I am a motivated energetic professional with over 15 years of experience in all aspects of the medical billing, coding and healthcare compliance. I have demonstrated knowledge in regulatory healthcare compliance, including CMS regulations, fraud & abuse laws, HIPAA regulations, medical necessity and coding compliance. Proven leadership skills and exceptional interpersonal and collaborative skills to motivate others and fost...
Ronald J. Etienne
11106 Cypress Leaf Drive Orlando, FL 32825 H (407) 306-9159 C (407) 443-3367 Email: rone201@hotmail.com
OPTUM Orlando, FL 9/12-Present
Operations Manager /myCustomHealth account.
• Demonstrated leadership skills and ability to resolve conflict.
• Recruiting new talent; Analyze call center marketing trends; Researching and analyzing the effectiveness of ...
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SQL, CRM, Office, Kronos, Kronos (Labor Mgmt Sys), Management, P&L, Customer Relationship Management, Quality Assurance, Test
PROFILE Results oriented, hands on CIO with 21+ years of experience in the Information Technology industry. For 17 years have been in the healthcare industry working with hospitals to plan, implement, support and maintain the network hardware and software that controls their automated systems. Versed in the sales process, contractual negotiations, project estimating, baseline procedural documentation creation and all aspect...
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Services, Software, Six Sigma Greenbelt, Six Sigma Quality, Support, Technical Support, Automation, Disaster Recovery
Provider of leadership sales and marketing services to health plans that optimize their competitive position in the market and raise the performance of all client team members to higher levels: * Develops competitive advantages in their particular market * Creates product offerings that drive enrollment and retain membership Consistently lead health plan restructuring initiatives to develop and achieve strategies that diffe...
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Accounting, Accounting Software, Adobe PageMaker, Analytical Skills, Applications, Automation, Business Development, Cms, Coaching, Cost Control
Strong analytical skills-capable of assessing conditions / situations and implementing appropriate interventions. * Extensive experience in new program / service development and re- development of existing services to meet the facility needs in compliance with the standard of care Association Standards Joint Commission and/or CMS regulations. * Extensive experience in clinical education. * Sensitive to cultural diversity an...
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Patient Care, Wound Care, Direct Patient Care, Therapy, Dialysis, Evaluate, Management, Monitoring, Orthopedic, Orthopedics, physical therapist, physical therapy, outpatient physical therapy, outpatient rehabilitation, rn, care
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...
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Test, Test Cases, Management, Test Scripts, Billing, EDI, Electronic Data Interchange, Quality, Scheduling, Coding, sql, agile, javascript, it jobs, software, html, linux
Alzheimer's schizophrenia, investigated complaints and self reports in nursing facilities in Texas if indicated per CMS regulations, wrote "Tags" on the facilities. RN Case Manager - DADS at the Abilene State Supported Living Center anxiety disorders bi-polar diagnoses major depressive disorders as well as mental retardation combined with medically fragile diagnoses. Residents ages from 18 to over 80 with a total population...
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Patient Care, Computer Aided Software Engineering, Critical Care, Critical Care - Neurology, Medical, Medical/Surgical, Neurology, Pediatrics, rn, registered nurse, healthcare
Summary of Experience More than 16 years of leadership experience in the Managed Care industry including 10 years in healthcare facilities. Extensive experience in developing, expanding, and maintaining provider networks as well as in: Health Care Delivery Systems Network Development Provider Relations Budget Administration Problem Resolution Team Development Trend Analysis/Valued-Based Purchasing Salesforce Data Regulation...
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Leadership, Management, Program Manager, Services, Shared Services, Managed Care, healthcare, care, quality improvement, provider relations, network management, medicare, Medicaid, motivation, quality
