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Online Resumes with "Claim Rejections"



The Cheerleader of Customer Service

Highly motivated self-starter with over 10 years of strong customer service experience working with diverse clientele. Proven record as a hard working individual with a reputation for dependability and punctuality. Abilities acknowledged with numerous customer commendations.

Ideal Companies: call centers

Tags for this Online Resume: Service, Customer

Featured Profile

Senior Benenfits Manager - 5 years experience

Human Resources Director with 5+ years experience in designing compensation packages inclusive of salary/bonus plus benefit selection, employee relations, performance review, writing policy and procedures, updating employee handbooks for compliance with state and federal labor standards, record maintenance, staffing and training program development, and conflict resolution.

Ideal Companies: Humana, Home Depot, Lowes, Pet Smart, Target Corp, Chilis, Wells Fargo

Tags for this Online Resume: Healthcare, Hospitality, Customer service, Financial

Billing/Coding Specialist - 12 Years of Experience - Near 21061

20+ years experience in insurance sales and customer service. 2 1/2 years in the medical billing field. Extensive Knowlege of ICD-9 and CPT codes Ability to work independently as well as being a team player Strong focus and organizational skills Good Telephone, Computer and Calculator Skills

Ideal Companies: Blue Cross Blue Shield, John Hopkins Hospital, Upper Chesapeake Hospital, Franklin Square Hospital, St. Joseph's Hospital, Aetna, United Health Care

Tags for this Online Resume: Medical Billing, Insurance Claims, Claim Appeals, Claim Denials, Claim Rejections, ICD9 codes, Medical terminology, CPT codes

Medical Office Manager - 19 Years of Experience - Near 94591

Results-driven on new challenges, responsible, reduction in claims rejection, data entry accuracy and collections.

Tags for this Online Resume: Billing, Medical, Medical Billing, Practice Management, Staffing & Recruitment, Coding, Compensation, Computer Maintenance

Billing/Coding Specialist - 20 Years of Experience - Near 75167

PROFESSIONAL SUMMARY Over 25 years of Healthcare experience including: Coordination of the annual CPT/HCPCS adds/changes and deletions Maintaining the integrity of the Corporate Charge Description Master (CDM) Education of clinical staff on all annual changes that would impact their department for capture of billing Communication with Business Office to resolve claim rejections and/or denials Reinforcement of the CDM polici...

Tags for this Online Resume: Billing, CDM, Reviews, Accounting, Audit, Certified Pension Consultant, Health Care Industry, Medicare, Policies and Procedures, Pricing, Chargemaster, Revenue Integrity

Billing/Coding Specialist - 2 Years of Experience - Near 11377

SUMMARY: Motivated CPC certified with an extensive amount of exposure to different aspects of Coding and Billing in an acute and home care facilities. Maintains the area of operations within timeframes and works well with team members. ~t° Code daily admissions, claims rejected by scrubber and recommend solutions ~t° Audit E/M level ~!° Investigate monthly report from different facilities/for missing surgeries Medical Coder...

Tags for this Online Resume: Coding, Medical, Administrative Assistant, ALLSCRIPTS, Audit, Billing, Compaq Alpha, healthcare, Eagle, 3M/SRM

Not Listed - 20 Years of Experience - Near 33486

SUMMARY Results-oriented and experienced Service Manager/Director, Warranty Administrator who thrives in fast-paced and competitive environments. Brings strong presentation, analytical and problem solving skills. Focused on reducing expenses and increasing profit. Great customer and employee communication skills. ACCOMPLISHMENTS Maintained above zone customer satisfaction index scores for 14 consecutive years Certified Serv...

Tags for this Online Resume: BDC, Training, Communication Skills, Problem Solving, Problem Solving Skills

Project Manager

PROFESSIONAL SUMMARY * Sr. Program / Project Manager with over fifteen (15) years of experience with core competencies include Project Management, Change and Risk Management, Client Relationship Management, Resource Management and implementation Management * Managed large programs in PMO's in excess of 9 Million for CVS Health * Assisted in initiating an Agile SCRUM approach in project management * Worked with EPMO directly...

Ideal Companies: Data Wrehousing, Big Data, Project Management

Tags for this Online Resume: Oracle, Oracle Warehouse Builder, Architectural, CIO, Data Warehouse, Design Documents, Documentation, Hyperion, OBIEE, Software

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