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Online Resumes with "Audit claims"



PMP Certified Project Manager

I am a bright and very organized project manager with excellent interpersonal skills.

Ideal Companies: Anheuser Busch

Tags for this Online Resume: marketing, writing, editing, management

management

leadership and good communication skills with all can make a company profit

Ideal Companies: Any companies which has growth .

Tags for this Online Resume: management

Sr. Data Analyst

I am seeking an analyst position. My strengths are in extracting data and generating reports using SAS/SQL.

Ideal Companies: Blue Cross Blue Shield, Aetna, Wellpoint

Tags for this Online Resume: data, analyst, SQL, SAS

claims auditor

Tags for this Online Resume: auditor

Manager, Patient Accounting

With more than twenty-five years of experience, I have developed considerable skill and knowledge in the planning, organization, development and direction of financial and business aspects of health services operations.

Ideal Companies: Orland Regional Medical Center, Banker's Life Insurance Company, Aetna, Bank of America, Sun Trust

Tags for this Online Resume: Office Manager, Consultant, Manager, Patient Accounting, Registration Compliance and Training, Billing Service

Featured Profile

Claim Supervisor/Senior Examiner with over 10 years experience in handling claims/supervising claim professionals.

Consummate claims professional offering years of solid experience seeking position in Workers Compensation claim handling and supervision, litigation management and strategic planning and training in the insurance industry.

Ideal Companies: Sedgwick, Liberty

Tags for this Online Resume: Claims Management

Featured Profile

Featured Profile

Health Benefits, Tampa Fl

My career objective is to drive a ethical company in one for the following areas of Compliance, Auditing, Claims,or Account Management; to be more efficient or profitable.

Tags for this Online Resume: Auditing, Claims, Compliance, Training, Account Management, Vendor control

proven aerospace team leader,

I am looking for an aerospace engineering job or sales of aerospace/defense parts or programs. I would like to stay near the Orange county Area but willing to commute to san Diego or Los Angeles.

Ideal Companies: navy, jpl, boeing, northrup,

Tags for this Online Resume: Project manager, experimental and numerical analysis, technical presentations and writing, bilingueal in spanish, communications, technical sales

Auditor

 Audit Medical Claims, including errors from claims pricing, adjudication, adjustments, and bill issues. Conduct periodic post audit of claims to alleviate any incorrect decisions. Maintain a record of audit results Submit errors back to the proper source. Review, research, and resolve complex claims processing issues. Conduct audits of high dollar claims, staff, auditors, regulatory compliance audits, PDR audits and sp...

Tags for this Online Resume: IDX/MACESS, CODE AUDIT/TOUCH WORK, IBM AS/400, OAOHS,MC400, EZ/CAP, EPIC, EDI, Office Ally

Featured Profile

Chief Information Officer - 20 Years of Experience - Near 98661

Innovative accomplished business leader with extensive experience in both start-up and corporate organizations in the healthcare field. A leader, who excels at empowering leading and enrolling teams in ideas and processes that facilitate peak performance and ownership. Also proficient and skillful in harnessing team creativity, expertise and building human capital through mentoring. Shapes and institutionalizes a continuous...

Ideal Companies: Cambia, or any health insurance organization.

Tags for this Online Resume: CIO, project management, Team Building, Data Analytics, Operations, Customer Service, Budgets, Creatiive Thinker, Leadership, Process Improvement, Organized, Detail Oriented, Product Development