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Online Resumes with "HMO PPO "



Billing/Coding Specialist - 20 Years of Experience - Near 05401

SUMMARY OF QUALIFICATIONS * Knowledgeable and experienced in administrative management * Front/Back Office Manager - Medical Records - ICD-9/10 * CPT Coding * Receptionist/Transcriptionist - Medical Document * Business Machines Business/Medical Law - Title 22 * Insurance Billing/CMA & UB94 - Insurance Follow-Up & Verification/Pre-Certification * Word Processing - Medicare, Medicaid, HMO. PPO, Champus, IPA * HIPAA Rules/Regu...

Tags for this Online Resume: Coding, Billing, Insurance, Medicare, Attention to Detail, Automation, Back Office, Centricity, Medical, Administrative Assistant, Documentation, Medical Billing, Medical Records, Medical Administration

Admissions Director

QUALIFICATIONS * 20 year record in sales, training, operations, and insurance experience in market strategies, selling techniques, public speaking, recruiting, management, and training. * A proven sales leader and team player dedicated to results and customer service with clients/ referral sources. * Proven Health Care Sales and Marketing Experience in Home Health, Skilled Nursing, Acute Rehabilitation, Hospice, and Behavio...

Tags for this Online Resume: Home Health, Hospice, Managed Care, Referrals, Skilled Nursing Facility, Integrate, SOC, CHF, COPD, Medicare, Tucson,, Sales and Marketing, Behavioral health, Insurance, 5 Star, HEDIS

Billing/Coding Specialist

Ambitious and responsible professional with a proven record of accomplishment of success in positions requiring well-developed hands-on skill sets and customer service expertise. Pays close attention to detail for accurate and compliant documentation and remains committed to ensuring optimal client outcomes. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology Electr...

Tags for this Online Resume: Deposits, Point Of Sale (Pos), Sales, Quality Assurance, Test, Amazon Elastic MapReduce, Billing, Claim Processing, Cms, Coding

Administrative Services Manager - 15 Years of Experience - Near 95624

SUMMARY Ethical, Energetic, detail oriented leader with over 20 years of progressive experience within the Dental industry. Focused leader that develops talent and identifies opportunities for growth and efficiencies through experience and knowledge. Develop and understand business plans utilizing all aspects of dentistry, General, Specialties and Hygiene. Ability to interpret and apply policies and procedures. Understand E...

Tags for this Online Resume: Management, Insurance, Surgery, Policies and Procedures, Billing, Cancer, HYGIENE, Insurance Claims, Referrals, Scheduling, Health Care, Dental, Medical

Billing, Posting or Calculating Machine Operator - 4 Years of Experience - Near 23320

Results oriented professional backed by cross-functional medical billing healthcare claims and accounts receivable experience. Ensures data integrity for optimal and correct reimbursement. Proficient with Microsoft Word Excel Medical Manager Greenway Realmed. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * HCPCS * CPT * ICD-10-CM * Medical Terminology Electronic Health Records (EHR) * Electronic Medical Rec...

Ideal Companies: Wake Forest Baptist Health, BCBS

Tags for this Online Resume: Insurance, Benefits, Credit Card, Medical, Medical Billing, Billing, Medical Records, Medical Terminology, Medicare, Microsoft

Billing/Coding Specialist

Skills Summary CPT Procedures, HCPCS, Medical Terminology, Multi-Task Medicare/Medicaid Guidelines, ICD-9/10 Coding Microsoft Word/Windows, HMO's, PPO's, Worker Comp Excel, Access, Lotus Notes, Power Point Data Entry, Payroll, Accounting, Medical Records, Outlook Customer Service, Scheduling, Diversity Scanner, 35-55 WPM, 10-key Calculator skills Administrative Assistant, Secretary, Professional Presentations Nationally Reg...

Tags for this Online Resume: Insurance, Coding, Medical, Benefits, CCS, Medicare, Scheduling, Data Conversion, Diversity, sheets

Billing/Coding Specialist - 20 Years of Experience - Near 75040

Familiarity with HMO/PPO insurance. Medicare & Managed Care claims experience. Interpret Managed Care terms and contract language. Exceptional analytical skills and problem solver. Excellent communications skills-both written and verbal. Proficient data entry and typing skills. (50 WPM min.) Proficient in the use of general office equipment (copier, fax, scanners, and computers). MS Word, Excel, Open Office, Windows, RM5 Sy...

Tags for this Online Resume: Budgeting, Health Insurance, Insurance, Oracle, Delinquent Accounts, Managed Care, Quantify, Management, Medicare, Home Health

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

Medical Sales Representative - 20 Years of Experience - Near 33062

QUALIFICATIONS: * successful in increasing census by 30% and maintained occupancy in snf @ 95- 100%. familiar with medicare, hmo's, ppo's, va, tricare, medicaid. * extensive experience in sales/marketing in healthcare (hospitals, snf/rehab, home health, alf, Physician offices) * Eighteen years of managing and coordinating patient care/cases. * LPn in hospital and home health setting for 15 years. provided Patient care in pr...

Tags for this Online Resume: Home Health, Business Development, Referrals, Patient Care, Account Manager, Insurance, Patient Education, Medical, Nursing, Surgical

Medical Records Assistant - 2 Years of Experience - Near 71640

Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies guidelines and procedures to assure consistent quality. Experienced with Microsoft Word, PowerPoint, Excel, and Outlook Types 36 WPM. Willing to learn new skills and take on new challenges. KEY ...

Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Customer Service, EHR, EMR

Business Analyst - 7 Years of Experience - Near 37209

Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...

Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing