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Online Resumes with "Claims Billing"



Human Resources Administrator - 13 Years of Experience - Near 94601

Highest Educational qualification : (1) M.A. in English Literature (2) L.L.B. - Bachelor of Law (3) Post Graduate Dip in Hospital Admn /Management. : Knowledge in Accounts: Worked as Accounts & Administration Incharge. Accounts/Bills: * Supervision/Writing of Cash Book and Ledgers. * Preparation of Annual Budget, Monthly Receipts & Payments Statement. * Bank Reconciliation statement. * Maintenance of Recoverable Registers &...

Tags for this Online Resume: Silk (Sw Testing Tool), Textiles, Layout, administrative, employee relations, Audit

Customer Service Representative - 19 Years of Experience - Near 01824

Summary: Medical Claims Specialist with extensive experience in processing claims, resolving claims issues and providing outstanding customer service Core Strengths: Clerical Complex Problem Solving Customer and Personal Service High Quality Claims Processing Coordination Skills Judgement and Decision Making HIPPA and Fraud Training Medical Skills: Proficient with Medisoft (a medical software application): Medical Terminolo...

Tags for this Online Resume: Quality, Billing, Managed Care, Management, Medical, Medicare, Pricing, Problem Solving, Referrals, Special Procedures

Medical Office Manager - 20 Years of Experience - Near 75115

Professional Summary Led within the Healthcare Industry specifically as it relates to electronic and medical claims billing. Over past three years, directly responsible for maintaining data records and submitting $100M in electronic claims monthly Analysis with extensive experience in Electronic submission. Proficiencies include claims, customer service and reporting. Core Qualifications Electronic Billing Experience * Prof...

Tags for this Online Resume: Cognos, Payerpath, analytical, Works well with all levels, Excel, Systems Analyst, ANSI, Ansi (Am Natl Stds Inst), Billing, Documentation

Insurance Sales Manager - 9 Years of Experience - Near 60025

AREAS OF EXPERTISE Group Benefits Administrative Support Health & Wellness Programs Marketing & Communications Scheduling & Travel Arrangements Employee Presentations & Educational Microsoft Word, Excel & PowerPoint #847-456-2768 jkramer6770@gmail.com Handled employee benefits claims, billing, and Identified promotional opportunities and enrollment meetings integrated them into annual marketing Assisted with sales pitches t...

Tags for this Online Resume: Benefits, Account Manager, Filing, Video, Financial, Insurance, Management, Planning, Retirement planning, Risk Management

Medical or Health Services Manager - 20 Years of Experience - Near 33534

SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...

Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer

Team Leader

Areas of Expertise: * IT & operational transformation * Application development & production support * Data management & business intelligence * PMO - Portfolio, program & project management * Enterprise infrastructure strategy & management * Financial management of large IT budgets * Software engineering, application development methodology & solution architecture, programming languages * Supplier & vendor management - ons...

Tags for this Online Resume: Application Development, Development Methodology, Budgeting, Financial, Financial Services, Services, Automation, Information Technology, Insurance, Management

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)

Medical Claims Processor

Team player, fast learner, open to learn new things, HIPPA compliant,reliable,and detailed oriented.

Ideal Companies: The companies that I would love to work for is a sucessful, stable and a growing company.

Tags for this Online Resume: Healthcare Medical Billing, Clerical, Adminitration, Receptionist

Quality Assurance Specialist - 5 Years of Experience - Near 94520

Summary * Dynamic, results-oriented with over 5+ years of experience in Quality Assurance with extensive knowledge in the area of Data warehousing and ETL QA in all SDLC layers. * Extensive business knowledge in the domains of Retail E-Commerce and Health Insurance. * Expertise in ETL using Informatica, Data Warehouse & BI Reports testing [Crystal Reports, Workflows, Batches and Interfaces etc.]. * Strong experience in writ...

Tags for this Online Resume: ETL, Legacy, SAP, Test, Test Scripts, Functional Testing, ORM, Applications, Business Objects, Data Conversion

Vice President - 11 Years of Experience - Near 85737

RESUME SUMMARY An innovative, customer oriented healthcare management professional with extensive experience in Medicare FFS, Medicare Advantage, managed Medicaid, ACA/Exchange and Workers' Compensation. A coaching leadership style with a strong background in account management/client services, provider contracting and network management, and sales. Specific areas of expertise include: * HCC Risk Adjustment * Encounters Rep...

Tags for this Online Resume: Management, Book of business, Leadership, Product Launch, Project Management, Account Management, Medicare, P&L, manager, management

Manager - 20 Years of Experience - Near 97267

I bring 26 years of healthcare experience in all operational facets of medical claims billing, collections, AR resolution including credit balance analysis, contract negotiation and credentialing along with customer service and extensive provider relations knowledge with a focus on practice productivity and process and procedural improvement.

Tags for this Online Resume: Collection, Collection Policies, Compensation, Distribution, Managed Care, Statistics, Insurance, Policies and Procedures, management, manager, Data Analysis, Provider Relations, Medical Billing, Contract