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Online Resumes with "Claim Process"
Billing/Coding Specialist - 4 Years of Experience - Near 78242
at Position Description: Reviewing claims working off project list or work queue. Responsible for providing expertise or general support in reviewing, researching. Experience in a production based environment with an emphasis on quality outcomes. Primary Resposabilities: * Reviewing and adjudicating medical claims in accordance with CMS claim processing guidelines. * Processing claims Up to 50K * Provide expertise claims su...
Tags for this Online Resume: Microsoft, Microsoft Outlook, Services, Adobe, Audit, Banking Industry, Benefits, Billing, Call Center, Cardiopulmonary resuscitation (CPR)
Claims Manager - 6 Years of Experience - Near 06001
Tags for this Online Resume: Audit, Claim Processing, CT, Management, Policies and Procedures, Benefits, Quality Assurance, Food Service
Medical Records Technician - 10 Years of Experience - Near 60652
Professional Summary Experienced professional offers the following key strengths: 10 years plus experience in diverse settings. Thorough knowledge of Current Procedure Terminology (CPT), ICD-10 Coding, Revenue codes, and UB92 and 1500 Medial claim forms. The industry and technology trends as applied to patient account management Medicare, Worker compensation, Blue Cross, and Commercial Insurance billing and collections. Pro...
Tags for this Online Resume: Benefits, Management, Medical, Accounting, Audit, Compensation, Distribution, Financial, Financial Industry, Financials
Tester - 15 Years of Experience - Near 80016
PROFESSIONAL SUMMARY * 19+ years of software testing and management experience. Managing and performing different types of testing in AGILE process for web-base (Health care) FACETS applications, HealthCare (MEDICARE & MEDICAID), CBMS/PEAK applications, Mobile App testing, EDI, Financials, and Enterprise Resource Planning (ERP) Suite applications. * Telecommunication & mobile applications, including Oracle Supply Chain Mana...
Tags for this Online Resume: IBM DB2 Database, Oracle, Regression Testing, Test, Test Director, Transportation, Transportation Management, Automation, Billing, Claim Processing, sql, agile, software
Business Analyst - 7 Years of Experience - Near 37209
Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...
Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing
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
Clinical Research Professional
I am looking for a career opportunity in research or any science related field.
Ideal Companies: Any research company, FBI, CIA
Tags for this Online Resume: clinical, research, project management, biology, medical , science, monitoring, clinical trials, regulatory, quality assurance, laboratory
Licensed Certified Phlebotomy Technician
interesting position that will utilize my skills
Tags for this Online Resume: blood draw, multiline phones, health ins contract interpretation, federal health insurance laws, PC, health insurance preauthorization, health insurance claims processing, Customer Service, Benefits, Medical, Front desk, Intake
Administrative Services Manager - 10 Years of Experience - Near 30121
SUMMARY Executive Management candidate with strong leadership skills. Able to prioritize, delegate tasks, and make sound decisions quickly while maintaining a focus on the bottom line. Ten plus years of experience with a strong environmental awareness, excellent writing skills, and the ability to find innovative solutions. Experienced in navigating teams through changing business environments. More than 10 plus years' exper...
Tags for this Online Resume: Billing, Training, Audit, Claim Processing, Support, HR, Human Resources, Recruiting, Compliance, Data Entry
Insurance Sales Representative - 3 Years of Experience - Near 30096
SUMMARY OF QUALIFICATIONS Over 7 years experience in the insurance industry. P& C & Life & Health licensed LOMA AIRC designation in Compliance auditing. Trained and experienced in Sales and Claims processing. Over 9 year's customer service experience in both private and government agencies. Consistently recognized for skills used to rapidly and cost-effectively resolve challenging issues. 16 year accounting and auditing pro...
Tags for this Online Resume: Payroll, Management, Tax preparation, Compliance, Accounting, Budget Preparation, Budgeting, Cash Flow, Licensing, Recruiting, Benefits Enrollment, insurance, employee benefits, group benefits associate, health benefits broker, benefits consultant, group health benefits, sales, customer service, investigator, marketing
Business Analyst - 10 Years of Experience
Tags for this Online Resume: Claim Processing, Documentation, Quality Assurance, Software, Software Development, System Implementation, Systems Analyst, Test, Test Plans
Information Technology Manager - 19 Years of Experience - Near 97207
Summary of Experience: * Recently, as a Director in the IT Strategy Practice at an international management consulting firm (ISG), managed engagements that focused on digital transformation and business intelligence. * As a Management Consultant at Kaiser Permanente, managed the renegotiation of a $53 million, offshore IT managed services contract with Accenture for application development and infrastructure services that r...
Tags for this Online Resume: Infrastructure, Cisco, Customer Relationship Management, Data Warehouse, Enterprise Data Warehouse, Enterprise Software, Licensing, Management, Messaging, Microsoft
