Description
Profile Highly motivated, efficient professional who is comfortable working in fast-paced environments seeks a position that can use an excellent scientific and healthcare management education as well as practical, hands-on experience in pharmacology and benefit investigations. Willing to Relocate. Summary of Qualifications Developmental * Familiar with management principles and practices (coursework includes: hospital organization and management, marketing, accounting and budgeting, human resources administration, strategic planning, law and ethics, biostatistics or epidemiology, health economics, and health information systems). * Excellent analytical skills able to research and interpret scientific and financial data understand and apply complex policies and legal statutes, maintain records, prepare reports and correspondence related to the work using healthcare, insurance and medical terminology. * Used solid understanding of insurance coding and billing, medical and insurance terminology, ICD-9 and HCPC Coding for Medicare/Medicaid and private insurance reimbursements to verify medical benefits and investigated denials worked with patients and insurance companies to resolve issues related to payment and eligibility. * Proven ability to give attention to detail and demonstrate strong organizational skills while preparing prescriptions in an environment that allowed no room for error.
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