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Were you looking for Appeals-Grievances job results?
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Online Resumes with "Appeals Grievances"
Lvn with¹8yeaLVN Case Manager, Appeals Nurse, LVN office Manager 18+ years nursing experiencersnsed Nurse - 18 Years of Experience - Near 92503
Tags for this Online Resume: lvn, chargenurse, appeals grievance nurse , casemanager, wound care nurse, med nurde, private nurse
Registered Nurse - 20 Years of Experience - Near 65262
SUMMARY: RN with 20 plus years of experience in case, disease and utilization management, medical record review, claims processing, quality, appeals and grievances. Successful contract and care management platform and program implementations. Vast knowledge and experience of complex disease management. Able to manage large member caseloads and prioritize large volume of member activities. Great communicator when presenting ...
Tags for this Online Resume: Business Requirements, Data Analysis, Product Design, Services, Assessments, Billing, Computer Aided Software Engineering, Management, Medical, Medical Records, registered nurse, healthcare, care, rn, nurse, care manager, case manager, quality, utilization management, management, appeals, claims
Tester - 8 Years of Experience in U.S
Summary: * Extensive hands-on experience on developing, Writing and executing Test Plans, RTM, Test Scripts and Test Cases from Requirements, Use cases, Design Documents and other project documentations and able to work closely with development team and business analyst to analyze test case scenarios. * Extensive Knowledge and experience in all stages of the software development life cycle (SDLC) beginning from initiation a...
Tags for this Online Resume: Test, Test Cases, Management, Test Scripts, Billing, EDI, Electronic Data Interchange, Quality, Scheduling, Coding, sql, agile, javascript, it jobs, software, html, linux
Quality Coordinator - 20 Years of Experience - Near 11590
Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...
Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills
Claims Investigator - 14 Years of Experience - Near 76108
Tags for this Online Resume: Call Center, Clarify, Coding, Complaints, Consulting, Insurance, Management, Medical, Medical Records, Payroll
Program Manager
Tags for this Online Resume: Outpatient Care, PEDIATRIC, ADA, Ada Programming Language, Assessments, Audit, Cms, Emerging Markets, Health Insurance, Insurance
Admissions Registration Clerk
Tags for this Online Resume: Medical, Benefits, Medicare, Research, Management, Policies and Procedures, Complaints, Billing, Account Reconciliation, Accounting
Quality Coordinator - 7 Years of Experience - Near 97230
Tags for this Online Resume: Audit, Cobra, Financial, Health Insurance, Insurance, Security, Troubleshooting, Financial Reporting, Internal Auditor, Internal Controls
Admissions Registration Clerk - 9 Years of Experience - Near 90805
Ability to multi-task, organize and prioritize a busy workload while working to meet deadline constraints * Administration and organizational skills with the capability to pay close attention to details * Ability to use Microsoft Word, Excel, Outlook, and the Internet. Knowledge of MC400, IDX, QRTS and Marx systems, QNXT, Database and CVS-Caremark prescription system. * Researches information from a variety of resources (i...
Ideal Companies: SCAN HEALTH , CAREMORE
Tags for this Online Resume: Administrative Assistant, Administrative Tasks, Cms, Audit, Control Systems, Documentation, Policies and Procedures, Deposits, Medical, POS
Registered Nurse
Tags for this Online Resume: Telemetry, CCU, Leadership, Policies and Procedures, Documentation, Management, BLS, Scheduling, Process Improvement, Radiology
Medical or Health Services Manager
Tags for this Online Resume: Complaints, Documentation, Medical, Medical Records, Process Improvement, Billing, Management, Cobra, Commissions, Emergency Room
