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Online Resumes with "Claim Process"
Director - Vehicle Damage Repair and Claims Processing
Assess and attack (address) necessary change that directly impacts the bottom line. Process and procedure improvement. Automate and reduce waste. Lead by example.
Tags for this Online Resume: Process improvement, Operations mgmt, Bottom line impact, Systems mgmt
Billing/Coding Specialist - 14 Years of Experience - Near 23059
Career Summary: “I am skilled in all lines of business including HMO, IPP, PPO, Medicare and CMM. Extensive knowledge of Blue2, CIS, ITS, MaxMC, MHS, OSCAR, Philprov, Planmate, SLIQ, INSINQ, CMS and Valutech. Proficient in Microsoft Office software including: Access, Excel, and Word. I have extensive knowledge of Medical Terminology, CPT, HCPCS, ICD-9 and ICD-10 coding. Personal Strengths: Self Motivated Detailed Reliabl...
Tags for this Online Resume: Self Motivated, Detailed, Reliable, Focused, Team Player
Compliance Officer - 10 Years of Experience - Near 20866
Ensure compliance and promote the best interest of the company and its employees to the best of my ability.
Ideal Companies: AARP, United Health, World Health Organization
Tags for this Online Resume: communications, health admin, claims, Medicare, Medicaid, Managed Care, Systems, C, MS Project
Insurance Underwriter - 20 Years of Experience - Near 06074
●Extensive experience in Company Commercial Multi Line Underwriting in Property, Inland Marine, Casualty, Automobile, Workers Compensation, Umbrella and Other Commercial Insurance. Agency Account Management & Marketing. Consummate professional proven adept at working with all levels and sizes of accounts. Possesses excellent communication skills including written and verbal. Dedicated and goal oriented. Understands the urge...
Claims Adjuster - 10 Years of Experience - Near 93230
To obtain an Office/Clerical position in which my data entry, claims processing, customer service, bookkeeping, personal, clerical and general office skills will contribute to greater office efficiency and productivity.
Ideal Companies: stormont vail healthcare, stormont vail healthcare/century health solutions
Tags for this Online Resume: data entry, claims processing, Medicare, Administrative Assistant, Billing, Filing, Financial, Inventory, Network Services, Networking, insurance, customer service
Billing/Coding Specialist - 15 Years of Experience - Near 46755
Experienced and Certified Hospital/Inpatient/Outpatient Medical Biller. Excelled in reducing patient accounts receivable balances. Succeeded in high client revenue by using Complete Revenue Solutions-Action Plans, Goals, and Timelines. Executing improvement in production- increased Revenue, HIPPA billing compliance -registration issues, improving current claims process, refine remittance advices, cleaner claims, appeals pro...
Registered Nurse - 20 Years of Experience - Near 33613
Highly effective, experienced Certified Case Manager. 14 years experience in Case Management in Workers comp, Wellness & Disease Mgt. High level of knowledge of the Workers compensation industry& claims processing, reporting & regulatory requirements. Extensive experience in various clinical settings including Critical Care, Mental Health, Rehab, Long-term Nursing care, Hospice, Home Health & Outpatient clinics. Experienced...
Tags for this Online Resume: Tampa, Case Management, Workers Compensation, Claims processing, Critical care nursing, Mental Health, Utilization review , Wellness/Disease Management
Management
Managing Claims Operation, adjudication and payment functions of physical health claim submissions. This includes interfacing with clients on issues such as claims processing and adjudication, data collection/retention, regulatory compliance, financial analysis, and other duties as assigned by the Director.
Financial Analyst - 20 Years of Experience - Near 32514
I have over ten years Medical Insurance background to offer. In addition to over seven years Microsoft Office background. Includes Outlook, Word, Excel, Access . I analyze each new code and the impact it will have on systems: business requirements. Monitor & evaluate the effect that coding changes have as they are implemented. I have knowledge of Facets and Diamond, PPM,ect. I Have done professional and Institutiona...
Tags for this Online Resume: Pascal, PL/SQL, Chrystal Reports, Microsoft Access, Excel, Word, Powerpoint
Claims Adjuster - 5 Years of Experience - Near 97023
My career objective is to work as a Casualty or Independent Field Adjuster and develop and grow to my potential by offering excellent customer service, educating my clients and being part of a dynamic team of professionals to provide efficient claims processing.
Tags for this Online Resume: insurance, customer service, Microsoft Office, Claims Adjusting, Estacada, Health Insurance, Medical Authorizations, Team work
Director - 20 Years of Experience - Near 92604
MBA, ITIL Certified, Director of Data Center, Operations Center, Managed Services, Consulting & Delivery Engagements, with more than 20 years of Fortune 500 consulting and data center management experience that consistently aligned information technology with business objectives for leading organizations such as: Oracle, Sun Microsystems, and Blue Cross/Blue Shield. A convincing communicator with a demonstrated track recor...
Tags for this Online Resume: sales management, IT Management, Account Mngt, Program Mngt, Data Center Mngt, las vegas, los angeles, strategic planning
Billing/Coding Specialist - 13 Years of Experience - Near 30127
Quality-focused and career qualified professional with 10+ years of relevant experience, possessing a strong understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and complaint documentation and maintains and ensures patient privacy and confidentiality.
Tags for this Online Resume: Atlanta, Medical/coding, Electronic Medical Records, Insurance Claim Processing, Customer Service, Coding, Insurance, Referrals, Family Practice, Medical Billing, Medical Records, Medical Terminology, Medicare
