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Online Resumes with "Claim Denials"
registered nurse appeals auditor- 2years experience- Cherry Hill
I'm a registered nurse with over 25 years of clinical, managerial, and quality experience working with various members of the medical team on clinical documentation and preparing appeals letters for insurance claim denials.
Medical Billing and Coding Specialist - 9 Years Experienced - Near 77024 Houston
I consider myself to be a multi-talented, fully bilingual person who is looking for an opportunity to grow and not just another job. Very successful and highly experienced reconciling insurance/patient payments and resolving account disputes. Proficient in a variety of practice management applications and EHR software. Dedicated to maintaining strict patient confidentiality. Excellent organization, communication and relatio...
Tags for this Online Resume:
increase revenue , bilingual, medical biller, houston , memorial city , insurance claims denials , insurance collections , Customer Service
Billing/Coding Specialist - 13 Years of Experience - Near 53081
To educate patients in understanding their ever changing insurance. To assist patients in getting their claims paid. To make a patient's care as painless as possible. I want to become as educated as I can to achieve the above. I want to be known as the person you go to for resolving your issues with your healthcare billing issues.
Ideal Companies: Humana, St. Nicholas Hospital, Charter Communications
Tags for this Online Resume:
EPIC, Billing, Claim Denials, Training, Medipac, Vitalware, IDX/PCS
Billing/Coding Specialist - 12 Years of Experience - Near 21061
20+ years experience in insurance sales and customer service.
2 1/2 years in the medical billing field.
Extensive Knowlege of ICD-9 and CPT codes
Ability to work independently as well as being a team player
Strong focus and organizational skills
Good Telephone, Computer and Calculator Skills
Ideal Companies: Blue Cross Blue Shield, John Hopkins Hospital, Upper Chesapeake Hospital, Franklin Square Hospital, St. Joseph's Hospital, Aetna, United Health Care
Tags for this Online Resume:
Medical Billing, Insurance Claims, Claim Appeals, Claim Denials, Claim Rejections, ICD9 codes, Medical terminology, CPT codes
Featured Profile
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume:
Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Manager - 15 Years of Experience - Near 30066
For over twenty years I have successfully performed a variety of Operations-related functions for companies both large and small in both line and staff departments. Originally I did those jobs myself then I trained and supervised others doing the same. I have managed multiple departments and had overall responsibility. Progressively increasing authority followed excellent results. I understand and have performed the staff w...
Tags for this Online Resume:
Office Manager, Financial Analyst, Manufacturing Manager, Operations Manager, Accounting, Bookkeeper, Call Center, Insurance, Management, Atlanta, Six Sigma Yellow Belt, Planner
Licensed Nurse - 20 Years of Experience - Near 33610
Healthintegrated - April 18 2016 to May 19 2017 Utilization Review Coordinator Telephonic pre-authorization of procedures over the phone for inpatient and outpatient utilizes clinical skills to support the coordination documentation and communication of medical services and/or benefit administration determinations. Critical competencies include flexibility professionalism as well as clinical knowledge with claims. InterQual...
Tags for this Online Resume:
Back Office, LPN, Drug Screen, Home Health, Injections, Management, Nursing, Patient Care, Patient Education, Policies and Procedures
Medical Office Manager - 10 Years of Experience - Near 30305
An accomplished Healthcare Practice Manager with a proven track record for building and leading teams that enabled revenue growth. A results oriented accomplished executive with a broad background in business healthcare and human services with operational and administrative expertise. Significant experience in single and multi-service practices urgent care and inpatient facilities. Broad knowledge of healthcare hospice util...
Tags for this Online Resume:
Billing, Documentation, Medical, Medical Billing, Medical Records, Medicare, Receivables, 100% Travel, Accounts Payable, Accounts Receivable, healthcare, Trainer, EPIC Trained, Healthcare Management, Healthcare Revenue Cycle, Team Building, physical therapist
Billing/Coding Specialist
To find a position that utilizes my skills in Medical Billing, Human Resources, or Office Management. JOB HISTORY/DUTIES Billing Specialist/Credentialing/Contracting River Valley Behavioral Health and Wellness Center Savage, MN Start Date: 05/02/2016 End Date: 11/27/2017 In charge of negotiating contracts, credentialing clinicians, billing, collections, investigating claim denials, work with clinicians on coding claims. Bil...
Tags for this Online Resume:
Pc, Personal Computer, Quick Books, Quickbooks
Featured Profile
Customer Care | Provider Network Relations | Health Care Delivery | Solutions Driven | Team Management | Process Improvement
Highly accomplished and results-driven senior-level business leader with an extensive track record of success fostering powerful health care provider relationships and maximizing account performance. Dedicated to delivering the highest caliber services and tools to meet client needs and promote strong client satisfaction. Possess an unwavering commitment to customer service excellence. Excel at building, training, and optim...
Ideal Companies: Centene | UnitedHealthcare | Aetna | Cigna | Humana | Northwestern | Advocate | DuPage Medical Group
Tags for this Online Resume:
Complaints, Data Analysis, Medicare, Networking, Coding, Insurance, Business Analysis, Business Analyst, NPI, Support, Mentoring, Leadership, Health Care
Admissions Director - 6 Years of Experience - Near 20879
Senior Healthcare Administrator with over 12+ years experience in hospital administration dealing with health care denials and inquiries, resolving unique cases and disputed claims, reducing insurance claim denials, reducing insurance processing time, and instituting policy and practices to ensure a smooth patient flow, improved patient satisfaction, approved reviewed policy for Medicaid approval for both Adult and childre...
Tags for this Online Resume:
Bad Debt, HR, POS, Human Resources, Microsoft Access, Scheduling, Patient Access, Medicare, Resource Scheduling, Folder, Insurance, physical therapist, physical therapy, outpatient physical therapy, rn, healthcare, pt, outpatient rehabilitation, nurse, registered nurse, care
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Customer Care | Provider Network Relations | Health Care Delivery | Solutions Driven | Team Management | Process Improvement
Highly accomplished and results-driven senior-level business leader with an extensive track record of success fostering powerful health care provider relationships and maximizing account performance. Dedicated to delivering the highest caliber services and tools to meet client needs and promote strong client satisfaction. Possess an unwavering commitment to customer service excellence. Excel at building, training, and optim...
Ideal Companies: Centene | UnitedHealthcare | Aetna | Cigna | Humana | Northwestern | Advocate | DuPage Medical Group
Tags for this Online Resume: Complaints, Data Analysis, Medicare, Networking, Coding, Insurance, Business Analysis, Business Analyst, NPI, Support, Mentoring, Leadership, Health Care
