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Online Resumes with "Eligibility "



Featured Profile

Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430

Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...

Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence

Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle

Featured Profile

General - 10 Years of Experience - Near 30092

To the Hiring Manager: I have over ten years of experience in the legal field, working on the plaintiff and defense sides for causes of actions arising from personal injury and wrongful death, catastrophic injuries, products and premises liability, civil and criminal �RICO�, real estate, contracts, intellectual property, worker�s compensation, insurance defense and bad faith, medical malpractice, and nursing home defense...

Ideal Companies: Coca-Cola, CICI, King & Spaulding, ALston + Bird, Greenberg Traurig, Jones Day, DLA Piper, Sidney Austin, Lathan & Wakins, Davis Polk & Wardwell, K&L Gates, Gibson, Dunn & Crutcher, Foley & Lardner, McGuire Woods, Ropes & Gray, Morgan Lewis, Covington & Burling, Seyfarth Shaw, Reed Smith, Norton Rose Fulbright, Bryan Cave, Arnold & Porter.

Tags for this Online Resume: Legal Research, Company Data Analysis, Insurance Defense, Litigation, Microsoft Access, Legal Writing, Microsoft, Statistcs, Compensation, Defense

Featured Profile

Communications Professional passionate about research, and a growing expert in Research & Analysis.

I am looking for an opportunity in a research analyst role, where I can offer valuable contribution and build on my skills and experiences. This opportunity will enable me apply my strengths of verbal communication, adaptability, and multitasking, to deliver thoughtful analysis and take on tough challenges. On a broader scale, my work will have an impact on creating wealth for my organisation, and for me.

Tags for this Online Resume: outstanding research skills, Analytical skills, strong verbal and written communication skills, excellent problem-solving skills, leadership, operations expert

Medical Billing Specialist-25+ years experienc-CCA,CPC eligible

Creates and delivers a stimulating, enriching and productive environment to compete and remain cost efficient. Action-oriented leader, faces challenges, unravels and resolves critical business issues and encourages staff to maximize their potential

Civil Engineer - 2 Years of Experience - Near M1K2B1

Summary of Qualifications * Results focused professional with two years engineering experience in the construction industry * Recently completed a Master's Degree in Environmental Systems Engineering and Management * Well developed teamwork and leadership skills through working in projects and academic research * Proficient in Microsoft office and structural design software: ETABS, AutoCAD, MS Project * Strong leadership, c...

Tags for this Online Resume: Construction, Autocad, Autodesk AutoCAD, Deductions, Engineering, ETABS, Layout, Leadership

Clinical Research - 3 Years of Experience

Basra studies: 1. Population-Based Study to Define the Clinical & Economic Burden of Pneumococcal Pneumonia in Hospitalized Adult Patients in Jefferson County, Kentucky (HAPPI). 2. PROTOCOL # B1851147 Streptococcus Pneumoniae Serotypes in Adults 18 Years and Older with Radiographically-confirmed Community-Acquired Pneumonia (CAP). * Screen different hospitals for eligible patients every day for many studies. * Approached an...

Tags for this Online Resume: Clinical Research, Infectious Diseases, Research, Audit, COLLECTED SPECIMENS, Data Entry, Distribution, Documentation

Featured Profile

Billing Specialist - 3 Years of Experience - Near 02053

Hands on manager with medical billing expertise, combining my understanding of medical office management and how it impacts the revenue cycle to submitting clean claims that get paid. MBA from Babson College. Seeking opportunity to problem solve for a great organization. From analysis to practical solutions, I am looking to get real and keep it real.

Ideal Companies: Medical Groups, Hospitals, Surgical Groups

Tags for this Online Resume: Medical Billing, Management, Analysis, EMR, Meditech, Medassets, Emdeon, Passport, Revenue Cycle, Research

Featured Profile

Chief Financial Officer - 20 Years of Experience - Near 75087

The Substance abuse facilities offering treatment in multi modalities. I report to the CEO and am responsible for all financial and non-clinical departments, including Accounting, Administration, Client Accounting, MIS, Dietary, Facilities, Housekeeping, and Human Resources. Responsibilities include Board reporting, Banking, Grant and Contract fiscal management, Cash Management, and Regulatory Compliance. The Water Store - ...

Ideal Companies: Hospitals, Clinics, Physician Practices, Credit and Collections

Tags for this Online Resume: Accounting, Cash Management, Financial, Housekeeping, Human Resources, Management, Accounts Receivable, Accounts Receivable, Receivables, Practice, Hospital, Reports

Not Listed - 5 Years of Experience - Near 91606

Summary: Over 5 years experience assisting with patient case management, treatment adherence and retention, and discharge planning. Assisted with providing patients with in-home supportive services within L.A. County. Qualifications: * 5 years of experience with managing patient care services * Community outreach specialist * 20 years of experience in customer service * Experience in managing confidential medical records * ...

Tags for this Online Resume: Medical, Scheduling, Discharge Planning, Patient Care, Planning, Referrals, Retention, Services

Featured Profile

Senior Medical Claims Examiner - 15 Years of Experience - Near 33173

I strongly believe my record as Senior Medical Claims Examiner as well as my Certificate in Medical Billing could be suitable for any position you have related to those skills above mentioned. I have 15 plus years of experience in Health Claim Field for a Medical Insurance T.P.A (Third Party Administrator) in Miami, Florida and, as my enclosed resume illustrates. My line of work in my present job is not only the analysis ...

Tags for this Online Resume: Billing, Coding, Data Processing, Hudson, Medical, Medical Billing, Medical Claims Examiner, Benefits, COB, Medicare

Case Manager - 0 Years of Experience

ADDITIONAL QUALIFICATIONS: * Bilingual, Spanish/English. *Knowledge of Microsoft Office ste., Word, Power point and Excel * Eligibility Specialist for Medicaid and Medicare. * Received Training Program Certificate for Manhattan Teen Pregnancy Network. * Hunter College: Certification in the fundamentals of Psycho-Social Rehabilitation. * Training Course in Intensive Case Management. *Columbia University: Community Services, ...

Tags for this Online Resume: Services, Home Care, Bilingual, Computer Aided Software Engineering, English Language, Management, Medicare, Microsoft, Assessments, Coding

Featured Profile

Human Resources Manager - 5 Years of Experience - Near 91307

SUMMARY Talent Management Systems Professional with over 16 years' of experience managing multiple systems. Extensive background in training and development methodology and technology. Experience rooted in technological and human capital management combined with ability to apply tech systems that aid in hiring and training processes for new employees. Experiences in multiple corporate initiatives including but not limited t...

Ideal Companies: Anthem, Farmers Insurance, Blue Shield

Tags for this Online Resume: Business Requirements, Call Center, Integrate, Learning Management, LMS, Management, Accounting, Accounting Functions, HRIS, ATS, Talent Management, Human Capital Management, Configuration, CMS, Project Management