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Online Resumes with "Commercial Payers"



Melody Perea, LVN-Case Manager

I am an action-oriented conscientious individual Currently seeking a position in the specialized field of Case Management and Utilization Review, that would allow me to utilize my clinical skills and expertise that I have acquired throughout my years of nursing, CM/UR and coding, (Certification obtained), excellent leadership and communication skills, able to interface with patients, families and medical staff members effec...

Tags for this Online Resume: Coder, Case Management, Medi-cal/Medicare knowledge, IDC9, CPT

revenue cycle analyst

Work in a hospital or clinical envirorment wroking with reimbursment review and recover. Chargemaster work and update to meet regulatory coding for Medicare, Medi-cal Workers Comp and Commercial payers

Tags for this Online Resume: Revenue Cyle, Reimbursement Analyst

Pharmaceutical Sales Executive- 13 Years of Experience - Near 44256

Carl Sigel 5388 River Styx Rd Medina, Oh 44256 | 330-591-8047 | carlmagensigel@aol.com October 13, 2015 To whom it may concern: Enclosed is my resume which details the unique qualifications I offer that appear to be exactly what is being sought for the position. It includes my thirteen years of medical sales and management experience. My experience includes the following: *Ten years exceeding 100% growth *Launched new-produ...

Tags for this Online Resume: Specialty Pharmacy, Executive Sales, IVIG sales, Hep-C Sales, Growth Hormone Sales

Medical or Health Services Manager - 16 Years of Experience - Near 46074

I am currently the Physician Practice Manager for Maternal Fetal Medicine and Genetics. I manage many offices with very diverse physician personalities. I enjoy working with our PACS system and being administrator for the department. I would really like to use my clinical, technical and IT experience in a management position to help others reach their potential and help them grow professionally. I am knowledgeable of coding...

Tags for this Online Resume: Management, Coaches, IT, technology, Customer Service, EMR , business, Analytical Skills, Applications, Back Office, Coding, Managed Care, Management, Medicare

Featured Profile

Billing Specialist - 3 Years of Experience - Near 02053

Hands on manager with medical billing expertise, combining my understanding of medical office management and how it impacts the revenue cycle to submitting clean claims that get paid. MBA from Babson College. Seeking opportunity to problem solve for a great organization. From analysis to practical solutions, I am looking to get real and keep it real.

Ideal Companies: Medical Groups, Hospitals, Surgical Groups

Tags for this Online Resume: Medical Billing, Management, Analysis, EMR, Meditech, Medassets, Emdeon, Passport, Revenue Cycle, Research

Director - 20 Years of Experience - Near 60563

SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...

Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management

Coding Specialist and Educator - 6 Years of Experience - Near 34208

Highlights of Qualifications * Knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS guidelines. * Current Neurology coding experience including Botox, EEG's and EMG's * Current E/M coding experience * Current General and Bariatric surgery coding experience * Builds and maintains effective physician, staff and peer relationships * Proficient in eClinicalWorks and Cerner billing systems * Proficient in Microsoft Word, Excel, Outlo...

Tags for this Online Resume: Complaints, Billing, Coding, Documentation, Health Insurance Portability And Accountability Act, Insurance, Medical, Medical Records, Radiology, Referrals, Coder, Medical Coder

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Pharmaceutical Sales Representative - 15 Years of Experience - Near 28277

A comprehensive provider of successful sales/account management/managerial leadership in the, infusion/specialty pharm arenas that offers over twenty years of comprehensive experience with all commercial/managed care and Government payer groups. A well organized and focused manager, skilled at effective leadership and team building strategies. A successful negotiator and contract implementation specialist that can handle al...

Tags for this Online Resume: Medicare, Urgent Care, Integrate, Managed Care, Management, Pharmaceutical, Oncology, Patient Care, Medicaid, Contracts, Reporting

Featured Profile

Director of Sales and Operations - 15 Years Experience

Top performing pharmaceutical sales executive with proven experience building sales organizations from ground up, driving performance value throughout company, and to bottom line. Recruit, hire, develop and deploy highly effective sales teams that maximize account value, market penetration and overall product ROI.

Ideal Companies: Gilead, Teva, Boeringher-Ingelheim, Lexicon, Abbott, Biogen Idec

Tags for this Online Resume: Pharmaceutical, Medicare, P&L, Business Planning, Cardiology, Contract Negotiations, Distribution, Managed Care, Marketing Management, Planning, Forecasting, Performance Management, Recruiting, Hiring, Coaching, Cross Functional Leadership

Billing/Coding Specialist - 0 Years of Experience

Ana Fonseca CPC is a Certified Professional Coder with 14 years of experience in the Healthcare Industry, knowledge of Medicare part B' and Medicaid for Florida New York North Carolina and Commercial payers Coding, Collections and Documentation guidelines. Experience on important medical principles and standards particularly those related to the creation and management of medical records and documents, medical necessity, a...

Tags for this Online Resume: Coding, ICD-9, Management, Medical, Medicare, Billing, Compensation, Insurance, Research, Surgery