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Online Resumes with "Denials"
Resident Adjuster
New position would be in Florida, with a firm that I could be an outside investigator/adjuster, or a resident adjuster. I am highly effective at being self-motivated to accomplish assignments within specified time frames, and have excellent word skills, both verbal and written.
Ideal Companies: Insurance casualty claims or investigative firms
Tags for this Online Resume: Investigations, Word communications, Self-motivated, Resident adjuster, Field adjuster, Skilled negotiator, Adjuster, Business Intelligence, Customer Service, customer service skills
Sr. Lost Time Claims Adjuster
Seeking an A+ insurance company to handle lost time compensation claims from start to finish.
Ideal Companies: FFVA, Florida League of Cities, AJG, Sedgwick And CCMSI
Tags for this Online Resume: Lost Time Claims, Litigation, EDI, Micorsoft, Catastrophic, Claims Adjuster, Insurance, Workers Compensation
Healthcare Risk Management/Performance Improvement/Patient Safety Leader
Leadership position in Patient Safety/Risk Management/ Performance Improvement
Ideal Companies: Health Systems, Pharmaceutical Companies, Medical Device Companies, Healthcare Software Companies, Healthcare Consulting Firms
Tags for this Online Resume: Patient Safety, Risk Management, Performance Improvement
Manager
Denise Gundel 407 431 7072 gdenise2002@yahoo.com Professional Profile Motivated, personable Office Manager experience in handling sensitive information by maintaining a high level of confidentiality. Strong problem solver, who readily adapts to change, works independently and exceeds expectations. Able to juggle multiple priorities and meet tight deadlines without compromising quality. Accustom to work with wide array cust...
Tags for this Online Resume: Human Services, Legal Secretary, Administration, Customer Satisfaction, Customer Service, Home Health
Recruiting Manager
Manage,direct,and lead an HR/Recruiting operation at a corporate setting. Meet challenges head-on, provide organizational and process improvement, and give streamlined support to other directorates.
Ideal Companies: Climber.com, Barnes and Noble, US Government
Tags for this Online Resume: Recruiting, Management
Seeking position in reimbursement supporting medical devices
I am seeking the opportunity to fight for coverage for new devices and procedures while assisting offices and patients with denials, appeals, and procedural requests.
Ideal Companies: Johnson & Johnson, Hill-Rom, DePuy Spine, United HealthGroup, Healthpartners, Medica, Advanced BioHealing
Tags for this Online Resume: reimbursement, appeals, precertification, coding
appeals & denials case manager
to further my career in the financial & clinical area in the role of analyzing hospital/patient data for all payors to ensure compliance & medical necessity & be prepared to assist when there is a question. I want obtain 3 certifications that I have the experience & knowledge to sit for the exams. These are coding/auditor-either nurse clinical coder or ccsp, CCM & CCDS.
Escalation Specialist In Mortgage Loans , Collections Specialist,Sales & Services Credit Cards
Excellent customer service skills. Effective in maintaining a variety of accounts while identifying customer needs and providing "good business" decision. Outstanding communication, analytical, and presentation skills .Sharp, Innovative, Quick Learner, and a proven ability to adapt to challenging tasks. Ability to work well as a cooperative team member to ensure objectives are met. Able to develop rapport quickly and easily...
Ideal Companies: Wells Fargo Bank, GM Financial, Wachovia Bank, Regions bank, Southwest Bank, State Farm Bank
Tags for this Online Resume: java HTML
Healthcare Medical Professional
High energy proficient healthcare medical professional eg. medical biller collector
Ideal Companies: Rush, University of Illinois, Rosewood Womens Hospital
Experienced Contract Manager
I am seeking a career in compliance as it relates to the Real Estate industry.
Ideal Companies: Marriott Vacation Club, Wyndham Vacation Ownership, Darden Restaurants
Tags for this Online Resume: Legal, Vacation Ownership, Management, Compliance, Contracts
Medical Claims Reveiw
To work with a customer focused company reviewing medical claims to insure correct payments are being paid to the right provider. To educate providers on how to code and file claims to prevent denial of payment.
Admissions Director
I HAVE BEEN A STEADY EMPLOYEE OF HENNEPIN COUNTY GOVERNMENT, MINNEAPOLIS, MN. THE PAST 16 YEARS I WAS PROMOTED TO IT OPERATION ANALYST. I MANAGED ALL THE CONFIDENTIAL DATA FOR MHP. I PRODUCED A VARIETY OF INFORMATION ALL DEPARTMENTS MANAGEMENT. SUCH AS;. NIGHTLY FISCAL EOB'S, CLAIMS, EDI, CORRECTION, TO WORKING IN MEMBER SERVICES SUCH AS; RUNNING ENROLLMENT, BACK UP FILES, WORKING WITH THE DEPARTMENT OF MEDICAL SERVICES SUC...