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Online Resumes with "Claims data"



Medical Claims Analyst

To obtain a career in an office setting. Where I can apply my skills either in Medical claims or Data Entry.

Tags for this Online Resume: Medical Claims Analyst, Data Entry, Customer Service, Receptionist, File Clerk, Mail Clerk

Business Analyst

Tags for this Online Resume: EDI Claims Analyst, HIPAA SME, CLAIMS Data Analyst, PEGA Rules Engine Analyst, Business Analyst Manager, Business Systems Architect

Featured Profile

Computer Programmer - 20 Years of Experience - Near 89130

• Use my 21 years in the healthcare information technology in management, system design, programming and operations to help a healthcare company compete successfully. • Use my programming and technical skills of project management, SQL and VBA to develop systems and establish advancements for department improvements

Ideal Companies: Health Care Companies

Tags for this Online Resume: SQL, Information Technology, Project Management, Program Management, EDI - Electronic Data Interface, Strategy Development, Process Improvement, VBA (Visual Basic for Applications), Pc, Personal Computer

P. O. BOX 4113 Fullerton CA 92834 714.476.5398 amytruong@hotmail.comOBJECTIVE: Seeking a computer-related Clerical Office position.EDUCATION: Bachelor of Arts in Business Administratio

Concierge, Encore Senior Living (2/2006 – Present) • Answered phone calls on a daily basis and maintained cleanliness around all areas. • Greeted customers and nurses when they come to visit and to give service for residence. • Written up work orders for residence for maintenance related work fix. • Called nurses, ambulances and firefighters for residence emergency related situations. Starbuck Baristas and Cashier, H...

Ideal Companies: Fortune 500

Tags for this Online Resume: Administrative, clerical, English Language, Internet, Microsoft, Microsoft Office, Receiptionist

Sales Representative

client-focused professional Energetic with three decades of proven leadership sales growth and project management skills in the fast-paced and demanding business environment. Proven ability to cultivate and maintain strong client relationships in the market. Risk-taker and tireless customer advocate capable of working quickly and accurately with detailed information. Ability to maximize efficiencies and drive positive sales...

Tags for this Online Resume: Communications, Compensation, Audit, Billing, Commissions, Compliance, CT, Distribution, Financial Industry, Inventory

Data Mining Specialist

SUMMARY OF QUALIFICATIONS * Data Extraction and manipulation of complex data sets using SQL and SAS * Perform statistical analysis using R and Excel Data visualization using Tableau * Experience of using EHR & claims data of OPTUM, TRUVEN and CMS Medicare for a wide variety of projects Understanding of Insurance billing & coding CMS payment models

Tags for this Online Resume: CT, Research, Spring, Billing, Cardiology, Clinical Research, Cms, Coding, Data Dictionary, Data Extraction

Programmer Analyst - 7 Years of Experience - Near 72211

SUMMARY OF QUALIFICATIONS: * Over ten years' extensive experience in SAS programming on Windows and UNIX platforms, including nine years' experience working on Medicare and Medicaid national warehouse databases, mainly in manipulating large complex medical datasets and medical claims data (inpatient, outpatient, and pharmacy claims). * Solid experience in data extraction, transformation, and loading to data warehouse Data c...

Tags for this Online Resume: SAS, SQL, Statistical Analysis, Data Management, Medical, Oracle database, Data Validation, Data Extraction, Survy data analysis, Modeling, SAS ODS Report, Generate tables and graphics

Team Leader - 9 Years of Experience - Near 08854

Experience Summary * A seasoned analytics and consulting professional with ~9 years of industry experience as a SAS Consultant and Business Data Analyst with a strong understanding of Data Handling and Management, SAS, Project management, and Business Analysis. Project Summary This program supports the in-out of the company's innovative value-based programs. This includes the analyses of business KPIs and financial metrics ...

Tags for this Online Resume: Programming, Support, ETL, QA, Management, Data Extraction, Project Management, Requirements Analysis, SAS, Data Analyst

Pharmacist - 4 Years of Experience - Near 11004

Experienced with hormone replacement therapy, thyroid therapy, and veterinarian medications Used knowledge of sig codes, drug information, and compounding calculations to accurately enter and fill prescriptions Entered patient files and assisted in completing medical claims into the data system for timely processing Provided exceptional customer service and patient counseling regarding medications INTERNSHIP CLINICAL ROTATI...

Tags for this Online Resume: Patient Counseling, Therapy, Customer Service, Drug Information, Medical, Inventory, Patient Care, Pricing, Cardiopulmonary resuscitation (CPR), Family Practice

Programmer Analyst - 20 Years of Experience - Near 53704

Professional Summary: * * Excellent experience in COBOL, DB2, JCL and CICS. * Excellent experience in analysis, design, development and implementation of an information display system for Claims data utilizing SDLC standards. * Organize and lead meetings (some facilitated) with people from many different areas and levels, design and develop a system that merged technologies and multiple environments * Duties include: analys...

Tags for this Online Resume: Coding, Test, Cobol II, Cobol Programming Language, IBM DB2 Database, VSAM, CICS, Insurance, Consulting, Data Mapping

Business Analyst - 20 Years of Experience - Near 17111

Career Highlights: I have 25 plus years of overall working knowledge of claims processing experience in both a client server and mainframe environment. I deal very effectively with all levels of staff and have excellent organizational and communication skills. I am extremely well organized and can handle multiple tasks and high volumes of data. My accomplishments include: * Accessing several database for data mining to prep...

Tags for this Online Resume: Information Technology, System Analyst, Business Analysis, Business Analyst, IBM DB2 Database, Support, Billing, Call Center, Inventory, Management, sql

Claims Investigator - 10 Years of Experience - Near 06052

SUMMARY * Certified Fraud Examiner (CFE) by internationally recognized organization, Association of Certified Fraud Examiners * Certified Program Integrity Professional (CPIP) by the U.S. Department of Justice, Medicaid Integrity Institute. * Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) by nationally recognized organization, Academy of Certified Professional Coders. * Exceptional anal...

Tags for this Online Resume: Fraud, Audit, Business Objects, Coding, Data Warehouse, Documentation, Financial, Referrals, Scheduling, Certified Fraud Examiner, Certified Medcial Auditor, SIU, Fraud, waste and abuse, Certified Professional Coder, Health care investigation