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Online Resumes with "Denials Appeals"
Claims Investigator - 10 Years of Experience - Near 07823
PROFESSIONAL SUMMARY: Core Qualifications: * Proficient in data management, web applications, Microsoft Office suite including Excel, Power Point, Publisher, Adobe Suite and other specialty specific software applications * Accomplished in medical claim verification of coverage, denial and appeal processes * Facile in coordination of post-acute care patient needs * Skilled in all aspects office management, including scheduli...
Tags for this Online Resume: Denials, Billing, Claims, Financial Services, Compliance, Managed Care, Recoupment, Investigation, Insurance, Appeals, Regulations, Hackettstown, NJ
Billing/Coding Specialist
SUMMARY OF QUALIFICATIONS Over 25 years experience in position of increasing responsibility, including more than 8 years in intensive care, and cardiac care unit More than 8 years experience in emergency medicine and ICU. Five years experience working as CDI More than 8 years experience as Manager One and half year experience in doing Rac denial appeal and success rate is over 78% Solid experience in administration in prima...
Tags for this Online Resume: Documentation, Management, Surgical, Emergency Room, ER, Coding, Medical, Query, Audit, Cardiology
Customer Service Representative
HIGHLIGHTS OF QUALIFICATIONS * Well-versed in accounts management, collections, A/R with demonstrated knowledge of various healthcare CRM platforms * Proven ability at grasping the knowledge and value for a product or service eloquent and articulate in effective communication * Resourceful and detail-oriented skilled in quickly engaging others, establishing rapport and developing strong relationships * Creative and analytic...
Tags for this Online Resume: Dental, Account Management, Accounts Receivable, Dentrix, Communication Skills, Customer Relationship Management, Customer Service, Diversity, Drafting, Financial
Case Management Manager - 15 Years of Experience - Near 20603
PROFESSIONAL SUMMARY A successful, highly effective healthcare leader with over 20 years of clinical, and administrative hospital leadership experience. Innovative, and progressive facilitator of successful change through interpersonal, analytical, and team problem solving. Highly skilled, professional, multi-medium communicator. AREAS OF EXPERTISE * Able to successfully lead, train, and organize multiple specialties/discip...
Tags for this Online Resume: Cardiovascular, Nursing, Computer Aided Software Engineering, Management, Emergency Room, ER, Integrate, Medical, ACLS, Automobile Claim Law Specialist, Washington DC,MD, VA
Case Manager - 6 Years of Experience - Near 01033
To obtain a position that will showcase my skills and diverse background in the healthcare industry while allowing my continued professional growth and goal attainment within the company's vision. Background Qualifications: -Detailed oriented, with extensive experience in case management at the Ltach and SNF levels of care -Ability to work in high stress positions dealing with peers, patients, families, medical staff, and p...
Tags for this Online Resume: Dialysis, Management, Pulmonary, Utilization Management, Insurance, Medicare, Assessments, Documentation, Marketing Management, Referrals
Family or General Practitioner - 11 Years of Experience - Near 40243
Duties:, and implement medical treatment for predominantly neuro/ orthopedic pts. Collaborated with neurosurgeon, medical advisor. Consult with doctors and other health-care providers about the circumstances that surrounded a medical situation gathering documentation in preparation for an approval denial or appeal for services based on policy provisions and medical necessity.
Tags for this Online Resume: Insurance, Compensation, Workers Compensation, Computer Aided Software Engineering, Consulting, Management, nurse practitioner, APRN
Home Health Aide
AREAS OF EXPERTISE * Medical Billing/Coding * Medical Billing Practice * Communication Procedures Ethics (Internal/External) * Medical Terminology * Patient Care & Interaction * Customer Service/Relations * Handling Confidential * Problem Solving * Document Management Information * Organizational Skills * Clerical Skills
Tags for this Online Resume: Accounts Payable, Accounts Receivable, Billing, CCU, Coding, Collection Processes, Customer Service, Document Management, Filing, Health Care Industry, medical secretarial, electronic medical records management, healthcare professional, data entry, obtaining prior authorizations, denial and appeal processes
Medical Office Manager - 6 Years of Experience - Near 62690
Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Familiar with Microsoft Word Excel and PowerPoint Typing Speed: 34 words per minute. Manages time and prioritizes duties in fast-paced multi-task environments. Leads by exa...
Tags for this Online Resume: Customer Service, Payroll, Management, Medical, Medical Billing, Medical Records, Medical Terminology, Medicare, Accounts Receivable, Amazon Elastic MapReduce
Quality Coordinator
SUMMARY OF PROFESSIONAL QUALIFICATIONS: * Expertise in Medical Terminology, Legal Ethics, Coding insurance * Medical Billing and Coding Certificate * (ICD9-ICD 10) and knowledge of HIPAA privacy laws * Solid problem-solving and analytical skills * Knowledge of CMS 1500 form, and billing programs * Excellent interpersonal, communication and leadership skills * Highly motivated individual and team player * Professional with e...
Tags for this Online Resume: Customer Service z, Medical Terminology,, Medical Terminology ll, Medical Legal Issues,, Data Entry, Payroll, Accounts Receivable, Pbx, Receivables, Quality, healthcare
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
Case Manager - 23 Years of Experience - Near 33176
More than 30 years in the Health Care Industry performing Managed Care Functions in Utilization Management, Finance/Audit, Provider Contracting and Education. Twelve years at Blue Cross and Blue Shield of Florida (BCBSFL) working with Hospital staff and Providers ensuring timely and appropriate care for members. A self-starter with extensive experience in planning and maintaining strong working relationships with Physician...
Tags for this Online Resume: Documentation, Coding, Medical, Medical Records, Medication Adherence, Patient Care, Filing, Management, Health Care Industry, Utilization Management
Medical or Health Services Manager
Tags for this Online Resume: Documentation, Medical, Pulmonary, Training, Management, Cms, Managed Care, Hospital Administration, Utilization Management, Highways
