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Online Resumes with "Eligibility "
Billing/Coding Specialist - 9 Years of Experience - Near 45237
Summary: Dependable and professional Medical Claims Administrator with 10+ years experience in processing and coding medical and vision claims, ensuring all required criteria are met before eligible payments or denials are made. Consistently meets targets through significant knowledge of medical and insurance industries and terminologies, while using appropriate and accurate coding. Ready to use skills for high level of cus...
Tags for this Online Resume: Claim Processing, Coding, Customer Service, IBM AS/400, Insurance, Medical, Microsoft, Microsoft Excel, Life Insurance, Microsoft Word
Manager - 5 Years of Experience - Near 19050
SKILLS SUMMARY SKILLS SUMMARY Enterprising, technically skilled Customer Service Manager known for accuracy and attention to detail while managing operations in the insurance and financial industries as well as in call centers. A career with more than 20 years of experience in customer satisfaction, including 8 years in the insurance industry, 5 years in healthcare, and 12 years in managerial positions. Proficient in MS Off...
Ideal Companies: Pfizer
Tags for this Online Resume: Compliance, Licensing, Management, Insurance, Scheduling, Financial, Interactive Voice Response, Voice, Audit, Customer Service, Risk Management
Benefits Specialist - 11 Years of Experience - Near 60087
Professional Summary Accomplished goal and service-oriented Benefits Professional with a solid history of achievement in Human Resources and Benefits Administration. Motivated leader with strong organizational, prioritization and communication skills. Possess the skills and desire to contribute to the overall H.R. and organizational objectives and strategies. Extensive experience in establishing and maintaining strong busin...
Tags for this Online Resume: Payroll, Management, Benefits, ACH, Billing, Deductions, EDI, Electronic Data Interchange, Outsourcing, Process Improvement
Benefits Manager - 20 Years of Experience - Near 30907
Experience Summary Seeking a leadership position to further exceed experience as an HR manager and willing to relocate. Retired Army Sergeant First Class with over 25 years of military experience and over 10 years of management and supervisorial experience while holding a Secret clearance. Able to efficiently work with other and effectively communicate and complete task in a timely manner. Experienced in all aspects of Huma...
Tags for this Online Resume: HR, Human Resources, Budgetary, Database, Security, Accounting, Arbitration, Benefits, Budgeting, Coding
Health Technologist - 18 Years of Experience - Near 02446
Summary: I have over 16+ yrs. experience in HIT leadership and 9 years in academic research. I am passionate healthcare and biotechnology program delivery. I am a certified PMP practitioner of Waterfall and Agile management methodologies, consistently promoting a standard platform for implementation, upgrade and support of clinical, operational, analytical and administrative software and hardware I have led large teams both...
Tags for this Online Resume: Billing, Project Management, Project Manager, Publishing, Scheduling, Senior Project Manager, Support, ANSI, Ansi (Am Natl Stds Inst), EDI
Financial Analyst - 2 Years of Experience - Near 98008
AND SUMMARY * Business Analytics/ Data Science graduate, seeking a challenging position to leverage my acquired skills and deliver high performance, cost effective technology solutions to meet challenging business requisites. * Intuitive thinker with proactive M.O and diverse project exposures including soft skills like prioritization, change management, requirements elicitation and analytical problem solving techniques. * ...
Tags for this Online Resume: Microsoft Project, MS Project, Tableau, Tableau Software, Acceptance Testing, Billing, Business Intelligence, C Programming Language, C# Programming Language, C++ Programming Language
Case Manager - 10 Years of Experience - Near 23693
218 for prioritization for ID/DDWL. * Determines eligibility for waiver wait list services. * Guide families through the process of becoming an EOR and/or Aide. * Schedule visits in a timely manner to ensure services are accurate and updated. * Upload DMAS-99, DMAS-7/7A. * Empower families and individuals to be more self-sufficient and strong advocates. - 4181
Tags for this Online Resume: Documentation, Facilitator, Cardiopulmonary resuscitation (CPR), Compliance, Health Insurance, Health Insurance Portability And Accountability Act, Insurance, MediTech, Microsoft, Microsoft Office
State Government - 15 Years of Experience - Near 85213
KEY QUALIFICATIONS - Bilingual Spanish/English -Operate all Office Equipment -Microsoft Office Applications - Data Entry Skills -Communication Skills -Interpretation of Laws & Rules - Electronic Cash Register - Customer Service Skills -Bookkeeping Skills STATE OF ARIZONA, DEPARTMENT OF ECONOMIC SECURITY-UNEMPLOYMENT INSURANCE QUALITY CONTROL / BENEFIT ACCURACY MEASUREMENT 02/01/15 TO 7/14/2016 Benefit Accuracy Measurement (...
Tags for this Online Resume: Accounting, Applications, Audit, Audit Compliance, Benefits, Bili0ngual, C# Programming Language, Coding, Communication Skills, Compliance, leasing consulting
Editor
To continue a career opportunity in Editing and Proofreading, where in-depth Copyediting experience, formal training, proven organizational skills and technical knowledge will be utilized to their fullest potential. Eligible for Secret Clearance. EDITORIAL / PROOFREADING EXPERIENCE Editorial Consultant Critical review and on-line revision and correcting of all editorial content for health insurance policies, booklets and pr...
Tags for this Online Resume: Legal
CEO/COO/CFO - GENERAL MANAGEMENT EXECUTIVE
CEO/COO/CFO - GENERAL MANAGEMENT EXECUTIVE. To maximize the opportunities and potential of a company or organization through proper focus on the organization's goals, open communication with all appropriate stakeholders, and motivation of all team members.
Ideal Companies: Google, Uber, Associations
Tags for this Online Resume: Telecommunications, Infrastructure, Utilities, CFO, National Security, DC Metro, Banking, Financial, General Counsel, Strategic Planning
Business Analyst
Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...
Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro
Compensation Specialist - 14 Years of Experience - Near 78240
Summary * Human Resources Compensation and Data Analysis & Reporting professional with over 15 years cumulative experience with Fortune 200 organizations * Experienced in job documentation & evaluation for exemption status under FLSA, external equity/benchmarking for market pricing using third-party vendor solutions data gathering and analysis for pay equity among employee peer groups, job, supervisory and management levels...
Tags for this Online Resume: Compensation, Database, HR, Human Resources, JOB EVALUATION, Query, SAP, Support, Technical Support, Troubleshooting, HRIS, MARKET
