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Online Resumes with "DENIALS"
Persistence is Job 1
Enthusiastic seasoned fraud investigator looking for the my next case. I like chasing the bad guys and bringing them to justice.
Ideal Companies: Any major airline, automotive manufacturer, Harley Davidson, Major Banks
Tags for this Online Resume: Fraud Investigator, Corporate Security, Security Investigator
Senior Manager - 20 years Experience - Atlanta Georgia
Tags for this Online Resume: Denials, Revenue Cycle , Employee Relations, Healthcare Contract Interpretations, Team Training/ Management/Mentoring, A/R Reconciliation
Sr. Medical Billing Representative
Highly Skilled Accounts Receivable Representative with over 15 years’ of medical and business billing experience. Proven expertise working with patients to resolve Medicare / Medicaid denials and submit appeals. Skilled at medical coding, medical billing, processing medical claims, and performing insurance research.
Ideal Companies: Hospital
Tags for this Online Resume: Billing Coding, Medical Terminology, Collections, Office Administration, Data Entry, Medical Coding, HIPPA Standards
Revenue Cycle/ AR Management Specialist
Looking for a new opportunity where my expertise is realized and is an asset to the employer while continuing to expand my knowledge and continued career growth.
Tags for this Online Resume: Revenue, healthcare, Accounts Receivables, manager, denials management , medical coding
Manager
A senior position in the Financial Services industry with a focus on Operational Management, Team Leadership and Process Improvements
Ideal Companies: Noodles and Company
Tags for this Online Resume: Management Skills, Transferable Skills, Communication Skills
Admissions Director
Tags for this Online Resume: Assistant Director Of Finance, Hospital billing and appeals, Claims collection for commercial insurance, Medicare/Medicaid HMO and third party insurance, Patient financial service, Hospital Denials and appeals, Underpayment, Auditt review
Client Services Manager - 6 years Experience - Santa Fe
I am a Client Services Manager for a behavioral health organization with 20 plus years experience dealing with customer service, claims payment, denials and appeals. I am in the Santa Fe area but am willing to relocate.
Tags for this Online Resume: health care, administration, management, texas, north carolina, south carolina
medical claims recovery, adjustment and auditor
15 Plus Years: As a short- term traveling contractor, I have experience with HMO’s, as well as, PPO Insurance companies. Job descriptions are as follows: Experience in claims processing of Medicaid, Commercial, Professional, PPO, HMO, Third Party, Subrogation And Medicare claims Team Lead for high dollar and complex claims issues as well as customer service responses. Provider Relations Liaison, as well as, being a train...
Global Head of Export Control - Trade Compliance i Willing to relocate anywhere in Canada, US or Europe. I hold passports forall 3.
I wish to assist companies in driving the achievement of world class standards in regulatory or reporting compliance in an integrated and efficient way especially in an environment where much integration of disparate acquired units is occurring. I have successfully achieved this in several major multi-billion dollar corporations in both the finance and legal compliance and operational ,areas (Sarbanes Oxley, Audit, Regulato...
Ideal Companies: Media, Financial, Publishing, Manufacturing and Chemical ndustries
Tags for this Online Resume: Change Management, Internal Audit, Risk Management, Complex Accounting policy (multiple GAAP), Controllership, Valuation of intangibles, GAAP, Canadian, US, IFRS, Legal and Regulatory Compliance, dispositions management and accounting, sanctions, export control, legal compliance, Systems Implementation, Activity Based Costing, Project Management
Experienced Managed Care Planning & Strategy Lead
Over ten years of patient advocacy experience in field of biopharmaceutical healthcare with proven strengths in investigational and analytical skills. Exceptionally skilled in process management with recognized ability to assimilate new information and ideas quickly with the ability identify develop and implement organizational processes. Obtained a Masters of Business Administration in December of 2013 from the University ...
Ideal Companies: Gilead, United Healthcare, UCSF, UnitedHealth Group, Theravance Biopharma, Sutter, Crescendo, Health, Abbott, Novartis, Acclarent, Adamas, Agilent, Amgen, Bayer, BioMarin, Biologics, Boston Scientific
Tags for this Online Resume: Process Management, Analyzing, Developing Strategy, Reimbursement, Creative, Problem solver, Innovative, Payer Inteligence, Managed Care, Case Management, Patient Case Management, Private and Public Payers, Coverage, Patient Assistance, Government Payers
LVN with 23 years experience from Infants to Case Management
I'm an LVN with over 20 years of experience in patient care, assessment, IV certified, medication management, medical documentation, and now Case Management working with SNP members, home health agencies, referrals and authorizations, seeking employment with an IPA or Health Plan to grow with.
Ideal Companies: St Jude Medical Center, Fullerton CA, United Healthcare, Children's Hospital of Orange County, CA
Tags for this Online Resume: Case Management, Nurse, LVN, Discharge Planner, Cross Trained, Healthcare, Case Manager
Utilization Management Supervisor
To obtain a health care position utilizing my experience, education, skills, knowledge, and abilities to promote quality care in today’s changing environment.
Tags for this Online Resume: Rehab Director, Denial Management Specialist, Rehab Case Management, Home Health Supervisor, Outpatient Management Supervisor, Insurance Industry
