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Online Resumes with "Claim "
Insurance Risk Analyst/Manager-12 years experience-Dallas
Insurance Professional offering 10+ years of experience in management, consulting, strategic planning, claims and claims advocacy in the insurance industry. Progressive advancement to higher degrees of responsibilities based on personal and professional growth, and attainment of goals and objectives. Several years of training, education and experience in planning, organization development, and general and administrative m...
Tags for this Online Resume: Insurance Risk Analyst, Insurance Risk Manager, Sr Claims Consultant, Insurance Analyst , Risk Analyst , Claims Advocate, Actuarial, Filing, Insurance, Insurance Claims, Claims Manager, Claims Examiner, Claims Supervisor
Billing/Coding Specialist - 13 Years of Experience - Near 45013
SUMMARY To obtain a position in health field with emphasis in support and billing, Worker's Compensation Claims Payment, secretarial position, or an administrative position with emphasis on billing, claim payment, accounts receivable or collections, coding, auditing, contract interpretation or negotiating, and customer service. I am also interested in physical training and I have worked in construction (electrical) for 20 y...
Tags for this Online Resume: Insurance, Billing, Training, AR, Audit, Claim Processing, Coding, Tax Preparation, Construction, Customer Service, Management, CEO
In Between - 18 Years of Experience - Near 48206
Senior Healthcare Analyst
Ideal Companies: Aetna Life Insurance Company, Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield of Illinois, Montana and New Mexico
Tags for this Online Resume: Proficient in SAS Programming, Proficient in Microsoft applications (Access, Excel, etc.) , Experience analyzing large data sets, Experience collecting, summarizing and analyzing large data sets in agriculture, public health and the medical healthcare insurance industry, Preferred area: Greater Detroit Area, Reporting, Forecasting, Research, Statistical Analysis, Contract interpretation, Economics, Healthcare, Design and implementation of automation processes to generate standard and ad-hoc cost and utilization reports on medical insurance claims, phase iii, phase iv, clinical, phase ii, phase i, research, clinical trials, Healthcare data, Medical claims, Membership, Cost and Utilization, human resources, hr, radionics, customer service, driver, honeywell, recruiter, est, ademco, talent acquisition, Senior HEalthcare Analyst, Economist, Economic Analysis
Executive Vice President - 15 Years of Experience - Near 92708
Energetically outperforming healthcare executive with various roles as VP/ CFO/ COO who helps started two MAPD SNP Health Plans, a MSO, 2 IPA's, a Multi-Specialty Medical Facility successfully from scratch. Ability to roll up sleeve and dive in any challenge incurred in healthcare management and increase shareholder ROI.
Tags for this Online Resume: Management, Accounting, Consulting, Medicare, Infrastructure, Billing, CMS, EDI, Electronic Data Interchange, Insurance, Medicaid, CMS, Program Management, Project Management, Operations, HEDIS, Risk Adjustment, Revenue Cycle, Provider Contracting, Network Expansion, Healthcare Software Development, Claim Operations, Finance
Registered Nurse - 13 Years of Experience - Near 08004
Professional Summary Began nursing in a Med Surge Sub-Specialty Unit, which included a stroke institute, ventilators, and telemetry, then moved onto coronary critical care managing, and hospital wide codes. Finding a home in hospice care for the past 14 years having experience in office management and regional supervising, case management, utilization review, admissions, IPU, triage and visiting on call.
Tags for this Online Resume: Utilization Management, Management, Critical Care, CCU/ICU, Claims payable, Payroll, Quality Assurance, Scheduling, Education, Hospice, Audits, Health Care Telecommunications, Regional Supervision, Admissions, Discharge Planning and Review
Network Installer - 20 Years of Experience - Near 65721
Profile: Results oriented Computer/Electronics Technician with career ambitions where 14 years of obtained skill and experience will be utilized toward continued growth and advancement. An individual, who views obstacles as challenges, has a sharp technical aptitude, exceptional problem-solving skills with the ability to evaluate needs and deliver appropriate technology solutions.
Tags for this Online Resume: Cisco, Configure, Dell, Netview, ACLS, Active Directory, Aironet, Associate of the Society of Actuaries, Asynchronous Transfer Mode (ATM), Automobile Claim Law Specialist
Billing/Coding Specialist - 20 Years of Experience - Near 08724
QUALIFICATIONS Excellent communication and interpersonal skills Organized and focused in coordinating projects Exceptional writing skills Well Developed supervisory skills Extraordinary multi-tasker while at the same time staying organized and detail oriented Poised and professional at all times Admirable problem solving and oral communication/customer service skills Proficient in ICD-9, HCPCS, and CPT coding Accelerated at...
Tags for this Online Resume: Billing, Financial, Financial Reporting, Account Manager, Customer Service, Diversity, Employee Relations, Software, Claim Processing, Coding
Family or General Practitioner - 6 Years of Experience - Near 80005
SUMMARY OF QUALIFICATIONS * Adult Gerontology Acute Care Nurse Practitioner Board-Certified since May, 2017. * Registered Nurse since 2008. * Orthopaedic Nurse Board-Certified since 2012. * Extensive experience of direct patient care in geriatric, surgical, trauma, and acutely ill patients since 2004. * Strong clinical skills enhanced by natural ability to build rapport with patients and families. * Committed to practicing ...
Tags for this Online Resume: Surgical, Orthopedic, Orthopedics, ACLS, Acute Care, Automobile Claim Law Specialist, BLS, Direct Patient Care, General Surgery, Nursing
Registered Nurse - 20 Years of Experience - Near 80829
I am currently looking to relocate to Colorado Boulder area, I have worked the last 23 years as a staff nurse, on a Telemetry unit. I am looking for a change I would like an office job, still working with the patients. I am open to continue to work in a hospital.
Tags for this Online Resume: Colorado Springs, Telemetry RN, Office job, patient contact, ACLS, Acute Care, Stroke care, Assessments, Critical Care - Cardiac, Evaluate, 23 years experience, telemetry RN, ACLS, 23 years experience, Rn
Claims Adjuster - Near 23116
Tags for this Online Resume: Litigation, Arbitration, Insurance, Internet, Legal Principles Claim Specialist, Casualty Claim Law Specialist, Defense, Evaluate, subrogation, bodily injury, litigation management, Richmond Virginia, Auto liability claims
Claims Examiner - 12 Years of Experience - Near 06249
SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Ma...
Tags for this Online Resume: Audit, Financial, Quality, Quality Assurance, Quality Control, Underwriting, Account Management, Account Reconciliation, ACH, Banking Industry
Medical Secretaries - 3 Years of Experience - Near 28262
Experienced with planning and execution of projects/programs * Attentive to details * Remarkable verbal and written communications skills
Tags for this Online Resume: Customer service, Claims, Sales, Medical, Pharmacy, Call Center, Benefits, Billing, Claim Processing, Communications
