Marc Cummings
Referral Coordinator 2 at Humana Government Business | Indianapolis, Indiana, United States
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Marc Cummings currently serves as a Referral Coordinator 2 at Humana Government Business, where he plays a pivotal role in streamlining the referral and authorization processes for beneficiaries. With a strong focus on health information technology and management, Marc is adept at processing incoming referrals and authorizations, utilizing his expertise in ICD-10, HCPCS, and CPT coding to ensure accurate data entry into the MSR systems and other relevant platforms. His responsibilities extend to coordinating authorizations with Primary Care Coordinators (PCCs) and Case Managers, ensuring that beneficiaries are directed to high-quality, cost-effective network providers.
One of Marc's key projects involves monitoring outstanding pended authorization referrals, which is crucial for maintaining compliance and ensuring timely completion of requests. He also verifies DEERS eligibility and Prime enrollment, which are essential steps in facilitating access to necessary healthcare services. Marc's strong communication skills enable him to effectively liaise with various stakeholders, providing training and support to team members while ensuring adherence to the U.S. Health Insurance Portability and Accountability Act (HIPAA) regulations.
With a keen interest in advancing his career in the Health Information Technology/Management field, Marc is committed to enhancing his skills in electronic medical records (EMR) and health insurance processes. His proficiency in administration and typing further complements his ability to manage complex workflows efficiently. As he continues to grow in his role, Marc is poised to leverage his experience and insights to drive improvements in healthcare delivery and patient outcomes within the government sector.
Referral Coordinator 2 at Humana Government Business in March 2017 to Present
A/R Support Specialist at Radiology of Indiana in May 2015 to February 2017
Patient Resource Advocate at Eskenazia Health in November 2013 to May 2015
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Account Management
Data Analysis
Analytical Skills
Financial Analysis
SCI Clearance
Medical Background
Healthcare Compliance
Code Review
Bill Review
Claims Processing
Computer Navigation
Problem Solving
Organization Skills
Confidentiality
Communication
Written Communication
ICD-10-CM
HCPCS
Clinical Documentation
Training
Microsoft Outlook
Insurance
Office Administration
Documentation
Contact Centers
Account Reconciliation
Typing
Medicare
Electronic Health Records (EHR)
Data Entry
Medical Billing
Customer Service
Medical Terminology
Microsoft Office
Medical Records
HIPAA
Administration
Medical Coding
CPT
Microsoft Word
PowerPoint
ICD-9
Microsoft Excel
Access
EMR
Healthcare Reimbursement
ICD-10
Patient Advocacy
Electronic Medical Records
Process Scheduler
EPIC EHR
Health Insurance
U.S. Health Insurance Portability and Accountability Act (HIPAA)
Billing Systems
Billing Process
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What is Marc Cummings email address?
Email Marc Cummings at [email protected] and [email protected]. This email is the most updated Marc Cummings email found in 2026.
What is Marc Cummings phone number?
Marc Cummings phone number is +13176109789 and +15025262313.
How to contact Marc Cummings?
To contact Marc Cummings send an email to [email protected] or [email protected]. If you want to call Marc Cummings try calling on +13176109789 and +15025262313. (updated on November 04, 2024)
What is Marc Cummings net worth?
Marc Cummings has an estimated net worth of -$2,499 to $2,499
What company does Marc Cummings work for?
Marc Cummings works for Humana Government Business
What is Marc Cummings's role at Humana Government Business?
Marc Cummings is Referral Coordinator 2
What industry does Marc Cummings work in?
Marc Cummings works in the Medical Practices industry.
Marc Cummings Email Addresses
Marc Cummings Phone Numbers
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