SKILLS SUMMARY * Provider Relations and Liaison * Trainer, Presenter, Speaker * Medicaid, Medicare Advantage, Dual Eligible * Network Management, Development, and Recruitment collaboration with Regional Teams * P4P, PPO, POS, Managed Care, Medicaid, and Medicare contracting * Ancillary, Physician/Medical Group, and Facility contract administration * Complex issue resolution * HIPAA, NCQA, and CMS Compliance and contracting ...
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AR, Accounts Receivable, Compliance, Corrective Actions, Field Work, Financial Services, Medicare, Managed Care, Healthcare Exchange, Medicare Advantage, Medicaid Managed Care, Project Management, Provider Contracting
Summary: * Offering more than 15 years of experience in identifying, evaluating, communicating, and implementing strategies to improve employer and partner/client profitability. * Expertise in developing partnership structures that target potential partner weaknesses and strengths and then executing on key deals and contracts. * Highly skilled in building and developing high performance teams. * Experience in structuring an...
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Management, Managed Care, Sales, Audit, Behavioral Health, Cms, Complaints, Corrective Actions, Drug Utilization, Leadership
Professional Summary Effective communication with multiple departments to plan patient care. Established strong relationships with co-workers in an effort to form a cohesive team. Developed new procedures/timeframes to increase patient satisfaction. Responsible for converting patient data into statistical reports for Upper Management. Commitment to providing excellent service.
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Data Entry, Front Office, Office Administrator, Radiology, Scheduling, Medical, Patient Care, Risk Management, Surgical
PROFILE ? Pharmaceutical sales representative about 17 years experience in this field. Medical Billing/Collection professional with 12+ years experience offering excellent skills gained through years of 5 years being a billing manager.Talent for quickly mastering technology - recently completed Microsoft Office Suite certificate course. Diplomatic and tactful with professionals and non-professionals at all levels. Accustome...
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Billing, Insurance, Internet, Medical, Medical Billing, Sales, Coding, Accounting, Accounts Receivable, Arabic Language, healthcare, Medical billing manager
SUMMARY Responsible with excellent communication skills demonstrated by 36 years of experience in healthcare. Dedicated RN with 16 years experience in the area of employee health.
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Infection control, Quality Assurance, Strong Leader, Test, Cardiopulmonary resuscitation (CPR), Management, Nursing, Wound Care, COPD, Managed Care, registered nurse
To obtain a position in the Healthcare field that allows me to demonstrate my current skills and knowledge, yet grow and develop new knowledge.
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Assessments, Medicare, Managed Care, Nursing, Therapy, Medical, Surgical, Transcribing
Accomplishments * Expanded my client base by 50% while maintaining a 90% customer retention rate * Participated in outside training classes to increase life insurance, long term care and annuity business by $500,000. * While managing, I increased sales by over 20% through establishing a partnership with area hotels within 6 months. * Completely redesigned a training program including hiring quality candidates to help increa...
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Profit and Loss Statement, Sourcing, Insurance, Retention, Training, Annuity, Life Insurance, Long Term Care, Pharmaceutical Industry, Quality
Areas of Expertise * Medical Coding, DRG * Diagnosis Code Abstracting * Medical Bill Reviewing * Risk Adjustment * Medical Bill Auditing * Spanish Fluency (Native)
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Critical Care, Nursing, Telemetry, Trauma, Cms, Coding, Medical, Medical Records, Dialysis, 3M
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Assessments, Medication Administration, Wound Care, Scheduling, Health Unit, Infection control, Medical, Medical/Surgical, Nursing, Pharmacology
