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Online Resumes with "Claim "
MBA - 5 Years of Experience - Near 31210
* Communicate with internal/external customer for optimal patient satisfaction.
Tags for this Online Resume: Insurance, Insurance Claims, Billing, Coding, Medical, Medical Billing
Project Manager - 6 Years of Experience
SUMMARY OF QUALIFICATIONS: Over 25 years in Information Services in Management, Principal Consultant and Project Management. Responsibilities include budgeting, scheduling, and managing engagements from 500k to over 12M. Managed up to fifty project team members including off-shore. Provided direction and guidance for methods and procedures, including QA initiatives as well as metric measurement. Accountable for supporting t...
Tags for this Online Resume: Accounting, Actuarial, Automotive, Banking Industry, Budgeting, Business Planning, Change Management, Cms, Data Warehouse, Health Insurance
Insurance Appraiser - 15 Years of Experience - Near 25403-8784
SUMMARY OF QUALIFICATIONS Articulate and persuasive communicator at ease interacting with clients, team members and management. Team-oriented professional eager and willing to lead and work collaboratively with colleagues to successfully achieve goals and expectations. PA Licensed damage estimator with knowledgeable in Pathways, Ultramate, ADP, Profit-Net estimating software and several shop maintenance systems. Worked as l...
Tags for this Online Resume: I-Car Platinum, 17 yrs. experience, Motivated, Trained-, Insurance, CCC1, ADP, Mitchell-Ultramate, Quality Control, Customer Service Spec., Award Winning, Timely, Microsoft, Office
Claims Examiner - 15 Years of Experience - Near 07307
Tags for this Online Resume: Management, Networking, Business Analysis, Business Analyst, Documentation, Front Office, Securities
Director
Skills Summary Leader with extensive experience in building, analyzing, and operating high volume customer contact center operations. Skilled in new technology implementations and developing world class customer service operations. Excellent background in process improvement utilizing programs such as TQM and Six Sigma to create a greater return on investment. Experienced in creating strategies to improve customer satisfact...
Tags for this Online Resume: Call Center, Bankruptcy, Insurance, Insurance Claims, Customer Relationship Management, Integrate, Project Management, Project Manager, SAP, Siebel, Workforce
Programmer Analyst - 7 Years of Experience - Near 72211
SUMMARY OF QUALIFICATIONS: * Over ten years' extensive experience in SAS programming on Windows and UNIX platforms, including nine years' experience working on Medicare and Medicaid national warehouse databases, mainly in manipulating large complex medical datasets and medical claims data (inpatient, outpatient, and pharmacy claims). * Solid experience in data extraction, transformation, and loading to data warehouse Data c...
Tags for this Online Resume: SAS, SQL, Statistical Analysis, Data Management, Medical, Oracle database, Data Validation, Data Extraction, Survy data analysis, Modeling, SAS ODS Report, Generate tables and graphics
Financial Manager, Branch or Department
Tags for this Online Resume: Finance, Automation, Collection, Chicago, Billing, Vendor, Outsourcing, Sales Force Automation, Claim Processing, Treasury, Banking, Payment, Strategy, Optimization, Management
Human Resources Manager - 11 Years of Experience - Near 97040
Accomplishments Point person for benefits selection and plan implementation. Results: Benefits plans selected that were robust while satisfying corporate and employee financial constraints and accomplished a smooth open enrollment Conflict resolution in a corporate environment. Results: Earned the trust of the employees and management when resolving employee concerns and issues related to a variety of topics. Coach manageme...
Tags for this Online Resume: Compensation, Policies and Procedures, Employee Relations, Insurance, Journal Entries, System Implementation, Payroll, Advertising, Audit, Benefits
Claims Examiner
Tags for this Online Resume: Filing, Skip Tracing, Business Plan, Business Development, Internet, Management, Microsoft, Microsoft Excel, Microsoft PowerPoint, Microsoft Windows
Business Analyst
Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...
Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro
Case Manager - 7 Years of Experience - Near 33027
Pursuing a position with an organization where I can implement my Professional Nursing
Tags for this Online Resume: Computer Aided Software Engineering, Adc (Advance Data Comm), Assessments, Co-Pays, Financial, Health Insurance, Insurance, Automobile Claim Law Specialist, BLS, Emergency Room
Cardiovascular Technologist
Tags for this Online Resume: Health Care Industry, Healthcare Administration, Security, Cardiac Cath, ACLS, Automobile Claim Law Specialist, BLS, Cardiology, EP, Medical
