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Online Resumes with "DENIALS"



Registered Nurse -16 years expierence in all areas of hospital, nursing home, wants remote work from home position

I am a RN with 16 years of experience in all areas of the hospital including critical care and I have 25 years of experience working in hospital business offices with experience in billing, coding (not certified), Medicare, Medicaid, workers compensation, precertification, denials, case management in rehabilitation.

Tags for this Online Resume: Insurance, Accounts Receivable, Collection, sheets, Coding, ACLS, ADM, Automobile Claim Law Specialist, registered nurse, healthcare

Manager - 15 Years of Experience - Near 97221

Tags for this Online Resume: Patient Access, Revenue Cycle, Denials Management

Featured Profile

Medical or Health Services Manager - 20 Years of Experience - Near 32174

SUMMARY * 30 years in healthcare with thorough knowledge of ICD-10-CM, ICD-10-PCS and CPT coding for hospital and physician reimbursement, including Medicare and Medicaid regulations * Successful with hospital and physician coding and billing denials and appeals * Performed monthly MS DRG and APC audits and coding education internally * Successful appeals of MS DRG and APC denials from insurance companies * Successful devel...

Ideal Companies: Hospitals, colleges, university.

Tags for this Online Resume: Documentation, Management, Coding, Data Quality, Quality, Quality Assurance, Quality Management, CCS, Audit, Billing, coding, Health Information, Online Health Information Management Coding Jobs

Lawyer - 20 Years of Experience - Near 40059

PROFESSIONAL SUMMARY I am an accomplished attorney with over twenty years of professional experience. During that time, I have advised and advocated on behalf of individuals, small and large businesses, and non-profit organizations in a wide variety of practice areas including employment law, contract negotiation and formation, commercial litigation, bankruptcy, workouts/restructuring, and higher education law. Through thou...

Tags for this Online Resume: ADA, Human Resources, Litigation, Bankruptcy, General Counsel, Corporate, Education Law, Ada Programming Language, Product Liability, Real Estate

Loan Officer - 11 Years of Experience - Near 64138

PROFESSIONAL SUMMARY Store\ Assist Mngr focused on customer service, efficiency and achievement. Goal-oriented multitasker who excels as a team leader. Store/ Assist. Mngr with 9-years background in consumer financing, loan administration, default management and customer service. Excellent analytical and communication skills. Loan Officer with a unique set of solutions for every problem. Creative in decision making, while c...

Tags for this Online Resume: Assembly Line, Bilingual, Cash Flow, Communication Skills, Customer Service, Deposits, Financial, Inventory, Inventory management, Management, finance, audit

Quality Assurance Specialist - 18 Years of Experience - Near 97224

Summary of Qualifications: * Responsible for all mobile app testing iOS & Android, Portal automation using Selenium, Fitnesse, JavaScript * AWS device farm testing and physical device testing for all brands Sequel Pro for querying member test data * Lead the design and development team in the transition from Clear Quest to CA - Rally for the Enterprise Release Board Go / No-Go approvals for all Enterprise wide software rele...

Tags for this Online Resume: Project Management, Project Manager, Supply Chain, Systems Analyst, Asynchronous Transfer Mode (ATM), Banking Industry, CICS, Eti, Guardian, Guardian (Comm Net Sw), agile, sql, javascript, it jobs, software

Featured Profile

Program Manager

Currently seeking a leadership position in which to fully utilize the experience and expertise gained as an outcome driven manager, director and consultant. I have developed many transferable skills and will be a true asset to your company.

Ideal Companies: Management training, or Consulting work all in the Little Rock Arkansas area

Tags for this Online Resume: Program Director, Consultant, District Manager, Clinical Coordinator

Case Manager and UR nurse

AREAS OF EXPERTISE * Insurance Notification Process * Clinical Review Submissions * Inpatient vs. Observation Criteria * Concurrent Denials & Appeals * Staff Mentoring * Electronic Medical Record * Case Management * Cross-cultural Communication * Process Improvement

Tags for this Online Resume: Medical, Nursing, PEDIATRIC, Trauma, Documentation, Management, Neurological, Utilization Management, Cardiovascular, Patient Care

Radiologic Technologist - 20 Years of Experience - Near 07444

PROFILE * Versatile, self-starter with extensive experience in cancer center management with a concentrated focus on patient care. Strengths include: 1) budget management, 2) process optimization, 3) strong negotiation skills and patient navigation through treatment plans focusing on emotional and psychosocial aspects of cancer and patient advocacy. SUMMARY: My position as the Center Manager of the Comprehensive & Prostate ...

Tags for this Online Resume: CT, Front Office, Management, Medical, Nursing, PET, Radiation, Support, Billing

Lawyer - 20 Years of Experience - Near 75062

To pursue and accompiish the objectives of a firm/company by utilizing my skili set as an administrator, manager, negotiator, litigator, and marketer. ADMINISTRATORINIANAGER Since my appointment in 2015 by the Mayor and City Council of Irving, Texas I serve as a Director and Finance Committee member of the Dallas County Utility and Reclamation District responsible for managing and maintaining a significant portion of the La...

Tags for this Online Resume: Administrative, Litigation, Personal Injury Case Management, Law Firm Management, General Counsel, Real Estate Title Opinions, Banking Industry, Compensation, Family Law, Insurance

Featured Profile

"Experienced Worker's Compensation Attorney"

Full-time employment as an attorney or health insurance or healthcare advisor, coordinator in the Worker's Compensation, Disability Insurance or related fields.

Tags for this Online Resume: "Workers' Compensation", disability insurance, medical, "civil litigation", "health insurance", "civil litgation", disability