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Online Resumes with "CREDENTIALING"
Medical or Health Services Manager - 20 Years of Experience - Near 11553
PROFILE: Broadminded, diplomatic and accomplished manager with expertise in maximizing revenue capture, regulatory compliance, metrics, performance improvement initiatives, policy and procedure creation, managed care, Medicare, Medicaid, Blue Shield, commercial insurance, professional billing, collections, third-party reimbursement, and Provider credentialing. Effective leader with the ability to mentor, develop and motivat...
Tags for this Online Resume: CPC , 20years managerial experience, Industry expert, CMS , OMH/DOH/Specialty billing expertise , FQHC knowledge, IDX/Nextgen/ ECW billing software, Revenue cycle, Billing, Documentation
Data Mining Specialist - 10 Years of Experience
SUMMARY: Joseph is an accomplished Senior Epic Clarity Business Intelligence Analyst with Credentials and Proficiency the following Epic Clarity Data Models: AMBULATORY, CADENCE, ASAP (ED), RADIANT, WILLOW (AMB, INP). My Assignment with Health Partners is coming to an end, and I will be interested in new assignment perm or contracts. I am open to perm roles that require relocation and or travel up to 75% . I am available im...
Tags for this Online Resume: Crystal Reports, Ambulatory Services, Documentation, Structured Query Language, Billing, Management, Workbench, Cadence, Integrate, Medicare
Cyber Security Engineer
Summary: Experienced and focused Information Technology (IT) strategic leader with success directing a broad range of financial and US government (USG) IT security and governance initiatives. Led globally dispersed high-performance teams in highly dynamic environments, providing for the strategic cybersecurity risk management and analysis framework during the planning and implementation of IT solutions in order to protect t...
Tags for this Online Resume: Banking Industry, Communication Skills, Compliance, Credentialed, Cyber, Cyber Security, Defense, Financial, Framework, Government
Database Administrator - 3 Years of Experience - Near 30097
Summary: * Over 3+ years of IT experience as SQL Server DBA/Developer ( 2014, 2012, 2008/R2, 2005 ) in Production, Development and Staging, Data Warehouse Environments (OLTP and OLAP) * Maintained databases with sizes ranging from Large to Very Large Databases (terabytes). * Solid experience in database design and creation of schemas, writing stored procedures, functions, triggers, DDL and DML SQL queries. * Experience in E...
Tags for this Online Resume: Management, Microsoft SQL Server, Servers, Structured Query Language, Active Directory, Applications, Clustering, Dba (Database Admin), Disaster Recovery, Microsoft Active Directory
Revenue Director of Operations - 10 Years of Experience - Near 38672
A career that will afford me the opportunities to display my knowledge and skills in healthcare operations, Provider relations and network management
Tags for this Online Resume: Billing, Network Management, Government programs, claims, Recovery, credentialing, Accounting, Audit, Budgeting, Claim Processing
Vice President
COVER LETTER: Dear Recruiter, As an accomplished and passionate business executive with a wealth of experience and talents in diverse areas, I am excited by the opportunities where companies need results and business value. I will provide exceptional value by understanding the organizations business goals and implementing appropriate operational oversight and effectiveness, while utilizing a pragmatic approach. Throughout m...
Tags for this Online Resume: Internal Controls, Planning, Strategic Planning, Compliance, Consumer Healthcare, Health Care Industry, Management, Risk Management, Market Research, Executive Leadership, Biotechnology/Pharmaceutical
Case Management Manager - 20 Years of Experience - Near 31206
Accomplishments Gant awarded from United Health Care for five community gardens, Grant awarded from Department of Public Health collaboration with WIC on Wheels program, Grant awarded for I am moving I am learning, Lead Screening and Physical Exam via partnership with Middle Georgia State Collage. Partnering with, FVSU Biology Department to run lead screening labs and presenting health status at national meeting, Outstandin...
Tags for this Online Resume: Assessments, Child Care, Inventory, Pharmaceutical, Policies and Procedures, Scheduling, Management, Annual Planning, Budgeting, First Aid, Head Start / Early Head Start
Accountant - 20 Years of Experience - Near 06437
SUMMARY PROFILE Accounting and financial professional with expertise in general accounting/financial reporting and P&L analysis. Experienced self- starter, team player and problem-solver with keen attention to customer needs and details. PROFESSIONAL CREDENTIALS: Six Sigma Lean Training & Implementation, Green Belt Certification, 5S Finance Leader, Employee of the Year Award, Notary Public
Tags for this Online Resume: Journal Entries, Accounting, Accounts Payable, Accounts Receivable, Accruals, ACH, Balance, Balance Sheet, Documentation, JOURNAL ENTRIES, ACCOUNTING, ACCOUNTS PAYABLE, ACCOUNTS RECEIVABLE, ACCRUALS, ACH, RECONCILLIATION, SALES & USE TAX RETURNS, BALANCE SHEET, FIXED ASSETS, MANAGER
Law Enforcement - 20 Years of Experience
I am a forcefully engaging dual-career (U.S. Navy Officer and civilian law enforcement professional) law enforcement professional with a robust background of progressively responsible experience in command leadership investigation supervision counseling and with emphasizes on a proactive approach community law enforcement programs. During my 26-year LE/Military career I have a proven record of integrity leadership managemen...
Tags for this Online Resume: Policies and Procedures, CFO, Management, Oracle Parallel Server, Transportation, Assessments, Security, BMC PATROL, Credentialed, Diversity, Chief of Police
Medical or Health Services Manager - 18 Years of Experience - Near 61073
Professional Summary I have a passion for radiology for 18 years with the opportunity to serve 27 staff as a supervisor for a Trauma 1, 254 bed facility. Dedicated and effective leader focused on patient experience and employee satisfaction using best practice and compliance guidelines. Assertive and enthusiastic, with knowledge of process optimization and streamlining operations. `
Tags for this Online Resume: Radiology, Surgery, Credentialed, Compliance, Trauma
Claims Examiner - 19 Years of Experience - Near 23117
Summary Expert Claims Supervisor with 18 years experience in insurance and claims. Current position includes root-cause analysis, trending, coaching, associate development, knowledge of multi-state claims handling, complex claims handling, and third-party claims settlements. Career Credentials: * First party, third party, and litigation handling * Multi state experience * Currently Telephone Claims Supervisor to 6 associate...
Tags for this Online Resume: Litigation, Insurance, Management, Mba, Risk Management, Settlements
Medical Sales Representative - 15 Years of Experience - Near 85013
leaders such as Bristol-Myers Squibb Johnson & Johnson Teva Neuroscience and Merck. Known as a master closer with a proven ability to overcome objections and secure physician referrals. Excels in developing new territories and national thought leaders as well as specialty pharmacies wholesalers and distributors. Adept at training and leading high-performing sales professionals. Familiar with a broad range of therapeutic cat...
Tags for this Online Resume: Account Manager, Cardiology, Cost Control, Hematology, Immunology, Management, Oncology, Planning, Referrals, Rheumatology
