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Online Resumes with "HMO PPO "
Medical Office Manager - 6 Years of Experience - Near 62690
Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Familiar with Microsoft Word Excel and PowerPoint Typing Speed: 34 words per minute. Manages time and prioritizes duties in fast-paced multi-task environments. Leads by exa...
Tags for this Online Resume: Customer Service, Payroll, Management, Medical, Medical Billing, Medical Records, Medical Terminology, Medicare, Accounts Receivable, Amazon Elastic MapReduce
Admissions Director - 20 Years of Experience - Near 60430
CAREER SUMMARY * * Over 30 years in healthcare and 25 years as an Inpatient and Outpatient Managed Care HMO. PPO, POS, Medicare, Medicaid Commercial, Worker comp and Veteran Administration Biller and Collector, I billed primary, secondary, tertiary Insurance carriers. Verified benefits and eligibility for inpatient, outpatient, physician and hospital claims, also worked as a Financial Counselor. Hardworking, dedicated, comm...
Tags for this Online Resume: Coding, Allergy, Benefits, Financial, Litigation, Managed Care, Medical, Medical Records, PEDIATRIC, Pediatric Care, physical therapist, healthcare, Medical Insurance Collector
Customer Service Representative - 10 Years of Experience - Near 71129
Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Experience with Microsoft Word and Power Point - Type 50 WPM. Well-organized manages time and priorities in multi-task environments. * Work as part of a team and maintain a...
Tags for this Online Resume: Customer Service, Policies and Procedures, Amazon Elastic MapReduce, Billing, Claim Processing, Cms, Coding, Compensation, EHR, EMR
Billing/Coding Specialist - 14 Years of Experience - Near 90620
Summary of Qualifications 21 years in medical field 5 years in leadership role Strong knowledge of anatomy and physiology Strong communication skills Knowledge of computers and electronic health record Basic and advanced life support training Understanding of ICD-9, ICD-10, CPT, HCPCS codes Understanding of billing process HIPAA Knowledge of Medicare and Medicaid Knowledge of HMO, PPO, POS, CDHC 21 years in medical field 5 ...
Tags for this Online Resume: Trauma, Medical, Critical Care - Respiratory, Patient Care, Billing, Coding, Communication Skills, Health Insurance Portability And Accountability Act, ICD 10, ICD-9
Medical or Health Services Manager - 10 Years of Experience - Near 43229
Results-oriented Director of Healthcare Administration with 10 years of proven experience optimizing patient care, operational performance, and financial efficiency. Exceptional communicator well-versed in conducting interviews, staff training, and patient interactions Advanced understanding of Medicare, Medicaid, HMO, PPO, and Managed Care products Proficiency in management information systems, as well as knowledge of ICD....
Tags for this Online Resume: Medicaid, Healthcare , Compliance/Auditing, Strategic Planning, Crendentailing, Budget Management , Process Improvment, Data Management, Billing, Compliance
Employee Benefits Account Manager - 20 Years of Experience - Near 19090
Profile Over thirty years in various insurance industry settings. Well versed in self-insured plan administration and funding, COB, Medicare, Major Medical, Basic, HMO, PPO, Dental, Workers' Compensation, and Disability Claim Processing. Fully trained in Medical Terminology, ICD-9 and CPT Coding. Excellent at handling customer service direct and or through insureds, group representatives, brokers, and various third party co...
Tags for this Online Resume: Cobra, Audit, Billing, Documentation, Benefits, Medical, Account Manager, Assessments, employee benefits, group benefits associate, group health benefits, benefits consultant, health benefits broker
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
Payroll Administrator - 10 Years of Experience - Near 92807
Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...
Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting
Insurance Underwriter - 20 Years of Experience - Near 40165
Summary of Qualifications An employee benefit professional with demonstrated expertise in the sale, underwriting and service of employee benefits plans covering Group Life, AD&D, DI, Dental, Vision, Pharmacy, HMO, PPO, POS and Indemnity Medical and Stop Loss product lines. Experienced working with internal and external partners/vendors providing comprehensive product knowledge to ensure correct product placement and account...
Tags for this Online Resume: Underwriting, Consulting, Process Improvement, Request for Proposal, Sales, Underwriter, Audit, Benefits, Actuarial, Request for Proposals
Medical or Health Services Manager - 20 Years of Experience
QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...
Ideal Companies: ASBS
Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance
Billing/Coding Specialist
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 polices guidelines and procedures to assure consistent quality. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * Electronic Health Records ...
Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Compliance, EHR, EMR
Claims Adjuster - 20 Years of Experience
Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectivel...
Tags for this Online Resume: Benefits, Long Term Care, Microsoft Access, Customer Service, Management, Medical, Compensation, Computer Aided Software Engineering, Inventory, Risk Management, insurance, customer service, group health benefits
