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Online Resumes with "Claim Process"
Programmer Analyst - 20 Years of Experience
Tags for this Online Resume: Odbc, Software, CL (Command Language for AS/400), Crystal Reports, Microsoft Excel, EDI, EDI Mapping, Electronic Data Interchange, Manufacturing, sql, it jobs, software
Programmer Analyst
SUMMARY 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
Customer Service Representative
Professional Summary: A Medical Billing Specialist with over 15 years of experience in the healthcare field. Over 10 years of her experience in the healthcare field was spent handling the submission of claims, processing claims, the claim appeal process, following up with insurance companies and resubmission of claims to third party payers. Experience verifying patients' insurance benefits and eligibility. Accustomed to ens...
Ideal Companies: Amazon, Google, Apple
Tags for this Online Resume: Billing, Delinquent Accounts, Health Insurance Portability And Accountability Act, Pediatrics, Insurance, Complaints, Front Office, Benefits, Co-Pays, Coding
Experienced Healthcare Insurance Professional
A result oriented and skilled candidate looking for a Remote Healthcare Insurance position where my work skills and other professional abilities will be a valuable asset for the profit of the Healthcare/Insurance company as well as clients.
Ideal Companies: BCBS, Anthem , Cigna, Aetna, United Health Care
Tags for this Online Resume: Audit, Coding, POS, Billing, Business Requirements, Inventory, Quality, Quality Assurance, Quality Control, Test, capitation, NASCO Payment Engine
Senior Business Analyst -15 years Experience - Columbia
Professional Summary Dynamic and motivated IT Senior Business Analyst with experience in client relations, team management, healthcare IT infrastructure and clinical data exchange. and Key Accomplishments Senior Business Analyst with strong healthcare analytic, design and implementation skills. Supported BlueCross BlueShield of South Carolina's TRICARE (military healthcare insurance) contract. Also acted as company liaison ...
Tags for this Online Resume: Application Programming, Budgetary, Infrastructure, Microsoft PowerPoint, Process Improvement, Programming, Research, Research and Development, Test, Test Plans, it jobs, agile, software
Manager - 15 Years of Experience - Near 66216
Top performing IT professional with 15+ year of progressive leadership experience guiding cross-functional teams at yielding quality results. Demonstrated ability to evaluate problems and effectively implement creative solutions. Enthusiastic and motivated leader who consistently meets commitments with integrity by investing in the development of team members and capitalizing on their individual strengths while minimizing w...
Ideal Companies: BCBS KC, Children Mercy Hospital, Insurance Commission of America
Tags for this Online Resume: Informix, Offshore, Support, IBM DB2 Database, Unix, Cognos, Dba (Database Admin), Focus, Medicare, SQL, Web Focus
Administrative Assistant - 10 Years of Experience - Near 85086
Tags for this Online Resume:
Amazon Elastic MapReduce, Claim Processing, Coaching, Compliance, Computer Aided Software Engineering, Data Entry, EMR, Health Insurance Portability And Accountability Act, HR, Human Resources
Billing/Coding Specialist -7 Years of Experience
SUMMARY Highly experienced Insurance Claims Specialist/Medical Biller and Coder. Highly organized, efficient and skilled in: * EDI Claims processing, Claims rejections * Denials and communicating with insurance companies * Drafting Appeal letters and corrected claims for payment * Medical insurance claims processing * Interpreting and transferring doctor notes into codes for billing * Medical Terminology * Able to read and ...
Tags for this Online Resume:
Insurance, Benefits, Management, Administrative Assistant, Billing, Claim Processing, Database, Medicare, Microsoft Word, Receivables
Executive Assistant
Tags for this Online Resume:
Manufacturing, Benefits, Claim Processing, Client Communications, Communications, Compliance, Configure, Customer Service, Data Management, Management
Project Manager - 10 Years of Experience
EXECUTIVE PROFILE Both PMP - and ITIL-certified a highly accomplished, Program/Project Management (PMO) professional with over 20 years progressively responsible client-facing service delivery, consulting experience, the past 10 on Medicare projects supporting the 1-800 Medicare enterprise SDLC and IT Service Delivery for the Centers for Medicare and Medicaid Services (CMS). A proven, motivated self-starter, with demonstrat...
Tags for this Online Resume:
Management, Coding, Medicare, Scheduling, Support, Call Center, Health Insurance, Insurance, Insurance Claims, Monitoring, Program/Project Manager, Program Manager, Operations Manager
Featured Profile
Training & Development Manager
Accomplished certified project management, education/training development professional with over 20 years of experience in consulting, leadership, training, development, project/program planning, implementation, and execution. Adept at utilizing senior level project management skills across a variety of platforms including: financial, healthcare, insurance, and technology. Exceptional leader/manager/strategist/educator with...
Ideal Companies: Salesforce, Ultimate Software, The Boston Consulting Group, Workday, Genentech, Hyatt, Kimley-Horn, Intuit, USAA
Tags for this Online Resume:
Leadership, Banking Industry, Financial, Financial Services, PMP, Process Improvement, Services, IBM AS 400 Utility - SDA, Integrate, strategy, Project Management, Program Management, Business Operations, Communications Management, Risk Planning, Risk Management, Relationship Management, Conflict Resolution, Driving for Results, Policy Development, Procedure Management, Training & Development, Facilitation, Collaboration, Negotiation, Information Technology PM
Training & Development Manager
Accomplished certified project management, education/training development professional with over 20 years of experience in consulting, leadership, training, development, project/program planning, implementation, and execution. Adept at utilizing senior level project management skills across a variety of platforms including: financial, healthcare, insurance, and technology. Exceptional leader/manager/strategist/educator with...
Ideal Companies: Salesforce, Ultimate Software, The Boston Consulting Group, Workday, Genentech, Hyatt, Kimley-Horn, Intuit, USAA
Tags for this Online Resume: Leadership, Banking Industry, Financial, Financial Services, PMP, Process Improvement, Services, IBM AS 400 Utility - SDA, Integrate, strategy, Project Management, Program Management, Business Operations, Communications Management, Risk Planning, Risk Management, Relationship Management, Conflict Resolution, Driving for Results, Policy Development, Procedure Management, Training & Development, Facilitation, Collaboration, Negotiation, Information Technology PM
