CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Denials"

Manager - 15 Years of Experience - Near 30066

For over twenty years I have successfully performed a variety of Operations-related functions for companies both large and small in both line and staff departments. Originally I did those jobs myself then I trained and supervised others doing the same. I have managed multiple departments and had overall responsibility. Progressively increasing authority followed excellent results. I understand and have performed the staff w...

Tags for this Online Resume: Office Manager, Financial Analyst, Manufacturing Manager, Operations Manager, Accounting, Bookkeeper, Call Center, Insurance, Management, Atlanta, Six Sigma Yellow Belt, Planner

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

Financial Manager

Gynecology practice, Physical Therapy, Surgery, Acupuncture, Psychotherapy, Chiropractic, OB/Gyn, Orthopaedic Surgery, * Created/started a medical billing company, marketing that led to a clientele of 70 MDs with multiple locations and specialties * Responsible for interviewing, hiring, training and supervision of staff. * Program medical billing system. * Work with representatives from various insurance companies to resolv...

Tags for this Online Resume: Coding, Referrals, Documentation, Orthopedics, Remedy, Consulting, Billing, Insurance, Management, Cardiology

Financial Manager, Branch or Department

Memorandum (POM). Recommend procedures for preparing, documenting, validating and presenting resource requirements to higher authority. Prepare white papers, position papers and special studies as required. As the Chairman of the Senior Review Panel (SRP), the Concept Evaluation Requirements Integration Committee (CERIC) and other committees, have direct working knowledge of Hard and Deeply Buried target defeat, Tunnel defe...

Tags for this Online Resume: Management, Accounting, Budgeting, Business Planning, Consulting, Facilitator, Financial, Financial Analysis, Internal Controls, Leadership

Case Management Manager

Tags for this Online Resume: Nursing, compliance, Management, Patient Care, Rehabilitation, Acute Rehabilitation, Home Care, Managed Care, Medicare, Risk Management, appeals & denials, utilization review

Case Management Manager - 11 Years of Experience - Near L5V2V

PROFESSIONAL SUMMARY: Ms. Catherine Santos is an international medical graduate with a specialty training in Obstetrics and Gynecology benefiting from a broad medical experience and extensive background in healthcare, acquired over many years. In addition to her experience in medical management, Catherine has a considerable knowledge of assessment, analysis and adjudication of short term and long term disability and accommo...

Tags for this Online Resume: Medical, Assessments, Computer Aided Software Engineering, Management, Test, ACLS, Attention to Detail, Automobile Claim Law Specialist, Communication Skills, Compliance

Financial Manager, Branch or Department

Professional Summary Accomplished and integrity-driven with strong concentration and enormous success in Revenue Cycle Management and Project Management and customer service fulfillment. Over 25 years of healthcare field experience to private and hospital based physicians in optimizing practice operations in such areas as billing, financial management, revenue cycle, patient access, HIM, compliance and technology integratio...

Tags for this Online Resume: ALLSCRIPTS, Surgery, Management, Billing, Athena, Collection, Collection Processes, Scheduling, Coding, Ad Hoc Reports

Admissions Director - 20 Years of Experience - Near 20879

SUMMARY OF QUALIFICATIONS Senior healthcare Administrator with 15+ years experience leading cross-functional teams of up to 160 to design, develop & deliver streamlined processes driving patient satisfaction while improving their own to 90th percentiles. Successfully doubled patient satisfaction percentiles, halving payer denials & spiking by up to 38% POS cash for up to 1000 bed hospital systems. Increased clean claim rate...

Tags for this Online Resume: Training, Process Improvements, Folder, Microsoft Access, Patient Access, Scheduling, Audit, Policies and Procedures, Resource Scheduling

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

Law Enforcement - 20 Years of Experience - Near 80924

Summary: Advice the Commander of NORAD and USNORTHCOM (N-NC) on pertinent CBP plans, policies and actions, and to help foster/shape CBP and N-NC interagency relationships. The overall goal is to aid in the synchronization of CBP and N-NC activities that support homeland security, homeland defense and defense support to civil authorities with the primary objective of coordinating intra- and interagency intelligence gathering...

Tags for this Online Resume: Recruiting, Research, Security, Homeland Security, Biometrics, Program Mananger, Bilingual, Accounting

Licensed Nurse - 20 Years of Experience - Near 33610

Healthintegrated - April 18 2016 to May 19 2017 Utilization Review Coordinator Telephonic pre-authorization of procedures over the phone for inpatient and outpatient utilizes clinical skills to support the coordination documentation and communication of medical services and/or benefit administration determinations. Critical competencies include flexibility professionalism as well as clinical knowledge with claims. InterQual...

Tags for this Online Resume: Back Office, LPN, Drug Screen, Home Health, Injections, Management, Nursing, Patient Care, Patient Education, Policies and Procedures