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Online Resumes with "BILLING CLAIMS"
Benefits Manager - 20 Years of Experience - Near 32413
STERIS: formerly Synergy Health / SRI Surgical Benefits Analyst 9/12/05-3/31/17 Responsible for ACA filing of 1095C and 1094C for four divisions of Synergy Health. Also manual filing of 1095C and 1094C as well for small acquired company. Supervisor of one benefit Administrator. Contact for all insurance carriers for bids and contracts. Handle all medical dental vision life LTD STD WC FMLA FSA billing claims and enrollments ...
Tags for this Online Resume: Cobra, Insurance, Compensation, Health Insurance, Nortel, Recruiter, Human Resources, Accounts Payable, Management, Medical, human resources, benefits
Mohan Rajavelu - Unique Tester
12 years of Black Box and White Box Testing (Manual & Automation). Certified in Agile/Scrum. Facilitator of resilient products crafted using Agile and Scrum. Experienced in test script development, software integration, Quality Assurance Process, Project Planning, Requirement Analysis, Effort Estimation & Scheduling. Significant Contributor in moving the automation test from QTP – Key Driver Test to Selenium – Page Object M...
Ideal Companies: I love to work in any organization that have open work environment.
Tags for this Online Resume: Scrum, Kanban, Waterfall, LoadRunner, Selenium, WinRunner, WebFT, WebLOAD, TFS, Version One, Collab Centre, Microsoft Test Manager, JIRA, C++, Java, Stash, VSS, MS-SQL Server, MS Access, Regression Testing, Agile, Confluence, Validation, User Acceptance Testing, Business Analyst, Test Cases, WebDriver, Nunit, Performance Testing, Benchmarking, QA Management, Test Asset Management, Template Database Preparation, Back End Technical Support
Claims Examiner
Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...
Tags for this Online Resume: Complaints, Documentation, Management, Quality Assurance, Test, Customer Service, customer service skills, Process Improvement, Fraud, Policies and Procedures
Claims Adjuster - 20 Years of Experience - Near 08520
Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...
Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross
Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster
Operations Manager, Controller
CAREER HIGHLIGHTS * 9 years of successful consecutive experience as a Controller for a prominent insurance company. * Consistently recognized by senior management for broad-based accounting expertise ranging from treasury controls and audit support to underwriting department accounting support. * Track record of achievements, including directing a team in the design and implementation of a centralized policy management syst...
Tags for this Online Resume: Insurance, Accounting, Accounts Payable, Audit, Benefits, Compensation, Cost Accounting, Employee Relations, Financial, Financial Controls
Quality Assurance Specialist
Skills Summary * * SQA Testing & Methodologies * Test Plans, Cases & Processes * Functional Requirements * Scripting & Documentation * Regression & Negative Testing * UI & Compatibility Testing * Data Interface & Migration Testing * Performance/Load/Stress Testing * Testing Automation * CMMI Level 4 processes * Medical Devices Integration * Mobile testing * Framework Testing * XML, .Net, Java, C# * API Testing * ETL Testing...
Tags for this Online Resume: Management, Test, Billing, Inventory, Asset Management, Audit, Business Analysis, Business Analyst, Database, Inventory management
Billing/Coding Specialist
Tags for this Online Resume: Insurance, Billing, Cardiology, Critical Care - Neurology, Health Care Industry, Medical, Medical Billing, Neurology, Orthopedics, Radiology
Billing/Coding Specialist
Tags for this Online Resume: Insurance, Billing, Medical, Cardiology, Critical Care - Neurology, Health Care Industry, Medical Billing, Neurology, Orthopedics, Radiology
Billing/Coding Specialist - 20 Years of Experience - Near 85924
Medical Billing Services/Mangement Legal Assistant Criss Candelaria Law P.C. July 2017 - Present * * Currently serving as a legal assistant in a law firm specializing in criminal * and family law. Direclty responsible for the day to day operation of the practice. This includes scheduling clients and court dates, answereing phones, processing correspondence received electronically or by mail. Transcription and preparation of...
Tags for this Online Resume: CCS, Health Care Industry, Medical, Microsoft, EKG, Billing, Transcription, Receivables, Cms, Consulting
Experienced Healthcare Insurance Professional
A result oriented and skilled candidate looking for a Remote Healthcare Insurance position where my work skills and other professional abilities will be a valuable asset for the profit of the Healthcare/Insurance company as well as clients.
Ideal Companies: BCBS, Anthem , Cigna, Aetna, United Health Care
Tags for this Online Resume: Audit, Coding, POS, Billing, Business Requirements, Inventory, Quality, Quality Assurance, Quality Control, Test, capitation, NASCO Payment Engine
Medical Assistant
Tags for this Online Resume: Data Entry, Insurance, Back Office, Billing, Coding, Distribution, EKG, Filing, Health Insurance Portability And Accountability Act, HYGIENE
Executive Sales Manager
Dynamic Sales Manager with more than 20 years of high-profile executive leadership experience. Demonstrated sports and healthcare sectors expertise developing sales and marketing strategies to increase market share and revenues. Proven experience creating advertising campaigns, promotions, and events to reached target demographics and expand sales. Skilled at business development and turnarounds to revitalize operations, in...
Ideal Companies: Major ball players and companies who are able to provide a healthy lifestyle for their employees while providing a superior product for clients.
Tags for this Online Resume: Marketing Management, Billing, Business Process Management, Insurance, Integrate, Management, Orthopedic, Orthopedics, Process Management, Surgery
