alberta, & Saskatchewan. Assist Liability claims representatives in determi ...
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J Regnier Location: Cardwell , MT 59721 ... ennar Home Kathy Harter Orlando Florida 407-475-6580 Joe Dunford 208-251-9882 Experience: Lennar Home Director of Construction Responsibilities : Safety and OSHA Compliance Trade Partners (Sub-Contractors ) Performance and Quality Delivery Evaluations supervise and train quality assurance coordinators, Reports to the Director of Operations. JD Powers Survey Storm Water Prevention Plan Forensic Program Supervises and directs all aspects of · Responsible for schedules. · Insures the workmanship of all work by inspecting and approving subcontractor's work. · Insures that the work is in compliance with City or County requirements and building codes. ...
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A Pittman Location: Great Falls, MT 59405 ... 26th Street South Great Falls, MT 59405 (406) 454-9500 Job Title: Claims Analyst III/Auditor II Job Description: verified claim submissions for errors due to system or manual data entry, paid or denied claims per direction of work processes, along with coding CPT, ICD-9 on both hospital and medical claims, re-wrote work processes for errors due to grammar, or procedures for processing a claim, processed phone logs, customer service forms, and batch error reports, worked special projects under direction of team lead, also verified authorizations for non-participatin g providers, and specialists, adjusted claims due to resubmission for corrected errors, reinstated claims to pay, informed tea ...
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A Echols Location: Missoula, MT 59803 ... losed resume outlines over twenty years of administrative, managing, medical billing, secretarial, sales and teaching experience. I have acquired excellent organizational skills, a sophisticated and professional management style, and the ability to manage multiple projects in a fast-paced work environment. My computer skills are excellent and I have the ability to understand and manage medical billing processes as well as sales leadership. I have had to maintain high levels of confidentiality with my past positions and I understand the importance of this as well as being trustworthy and able to work independently. I enjoy working with people, have excellent communication skills, possess a go ...
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D Almanza Location: Great Falls, MT 59404 ... ers allows me to utilize PC’s to perform word processing and data base management. In addition, I have experience processing GL personal property claims, enhanced medical and maintenance claims for Work Comp. I have a strong customer service background. I am a dedicated, friendly employee, and have developed a reputation for accuracy and efficiency. Work experience 10/2005 – 10/2006 St. Paul Travelers Great Falls, MT CLAIMS ANALYST Process medical only claims for Work Comp. Follow State regulations and laws to properly handle claims. Communications with injured workers, insureds, doctors and attorneys on a daily basis. 4/2003 – 10/2005 Specialty R ...
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