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Online Resumes with "Claims data"



Billing/Coding Specialist - 0 Years of Experience

17+ years successfully inputting and validating medical claims data and overseeing the use of proper documentation and coding on patients' accounts. Skilled at preparing and submitting clean claims to various insurance companies and performing regular follow-up. Oversee staff of five. Baiance daily receivables and run daily/monthly A/R reports. Coordinate referrals and pre-authorizations. Very positive and proactive approa...

Tags for this Online Resume: Billing, Managed Care, Pediatrics, Receivables, Documentation, Special Procedures, Accounts Receivable, Amazon Elastic MapReduce, Coding, Credentialed

Billing/Coding Specialist - 0 Years of Experience

17+ years successfully inputting and validating medical claims data and overseeing the use of proper documentation and coding on patients' accounts. Skilled at preparing and submitting clean claims to various insurance companies and performing regular follow-up. Oversee staff of five. Baiance daily receivables and run daily/monthly A/R reports. Coordinate referrals and pre-authorizations. Very positive and proactive approa...

Tags for this Online Resume: Billing, Managed Care, Pediatrics, Receivables, Documentation, Special Procedures, Accounts Receivable, Amazon Elastic MapReduce, Coding, Credentialed

Featured Profile

Professional with extensive experience in healthcare revenue cycle management and data analysis.

Driven and determined professional with more than a decade of experience in healthcare-related roles. Background includes managing teams with up to 60 members, as well as guiding long-term, complex projects from start to finish. Solutions-oriented approach and collaborative leadership style helps boost productivity, staff retention, and overall revenue outcomes.

Ideal Companies: Providence Health & Services, MultiCare Health System, Conifer Health Solutions

Tags for this Online Resume: Insurance, Medicare, Billing, Insurance processing, Medical, Medical Records, Accounts Receivable, Managed Care, Management, Data Analysis, Epic, SAP Hanna, Tableau, MySQL

Featured Profile

Accomplished pharmacist with strong blend of clinical, healthcare informatics, business development, EMR/technology integration, and provider transformation skills. Passion for leveraging technology to break down silos, facilitate internal and external co

Accomplished pharmacist with strong blend of clinical, healthcare informatics, business development, EMR/technology integration, and provider transformation skills. Passion for leveraging technology to break down silos, facilitate internal and external collaboration, increase transparency, and drive measurable improvements to healthcare costs, delivery, and outcomes. Expertise in population health management programs, healt...

Ideal Companies: University of Miami, work from home, I can travel for work, Aetna, Cvs, Humana

Tags for this Online Resume: Clinical Programs, Management, Training, Consulting, Distribution, Oncology, Pediatrics, Quality, Quality Assurance, Quality Control, pharmacy, doctor of pharmacy, informatics, population health, sales, healthcare insurance, product management, rules engine, director

Business Analyst

Tags for this Online Resume: Automation, Integrate, Licensing, Process Improvements, Research, Research and Development, Structured Query Language, Process Improvement, EDI, Electronic Data Interchange