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Online Resumes with "CAQH "
Clinical Social Worker
Ideal Companies: Sierra Tucson
Tags for this Online Resume: mental health, clinical, LCSW
Office administrator
Experienced Medical Billing Manager with deep knowledge of Medicaid, Medicare, Medicare Advantage, Medicare Plus Blue, BCBS, BCN Advantage, HMO’s, Commercial Insurance’s, 3rd Party Insurances, Auto Insurance, Work Comp billing. Significant experience with CPT, WEB Denis (BC/BS) and CSNAP (Medicare), Epic, Electronic Data Interchange (EDI) transmissions and statusing claims. Responsible for the hiring, training and perform...
Admissions Director
Tags for this Online Resume: CAQH , Credentialing, Provider Relations, Claims Resolution, Provider Education
Office Administrator
To assist in increasing productivity in any office of which I become part and to use some of my many skills to their greatest potential.
Ideal Companies: Scripps, UCSD, the Salk Institute, the Whittier Institute
Senior Network Account Manager, New York
A stable middle management position in contract negotiation that has a dynamic corporate culture. Opportunity for advancement must exist. The Executive Management should want and encourage innovative thinking and recognize how to keep an intrinisic employee motivated.
Ideal Companies: Government Agencies, Public Health Solutions, NYC, Managed Care Plans (GHI, HealthFirst, FirstChoice, Aetna, BlueCross/BlueSheild)
Healthcare Administration
To attain a position in health care administration (non-clinical) which best fits my qualificaions and 20+ years of experience. I seek a position near the Daytona Beach, FL area.
Tags for this Online Resume: Physician Credentialing, Managed Care Enrollments, CAQH profiling, Medical Customer Service, Medical Terminology, Policies & Procedures
Billing/Coding Specialist - 9 Years of Experience - Near 31021
Tags for this Online Resume: Management, Billing, ICD-10, Insurance, EHR, Microsoft Office, Quick Books, eclinicalworks, coding, credentialing, HIPAA, CAQH, CLAIM SUBMISSION, Payroll, CLEARINGHOUSE, EMR, MEDITECH, SERVSAFE, eCW, Parallon
Administrative Services Manager - 19 Years of Experience - Near 22192
Susan M. Cooper 2835 Noble Fir Ct Woodbridge, VA 22192 703.408.9406 (cell) starpangle@aol.com Associates in Physical Therapy Dumfries, VA Administrator September 1998-June 2017 Billing Specialist July 2008-June 2017 Medical billing: • Billed approximately $3 million per year utilizing Medisoft billing systems (with a $1.5 million return). • Managed insurance contracting including Medicare, Anthem, Aetna, Blue...
Tags for this Online Resume: retail manager, store manager, assistant manager, sales, management, manager, Manager Administrator
Admissions Director - 20 Years of Experience - Near 75707
PROFESSIONAL SUMMARY I have 30 years combine experience in the Healthcare Profession working as a Medical Office Manager, Licensed Workers Compensation Case Manager, Contract Negotiation, Contract Analysis, Billing, Collections and Denials Management Manager, Healthcare Consultant, Human Resource and Payroll function and Senior-Level Revenue Cycle Analyst for Hospital and Physician. I have successfully trained and mentored ...
Tags for this Online Resume: Coding, Payment Processing, Billing, Management, Medical, Audit, Compensation, Insurance, Managed Care, Chiropractic, healthcare
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
Manager - 0 Years of Experience
of the project is to develop a Medicaid Management Information System for the State of Michigan to follow 5010 version of X 12\HIPAA using existing eCAMS application which is developed following HIPAA X 12 standards. Implement the Core rules to meet the CAQH CORE mandated standards by integrating it existing eCAMS application. Responsibilities: * Gathering the CORE Rule requirements for Phase I/II/III implementation and con...
Tags for this Online Resume: Agile, Artificial Intelligence, Clearcase, Data General Eclipse, Eclipse, EDI, Edifecs, Electronic Data Interchange, Extensible Markup Language (XML), File Transfer Protocol
Billing/Coding Specialist - 20 Years of Experience - Near 95835
Healthcare professional with over 20 years of experience in customer and administrative services * Skilled in medical terminology, definitions, coordination and explanation of benefits * Proficient in processing HCFA 1500 and UB04 forms for ICD 9/10, CPT, and HCPCS codes * Ability to type 50 - 60 wpm and 10-Key with 95% accuracy * Proficient in Microsoft Word, Excel, Power Point, Outlook, and using Xerox Scanner * Handled ...
Tags for this Online Resume: Audit, Benefits, Citrix, Cms, Diversity, Folder, Fraud, Health Care Industry, Health Insurance, Health Insurance Portability And Accountability Act
