CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Claim "

Business Analyst - 5 Years of Experience - Near 20104

PROFESSIONAL SUMMARY: * Over 7+ years extensive Experience as Facets Configuration Consultant in Healthcare Industry with specialization in FACETS implementation and in-depth understanding of Trizetto FACETS data model. * Health Insurance Portability and Accountability Act (HIPAA), Data Warehouse and working on Requirement gathering, Business Process flow, Business Process Modelling, Data Analysis, Data Mapping. * Strong kn...

Tags for this Online Resume: Management, Microsoft Access, Microsoft Office, Microsoft Visio, Test, Unified Modelling Language, VISIO, Microsoft Project, MS Project, Electronic Data Interchange

Financial Manager, Branch or Department - 15 Years of Experience - Near 60510

ACCOMPLISHMENTS * Managed all operations of 4 power plants including 4 plant managers and 1 plant engineer supporting a staff of 21 operation/maintenance technicians and $61M in P&L's * Developed $6M per year major maintenance program for all 4 plants for 40 year life of plant including funding to meet maintenance items * Increased revenue of approximately $200K per year by detecting an error in one of the sections of the P...

Tags for this Online Resume: Power plant, Asset Management, Operations, Project Management, Business Development, Power plant acquisitions, Contract management, Contract negoations, l, Equity

In Between - 20 Years of Experience - Near 35206

Tags for this Online Resume: 100% Travel, Travel, Health Care Industry, Insurance, Applications, Billing, Cms, FACETS, Its, Management, insurance, group benefits associate, group health benefits, customer service, employee benefits, benefits consultant, health benefits broker, Bluecard, Enrollment, Medicaid, Customer Service, Enrollment Administration Manager

Billing/Coding Specialist - 1 Years of Experience - Near 33032

Qualification summary: * Cooperative typing skills of 65 wpm. * Knowledge of medical terminology. * Knowledge of diagnosis and procedures coding. * ICD-9, ICD-10, CPT and HCPCS coding. * Able to perform charge review, claim submission, claim follow-up, payment posting and patient statements. * Knowledge of preparing appropriate claim documents. * Proficient in assigning appropriate medical codes to diagnosis and services. *...

Tags for this Online Resume: medical coding and billing, remote positions, data entry

Registered Nurse - 15 Years of Experience - Near 85705

Areas of Expertise * Practice Administration * Utilization and Quality Management abilities * Revenue Cycle Services * Extensive experience in Billing and Claim form processing * Fiscal Management * Oversight and Implementation of Performance Improvement Plans * Extensive knowledge of Government and Non Government payers * Believes in Transparency, Integrity and Trust * Works in concert with all service lines (IT, Clinical ...

Tags for this Online Resume: Policies and Procedures, Services, CFO, healthcare, registered nurse

Claims Adjuster - 2 Years of Experience - Near 33544

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Tags for this Online Resume: Integrated Development Environments, Microsoft SMS, Sms, insurance, customer service, group health benefits

Insurance and Accounting Professional - 15 Years of Experience - Near 55387

Seeking an opportunity to transition nearly 15 years of progressive leadership experience in the reinsurance industry into a risk management position.

Tags for this Online Resume: risk management, insurance, reinsurance

Medical Secretaries

SUMMARY OF QUALIFICATIONS: * Proficient in CPT, ICD-10 and HCPCS. * Ensured accuracy of ICD-10 CM & EM coding in an internal medicine and family practice office. * Provide coding and documentation education training to providers. * Internal auditing of accounts to ensure accuracy and compliance. * Assigning diagnostic and procedure codes from medical reports. * Using Excel and Word to produce daily and monthly financial rep...

Tags for this Online Resume: Billing, Medical, Transcription, Accounting, Audit, Coding, Documentation, Encoder, Medical Billing and Coding

Respiratory Therapist - 20 Years of Experience - Near 75693

Tags for this Online Resume: NICU, Management, Ventilators, Patient Care, ACLS, Automobile Claim Law Specialist, BLS, Coaching, care, healthcare

Litigation Attorney and Risk Consultant- 27 Years of Experience - Alabama and Southeast

For over 27 years, 17 of those as owner of my practice, I have been litigating on behalf of individuals who have been injured in accidents in both public and industrial settings. I have also represented insurance companies in defending such claims. I have done risk evaluations and assessments for companies, written policies and procedures manuals, and have worked for both employers and employees in resolving employment di...

Tags for this Online Resume: Senior Litigator, Legal Management, Director, Risk Assessment and Management, Mediator, Employment Law, Social Security Disability, In-House Counsel, General Counsel, Legal Consultant., Litigation, Consulting, Legal, Management, Real Estate, Risk Assessment