CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Claims review "

Registered Nurse - 20 Years of Experience - Near 89002

Seeking a position working in the area of Case Management, Quality Review, Utilization Review and Clinical Claims Review.

Tags for this Online Resume: Las Vegas, NV, Telecommute, Utilization Review, Quality Review, Medicare

RN Medical Claims Review

Tags for this Online Resume: Medical Auding Specialist, Review claims for med nec, Proficient in ICD9, HCPPCS, Computer Savey, Review medical records

Paralegal - 19 Years of Experience - Near 63114

Tags for this Online Resume: St louis, Medical malpractice , Trial assistant , Organization, Client communication , Time matters , Claims review , Missouri

Licensed Nurse - 20 Years of Experience - Near 76140

Tags for this Online Resume: Disability Management, People Soft, Kronos , Micro-soft, share point, 4 diffrent unions, Claim Reviews , Short term, Long term disability, FMLA,

Registered Nurse - 20 Years of Experience - Near 06478

Tags for this Online Resume: case manager, clinical claims review, chart review, staff development, director of nursing

Administrative Assistant - 1 Years of Experience - Near 33759

Areas of Expertise * Counseling and Interviewing * Compliance * Investigation * Claim Review * Information Systems * Outreach Coordination * Threat Analysis * Microsoft Office * Relationship Building

Tags for this Online Resume: Management, Risk Management, Weapons, Assessments, Benefits, Call Center, Procurement, Program Manager, Transportation, Acquisitions

Help Desk Specialist - 7 Years of Experience - Near 22193

Summary of Qualifications 15 years healthcare operational experience. 7 years technical support experience. Knowledge of claims review and analysis. Motivated to learn and grow in responsibility.

Tags for this Online Resume: HYPERION, TERADATA, LOINC, SALESFORCE, EXCEL, Compensation, Insurance, Workers Compensation, Health Care Industry, telecommute, remote, Medical Billing, Arlington, Stafford, Prince William County

Lawyer - 11 Years of Experience - Near 77479

HIGHLIGHTS OF QUALIFICATIONS Member - State Bar of Texas ( Effective, Creative Communication ( Adept Collaborator ( Regulatory Compliance Diverse, Legal Expertise ( Dynamic Problem-Solver ( Synergistic Solutions ( Customer Satisfaction Champion Sales & Vendor Contracts ( Claim Reviews & Closure ( Trademarks & Patents ( Committed Team Member Relentless Achiever ( General Counsel Assistant ( Agile Negotiator ( Strong Relation...

Tags for this Online Resume: Insurance, Policies and Procedures, Customer Services, Drafting, Financial, compliance, research, Outside Sales, Sales, document review, safety, Houston, writing, analytics, Management

Licensed Nurse - 20 Years of Experience - Near 76118

Career Focus RN with 40 years of experience in healthcare. Skilled in providing both direct and team nursing in healthcare. Skilled in providing medical/surgical nursing, labor and delivery, newborn nursing, Pediatrics, Orthopediatrics, Rehab, and Rheumatology, Long term care in the areas of Staff Development Coordinator, Assistant Director of Nursing, Lead Clinical Nurse for an Outpatient Medicine Clinic, serves on the Pai...

Tags for this Online Resume: Assessments, Audit, Billing, BLS, Cardiopulmonary resuscitation (CPR), Catheter, Collection, Colostomy Care, Disease Management, Documentation

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

Director - 17 Years of Experience - Near 92692

Profile Safety Professional with more than 15 years of experience in occupational safety and health management roles and have worked in a wide variety of settings, including hospitality, manufacturing, construction and restaurants. I worked for several national and multi-national corporations managing their workers compensation program, claims review, OSHA compliance, training, and loss prevention. In addition to understand...

Tags for this Online Resume: Compliance, Pharmaceutical, Plastics, CFO, Distribution, OSHA, Policies and Procedures, Compensation, Remedy, Staffing