CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Claims Processing "

Project Manager - 20 Years of Experience - Near 76244

SUMMARY: 9+ years experience in digital (web-based / mobile / fully-integrated) application builds engaging html, java, .NET and C+ developers, 2+ years advertising agency experience with direct mail marketing and database/digital integration builds, 20+ years medical claims processing and related software applications development experience, 17+ years experience in managing and motivating others in both operational and pro...

Tags for this Online Resume: Technical Requirements, Test, Test Plans, Budgeting, Customer Service, Documentation, Medicare, Operating Budget, Retail, Project Management

Claims Examiner - 20 Years of Experience - Near 30349

To join and established and growing company at a challenging position as a claims processing which allows me to utilize my skills and experience within Insurance Industry.

Tags for this Online Resume: Claim Processing, Managed Care, Managed Care Claims, Medicare, Benefits, Analytical Skills, Applications, Billing, CAT, COB

Billing/Coding Specialist

Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows polices guidelines and procedures to assure consistent quality. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * Electronic Health Records ...

Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Compliance, EHR, EMR

Insurance Underwriter

Profile Committed and motivated P & C Commercial and Personal Lines Senior Account Executive with exceptional customer-relation and decision-making skills. Strong work ethic, professional demeanor and great initiative. Energetic, results-oriented, eager to bring my strong underwriting skills to a growing company in corporate setting who needs top-level support. Excellent communication and computer skills ability to work ind...

Tags for this Online Resume: Audit, Real Estate, Risk Assessment, Middle Market Accounts, Underwriter, Underwriting, Insurance, Account Manager, Business Operations, C Programming Language

Business Analyst

Experienced with EDI files 834,835,270/271, 276/277 file formats * Mapped HIPAA 4010 and 5010 differences * Read and interpreted 997/999 acknowledgments * Facilitated the setup of new trading partners, including planning, project management, testing, documentation, and implementation. * Developed and maintained functional specifications for new / existing applications needed to maintain/enhance EDI processing and address th...

Tags for this Online Resume: EDI, Electronic Data Interchange, Health Insurance Portability And Accountability Act, Management, Software, Systems Analyst, Health Care Industry, VISIO, Agile, Audit

Billing/Coding Specialist - 15 Years of Experience - Near 75409

Summary: * Works closely with providers in an effort to optimize billing and production, while still upholding customer care. * Processed all incoming Appeals Work with providers in advising proper billing and coding of claims, to ensure proper claims processing and payment * Work with the Private Client to obtain correct/ verified information, so I can then verify Coding information * Verify claim details and all pertinent...

Tags for this Online Resume: Billing, Coding, Insurance, Benefits, Accounts Payable, Accounts Receivable, Accounting, Administrative Assistant, Bankruptcy, Distribution, healthcare, Collections

HR Generalist/Manager

Career Summary: I am a bilingual Spanish Human Resource professional with more than 5 years of hands on experience. I am a member of the Society for Human Resource Management (SHRM). My proficiency extends to a vast knowledge of the MS Office suite, HRIS systems such as, ADP ezLabor Manager, ADP Run, ADP Workforce Now, Paychex, Prestige Administrators, ESS 32BJ Employer portal, and Lawson. I have knowledge of union contract...

Tags for this Online Resume: Policies and Procedures, Compensation, Human Resources Information System, Benefits, Management, HR, Human Resources, Payroll, Audit, customer service, worker's comp, FMLA, claims processing and claims resolution, disability, Benefit Administration

Claims Adjuster - 20 Years of Experience

Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectivel...

Tags for this Online Resume: Benefits, Long Term Care, Microsoft Access, Customer Service, Management, Medical, Compensation, Computer Aided Software Engineering, Inventory, Risk Management, insurance, customer service, group health benefits

Not Listed

CAREER SUMMARY My interesting and unique career path has provided me with an array of skills across several different fields. After a successful stint in restaurant management, I moved into inventory services and then into the retail industry. Through all of these paths, I found myself working in some facet of both graphic design and communications. Along with certifications in Qualifications Management/Human Resources * As...

Tags for this Online Resume: Graphic Design, Social Media, Video, Adobe, Claim Processing, Communication Skills, Communications, Coreldraw, Cost Control, Data Processing

Claims Adjuster

Summary: I am passionate about being an adjuster. With all the bad representation about Insurance Adjusters I take great pride in changing the attitudes of the insureds. I believe this starts from the very first meeting with taking the time to walk them through, and explaining the claims process. When meeting insureds for the first time remembering that although I do this every day this is their property and more often than...

Tags for this Online Resume: Roofing, Project Management, Project Manager, Analytical Skills, Computer Aided Software Engineering, Construction, Engineering, Evaluate, Information Technology, Insurance

Health Technologist - 20 Years of Experience - Near 28114

837D 835 999 277 Account managed large clients with specific needs. Including payers partners and providers. Knowing the ins and outs of their specific product usage while solving their problems directly or gathering research prior to escalation. Streamlined manual file processing for second largest client. 80% reduction in file processing time using new processes and client communication strategy. Troubleshooting front-end...

Ideal Companies: remote 1 month nothing

Tags for this Online Resume: Billing, Claim Processing, Medical, Medical Billing, Medicare, EDI, Electronic Data Interchange, Consulting, Management, Policies and Procedures, EDI analyst

Claims Adjuster - 17 Years of Experience - Near 33015

Award winning individual with excellent customer service and leadership skills. Experience with assessing selecting training and developing new associates. * Adapt at maintaining communication with direct repair facilities (manager and owners) explaining estimating systems technology staffing planning and all repair aspects. * Directly supervise office dispatcher and eleven auto damage adjusters. * Excel providing clear inf...

Tags for this Online Resume: Management, Accounting, Associate of the Conference of Consulting Actuaries, Claims Adjuster, Recruiting