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Online Resumes with "Claim Process"



Tester - 14 Years of Experience - Near 92121

Experience Summary Overall 15 years of Total Experience in the IT Industry, and 5 year of Experience in Syntel * Very strong Domain knowledge in Health Care * Hands on knowledge in FACETS Application (Member, Plan/Product, Provider, Eligibility & UM) * Working experience on Agile testing methodology. Acting as Scrum Master. Organize Sprint planning meeting, Daily Scrum Meeting, Creating Sprint report, Create task to the tea...

Tags for this Online Resume: Consulting, Quality Assurance, Structured Query Language, Test, Cognos, Health Care Industry, IBM, Script, System Testing, Test Cases

Customer Service Representative - 20 Years of Experience - Near 76119

QUALIFICATIONS Dedicated insurance professional with more than 20 years of experience as an inbound/outbound customer service agent, claim re-price representative and effectively managing multiple high priority projects. 10 years of experience as a medical office receptionist with knowledge of various medical insurance payers Experience using proprietary medical claims processing software/applications Strong organizational,...

Tags for this Online Resume: Health Insurance Portability And Accountability Act, Protocol, Billing, Insurance, OB/GYN, Pediatrics, Surgery, Urgent Care, Customer Service

Billing/Coding Specialist - 20 Years of Experience - Near 28105

Tags for this Online Resume: Billing, Cash Flow, Managed Care, Medicare, Receivables, Security, Rehabilitation, Claim Processing

Customer Service Representative

HIGHLIGHTS OF QUALIFICATIONS * Well-versed in accounts management, collections, A/R with demonstrated knowledge of various healthcare CRM platforms * Proven ability at grasping the knowledge and value for a product or service eloquent and articulate in effective communication * Resourceful and detail-oriented skilled in quickly engaging others, establishing rapport and developing strong relationships * Creative and analytic...

Tags for this Online Resume: Dental, Account Management, Accounts Receivable, Dentrix, Communication Skills, Customer Relationship Management, Customer Service, Diversity, Drafting, Financial

Insurance Sales Representative - 14 Years of Experience - Near 99037

COVER LETTER: Dear Sir or Madam, I was previously employed as an Account Manager where I had plenty of interaction with clients, carriers, and members, via phone and email. While there, I created census's, quotes, comparison sheets, along with renewals, and open enrollment packets. I also visited the clients location to explain to them the new renewal rates and the other carrier's comparison rates. Prior employment included...

Tags for this Online Resume: Benefits, Complaints, Inside Sales, Insurance, Sales, Accounting, Administrative Assistant, Advertising, apparel, Life Insurance

Business Analyst - 2 Years of Experience - Near 78751

Profile * Global trade analyst with three years' experience in Global Regulatory Compliance (GRC), business process analysis and improvement and requirement gathering and documentation, with strong interest in Consultancy * Versatile, reliable and efficient with strong knowledge of Enterprise Resource Planning (ERP) with proficiency in Microsoft Office, Visio, Visual basic and HTML * Robust communication and time management...

Tags for this Online Resume: SAP, Claim Processing, Enterprise Resource Planning, Planning, Business Intelligence, Compliance, Documentation, Enterprise Requirements Planning, Compliance, DevOps

Senior Office Technician

A results-oriented administrative professional with proven experience in the Healthcare Industry. Excellent communication, financial, analytical and customer service skills. Demonstrated skills in problem solving, data management conflict resolution and organization. Highly productive, completing multiple tasks under pressure both independently and as part of a team in a deadline driven, fast paced environment. Ability ...

Tags for this Online Resume: Revenue cycle Mabna, Revenue cycle management, Account management, Physician billing (EMR), Claims processing (EMR), Billing, Business Strategies, Medical, Medical Billing, Receivables, Analytical Reporting, Financial Analyst

Medical or Health Services Manager - 11 Years of Experience - Near 53090

Summary The diverse jobs skills I have obtained, has effectively prepared me to become a successful Team Leader. Major strengths include excellent multitasking, computer literacy, and financial/medical administration. A dependable, thorough, well-organized individual with very effective communication skills.

Tags for this Online Resume: Audit, Client Relations, CSS, EDI, Accounting, Financial, Management, Quality Assurance, Reimbursement, Billing, Claims Processing, CMS, Medicaid, Medicare, HEDIS, Training, Hiring, SQL, Contracting, Sales, Customer Service

Claims Adjuster - 19 Years of Experience - Near 46231

A driven, goal-oriented candidate seeking a position, utilizing my experience to enhance Administrative-Sales Management, customer service and achieve operational results.

Tags for this Online Resume: Billing, Customer Service, BDE, Compensation, Data Entry, Claim Processing, Training, Benefits, COB, Insurance

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

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

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