CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Appeals Specialist"

Compensation or Benefits Specialist

I am a self-motivated, detailed oriented person who strives to succeed. My ability to maintain a positive attitude while working efficiently and accurately under pressure has a proven success rate for process improvement and implementation within career. I am seeking a career within a stable company that has strong culture of accountability and cross collaboration. My goals internally and externally are to cultivate an env...

Tags for this Online Resume: Refund Specialist, Claims Specialist, Accounts Receivables, Accounts Payables, Appeals Specialist, Reimbursements, Write-off reviews, Benifts Specialist

Business Analyst - 2 Years of Experience - Near 30096

SUMMARY: Professional analyst with extensive experience in the Healthcare Insurance Industry for members and providers. Recent experience and education in business analysis with a focus on SQL and Scrum Agile Methodologies. Effective working directly with providers to elicit business requirements. Successful analyzing and testing denied healthcare claims to ensure proper posting, payment and maximum dollars returned to the ...

Tags for this Online Resume: Billing, Medical Billing, Business Analysis, Business Analyst, Account Manager, Business Requirements, Health Care Industry, Management, Visio, OracleSQL, SharePoint, SalesForce, Excel, Java

Mortgage Processor - 9 Years of Experience - Near 75254

Tags for this Online Resume: Bankruptcy, Management, Underwriting, Documentation, Analytical Skills, Audit, Call Center, Customer Service, Imaging, Project Management

Claims Investigator

Career Summary MORE THAN 30 YEARS AT ASSURANT HEALTH/FORTIS/TIME INSURANCE COMPANY. EMPLOYMENT ENDED DUE TO COMPANY CLOSING. POSITIONS HELD: CODING REVIEW ASSOCIATE/PHYSICIAN AUDIT EXAMINER, HEALTH CORRESPONDENT/APPEAL RESOLUTION SPECIALIST, MEMBER SERVICE REPRESENTATIVE, PROJECT COORDINATOR, CORPORATE COMMUNICATIONS ASSISTANT, BENEFIT ASSISTANT, DATA ENTRY CLERK, AND CLOSE CLAIMS CLERK. Accomplishments and Career Highlight...

Tags for this Online Resume: Benefit Specialist, Appeals Specialist, Quality Assurance, Claims Representative, Project Coordinator, Customer Resolution Specialist, Telecommute, Customer Service, Clinical/Code Review, Claim Investigations, Data Support Specialist, Adjustment Specialist

Billing/Coding Specialist - 15 Years of Experience - Near 90059

Settlements with the Attorneys Adjusted Accounts Green Liens Created Appeal letters for reconsideration Filed Liens. Collection/Appeal Specialist, created arbitration files and reviewed accounts for possible Confirmation of Benefits (COB).

Tags for this Online Resume: Billing, Medical, Medical Billing, Benefits, Insurance, Accounting, Arbitration, Business Management, COB, Compensation, Business Management, Medical Billing

Quality Coordinator - 18 Years of Experience - Near 11356

To get started right away and make a difference. I have been in the claims insurance and customer service field for over 24 years. I am a self starter with common sense and considered a team player and by the book.

Tags for this Online Resume: Troubleshooting, Billing, Coding, Managed Care, Management, Medical, Medical Billing, Microsoft, Medical Review, Appeals Specialist, Claims Processing, Negotiator for Hospital Claims

Grievance and Appeals Coordinator - 5 Years Experience

PROFESSIONAL SUMMARY Quality-driven grievances and appeals coordinator currently seeking a role that would advance my career path with in the health care industry by utilizing my five years' of experience and knowledge with multi-state grievance and appeal issues, to include executive and regulatory case handling.

Tags for this Online Resume: Benefits, Medical, Quality Assurance, Support, Accounting, Bilingual, Billing, Appeals Specialist, Grievance Coordinator, Grievance and Appeals Specialist, Grievance and Appeals Coordinator

Manager/Director Disability Appeals and Claims - 18 Years of Experience - Near 04106

Additional work as a Senior Team Lead of Fraud Detection currently for WEX, a major fuel card distributor.

Tags for this Online Resume: Account Management, Litigation, Management, Settlements, Drafting, Fraud, Fraud Detection, Predict, Predict (Data Dictionary), Quality Assurance, insurance, customer service, group benefits associate, investigator, employee benefits

Quality Coordinator - 20 Years of Experience - Near 85249

Summary of Qualifications * 90 credit hours, an undergraduate degree in International Business * 20+ years experience in the Health Insurance Industry with recent experience in Human Resources. * Demonstrated ability to build rapport and resolve complex issues among multiple entities with conflicting interests. * Excellent skills in communication and collaboration. * Highly inquisitive, a team leader.

Tags for this Online Resume: Audit, Workers Compensation, Compensation, Complaints, Data Entry, Lotus, Lotus Notes, PeopleSoft, Management, Benefits

Billing/Coding Specialist - 17 Years of Experience - Near 59068

Tags for this Online Resume: Medicare, Coding, Radiology, Accounts Receivable, Insurance, Billing, Certified Pension Consultant, Critical Care - Respiratory, Documentation, Filing