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Online Resumes with "EDI Claims"



Business Analyst

Tags for this Online Resume: EDI Claims Analyst, HIPAA SME, CLAIMS Data Analyst, PEGA Rules Engine Analyst, Business Analyst Manager, Business Systems Architect

Vice President - 1 Years of Experience - Near 85260

Profile Strategist, operations manager, client relationship manager. Expert in technology solutions, ERP, analytics, software-as-a-service, business processes. Deep experience with healthcare, financial, accounting applications. Client care implementing and supporting EMR, EHR, ERP applications for hundreds of clients Technical managing waterfall and agile software design, development, and support (SDLC) Analytics data mini...

Tags for this Online Resume: Consulting, Deveopment, SDLC, Analytics, IT, KPI, Agile, Product Manager, Account Manager, Accounting, Finance, PSP, EMR, EHR, ERP, telematics, fintech, healthcare

Business Analyst - 9 Years of Experience - Near 80229

SUMMARY OF QUALIFICATIONS/skills Eighteen years of experience in the IT field of the health care industry with a thorough understating of all major states of Software Development Life Cycle (SDLC). Experienced in all stages of SDLC for various methodologies including Waterfall and Agile Fifteen years of experience in gathering requirements, defining, analyzing, testing, implementing system enhancements, and documentation Te...

Tags for this Online Resume: Benefit Plans, Management, Medical, POS, Software, Test, Unit Testing, EDI, Electronic Data Interchange, Quality Assurance

Business Analyst - 7 Years of Experience - Near 60661

Summary: * Qualified professional with more than 7 years of experience as a IT Business Analyst in Healthcare and Banking Industry. * Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment. * Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Waterfall, RUP an...

Tags for this Online Resume: Business Analysis, Business Requirements, Insurance, Microsoft Visio, Structured Query Language, Unified Modelling Language, Use Cases, agile, Risk analysis, Impact analysis, Change management, EDI Claims

Project Manager - 20 Years of Experience - Near 78052

Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...

Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager

Quality Assurance Specialist

Professional summary Software QA Lead with 10+ years of experience in testing various insurance, Finance Services-Payments, trade and PeopleSoft domain applications. Have vast experience in test estimation, test strategy, test plans, developing test scenarios and test cases, test execution, defect reporting, test summary, coordinating with offshore subordinates and customer-relationship. * Expertise in Functional & Integrat...

Tags for this Online Resume: Test, Acceptance Testing, Active Server Pages, Agile, Annuity, API, Application Program Interface, Applications, Ascential Software DataStage, Asset Liability Management

Billing/Coding Specialist -7 Years of Experience

SUMMARY Highly experienced Insurance Claims Specialist/Medical Biller and Coder. Highly organized, efficient and skilled in: * EDI Claims processing, Claims rejections * Denials and communicating with insurance companies * Drafting Appeal letters and corrected claims for payment * Medical insurance claims processing * Interpreting and transferring doctor notes into codes for billing * Medical Terminology * Able to read and ...

Tags for this Online Resume: Insurance, Benefits, Management, Administrative Assistant, Billing, Claim Processing, Database, Medicare, Microsoft Word, Receivables