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Online Resumes with " Medicare Medicaid"



Compliance Officer

A dynamic Administrator of Compliance and Risk Management with significant experience in managed health care and insurance regulations and law for government health insurance programs (Medicare and Medicaid). Developed compliance strategy for the health plan and ensured the appropriate documentation, implementation and reporting of compliance is managed. Excellent leadership style motivates and directs team activity towar...

Tags for this Online Resume: Compliance, Risk Management, Medicare, Medicaid, Ethics, Privacy

Health Care Executive -Operations & Development- 20 plus years of experience

Tags for this Online Resume: Health Plan Operations, Network Development, Medicare/Medicaid, Executive Management, Compliance, Clinical Development

Senior Healthcare Excutive

PROFESSIONAL SUMMARY: Proven leader with over 36 years of progressive and challenging management experience in diverse areas of healthcare operations and administration. Demonstrated success in organizations requiring strong leadership and decision-making skills. Committed to team building, staff development and training. Credentialed as a Registered Pharmacist in Texas, Florida and Massachusetts. Proficient in all Microso...

Tags for this Online Resume: Dallas, TX, Pharmaceutical Sales, Pharmacist, Healthcare Administrator, Financial Healthcare Consultant, Hospital Comptroller

Health Care Professional with over twenty-four years of experience

Successful and results driven Health Care Professional with over twenty-four years in the industry. I have experience in Network Management, Network Development, Medicare, Medicaid and Commercial Networks, and Operations.

Tags for this Online Resume: Contract Management, Relationship Management , Program Development/Startup, Strategic Business Planning , Contract Implementation, Project Lifecycle Management

Director -15 years Medical Experience

I am a Health Care professional with 15 yrs experience specializing in AR management, medical billing and patient account management. I also have had opportunities to run as a Practice Administrator.

Tags for this Online Resume: Medical Billing, Accounts Receivalbe Management , Centricity Business, Medicare/Medicaid, Cash Posting management , Patient accounts

Director of Nurse/Long term Accute Care - 10 years experience, Hospice Case Manager, Travel Nurse - 4 years in 5 states and 14 hospitals, Tele, Cardio Version Sedation Nurse, Nuero Science, Federal Correction, Med/Surg

I'm a Registered Nurse who has 17 years experience, as Director of Nurse (10 years) in an accute care LTC, monitoring patients with TPN, Central Lines, Peritoneal Dialysis, Hospice,I have also worked with billing (insurance auths, Medicare, Medicaid, Drug prior auth, PT/OT auths, also staff work comp issues, tesified at hearings. Clinical Nurse in variety of settings, Travel Nurse 4 years in 5 states and 14 hospitals with a...

Certified Professional Coder Apprentice (CPC-A), Riverview

CPC certified Apprentice in Medical Billing and Coding with health plan experience in claims research, health plan authorization requirements, billing, and provider appeals. Knowledge of Medicare, Medicaid, Commercial and Workers Compensation products and services.

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Senior Registered Nurse 21+ years Virginia; case management, telephonic, MDS

I am a senior nurse looking for telephonic position, home office already set up. Background in Clinical, Management, Medicare and Medicaid knowledge,MDS,, acute and subacute care

Tags for this Online Resume: Virginia, Registered Nurse, Management experience, Computer experience, Case management, Acute and Subacute experience

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registered nurse with BSN over 10 years of utilization review that includes management

to work full time with a company that values experienced indivuals

Tags for this Online Resume: utilization review, management, insurance, medicare/medicaid, computer literate

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Risk Manager

Highly Skilled and Decorated retired Police Officer and Detective with over 25 years of high-profile Law Enforcement experience in Uniform Policing, Police Officer Training and Development, and Narcotics Investigations with strong knowledge in Federal regulations, State Law, including Criminal Law, FEMA, HAZMAT & HAZCOM. Proven investigative expertise as an undercover detective and a police patrol officer. Strong law enfor...

Ideal Companies: Homeland Security, FBI, Secret Service, CIA, State Farm Insurance, Farmer's Insurance, Government Contractors, Medicare/Medicaid), FEMA, OSHA,

Tags for this Online Resume: investigations, leadership, management, team building, analyst

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Sr. Medical Billing Representative

Highly Skilled Accounts Receivable Representative with over 15 years’ of medical and business billing experience. Proven expertise working with patients to resolve Medicare / Medicaid denials and submit appeals. Skilled at medical coding, medical billing, processing medical claims, and performing insurance research.

Ideal Companies: Hospital

Tags for this Online Resume: Billing Coding, Medical Terminology, Collections, Office Administration, Data Entry, Medical Coding, HIPPA Standards