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Online Resumes with "Claim Process"

Administrative Assistant - 20 Years of Experience - Near 92705

SUMMARY Seeking a position in an office setting utilizing and expanding on several years of work experience in both education and medical settings. Work experience includes: customer service- both in person and over the phone, sales, registrar duties, record keeping, report preparation, providing job placement services, office management and accounts receivable, back office medical assisting. Have knowledge of medical termi...

Tags for this Online Resume: Basic First Aid, Billing, Insurance, Inventory, Accounts Receivable, office management, career services, medical terminology, clerical, customer service, data entry, telecommute, typing, administrative assistant

Medical Secretaries - 13 Years of Experience - Near 87114

PROFESSIONAL SUMMARY * 4+ years of healthcare experience providing helpful patient assistance, administrative support, and managing patient inquiries. * Previously worked for EPOCH Industrial Health Services, ABC Staffing, and Palmilla Assisted Living. * Responded to telephone calls and responded to patient inquiries regarding issues and /or concerns. * Provided options and solutions to inquiries while upholding company uni...

Tags for this Online Resume: Billing, Back Office, Front Office, Medical, Scheduling, Ultrasound, Accounting, Accounts Payable, Inventory, Management

Employee Benefits Account Manager - 20 Years of Experience - Near 19090

Profile Over thirty years in various insurance industry settings. Well versed in self-insured plan administration and funding, COB, Medicare, Major Medical, Basic, HMO, PPO, Dental, Workers' Compensation, and Disability Claim Processing. Fully trained in Medical Terminology, ICD-9 and CPT Coding. Excellent at handling customer service direct and or through insureds, group representatives, brokers, and various third party co...

Tags for this Online Resume: Cobra, Audit, Billing, Documentation, Benefits, Medical, Account Manager, Assessments, employee benefits, group benefits associate, group health benefits, benefits consultant, health benefits broker

Customer Service Supervisor - 8 Years of Experience - Near 94534

Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...

Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center

Business Analyst - 7 Years of Experience - Near 60661

Summary: * Qualified professional with more than 7 years of experience as a IT Business Analyst in Healthcare and Banking Industry. * Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment. * Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Waterfall, RUP an...

Tags for this Online Resume: Business Analysis, Business Requirements, Insurance, Microsoft Visio, Structured Query Language, Unified Modelling Language, Use Cases, agile, Risk analysis, Impact analysis, Change management, EDI Claims

Management Trainee - 1 Years of Experience - Near 94085

Professional Summary * Industrial experience in engaging with multiple roles like administrative assistant, recruiting coordinator, project coordinator, direct customer/client interaction. * Engaged with multiple cross culture and cross functional teams to deliver global solutions. * Entrepreneurial mindset with communication and presentation skills. * Managed internal and external teams in the execution and delivery of pro...

Tags for this Online Resume: Administrative Assistant, Cold Calling, Microsoft Excel, Microsoft Outlook, Microsoft Word, Structured Query Language, Team Player, Analytical Skills, Claim Processing, Customer Service

Manager - 10 Years of Experience - Near 48066

CAREER SUMMARY I am an energetic professional with experience managing financial operations, developing and implementing strategic plans, developing personnel and maximizing results. My recent experience as Operational Manager for Pierce, Monroe & Associates, LLC included overseeing collection of over $12,000,000 in revenue annually and management of the parking division. I developed results with Ford Motor Credit Company, ...

Tags for this Online Resume: Call Center, Financial, Services, Audit, Customer Service, Wholesale, Green Belt, Insurance, Management, Microsoft Office, management, manager

Project Manager - 20 Years of Experience - Near 78052

Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...

Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager

Programmer Analyst - 20 Years of Experience - Near 46226

Application Developer/Analyst

Tags for this Online Resume: C# Programming Language, Claim Processing, Extensible Markup Language (XML), Microsoft Visual Studio, Programming, Programming Languages, SFTP, Systems Engineer, Data Conversion, Database, java, sql, c#, c++, software

Billing/Coding Specialist - 12 Years of Experience - Near 80021

My objective is to work with a team that is dedicated to making a successful business through hard work and cooperation.

Tags for this Online Resume: Medical, Accounts Receivable, Bank Deposits, Billing, Claim Processing, Coding, Critical Care, Data Entry, Deposits, Insurance

Executive Assistant - 7 Years of Experience - Near 97302

Summary_______________________________________________________________ Accomplished, detail oriented professional with a solid history as an administrative assistant to the Directors of Pharmacy of two hospitals systems in Portland, Or. I am skilled in analyzing government documentation and guidelines, public speaking, teaching, mentoring, as well as claims processing and auditing including fraud, waste, and abuse investiga...

Tags for this Online Resume: Administrative Assistant, Audit, Billing, Cms, Documentation, Fraud, Management, Medicare, Microsoft Excel, Microsoft PowerPoint, administrative assistant

Manager - 20 Years of Experience - Near 35080

Looking for a position with a fast paced energetic company.

Tags for this Online Resume: Research, Research and Development, Home Health, Billing, Insurance, Medicare, Benefits, Business Analysis, Business Analyst, Claim Processing, management, executive