CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Health Insurance Claims"

Compensation or Benefits Specialist - 20 Years of Experience - Near 19446

Todd L. Caltune 813 Shaw Ave, Lansdale, PA 19446 (267) 992-6551 EXPERIENCE: Merck, Lansdale, PA 01/11-present Customer Account Representative, Merck Pharmaceutical • Handling incoming calls for pharmaceutical sales orders, returns and order statuses for wholesale and indirect accounts. • Processing invoices with pharmacies and wholesalers. • Processing product replace...

Ideal Companies: Trump, Smith Barney, Any recognized legal practice, Merck

Tags for this Online Resume: Business Analyst , HR specialist , HR Coordinator

Statistical Programmer

Statistical Programmer (esp. SAS)

Ideal Companies: one with high pay and VERY good benefits

Tags for this Online Resume: SAS, statistical programming

Claims Adjuster - 5 Years of Experience - Near M6E 2H6

Qualification Summary : B.H.M.S - Bachelors of Homoeopathy In Medicine & Surgery. Has knowledge of Homoeopathy as well as Allopathy medicine with all medical terminology. 3 years and 4 months experience as a claim adjuster in Raksha TPA Pvt. Ltd. i.e. Third party administrator company settling mediclaims (Health insurance claims) on behalf of government insurance companies. 2 years experience as a medical officer in a hospi...

Tags for this Online Resume: Audit, Fraud, Insurance, Management, Medical, Vitals, Communication Skills, Government, Health Insurance, Insurance Claims

Licensed Certified Phlebotomy Technician

interesting position that will utilize my skills

Tags for this Online Resume: blood draw, multiline phones, health ins contract interpretation, federal health insurance laws, PC, health insurance preauthorization, health insurance claims processing, Customer Service, Benefits, Medical, Front desk, Intake

Medical or Health Services Manager - 20 Years of Experience - Near 21045

Analytical healthcare administration professional with more than 20 years of customer service experience in all aspects of health insurance, claims, medical billing, bookkeeping, account reconciliation concepts, compliance practices and procedures. Ability to provide expert and timely handling of appeals case reviews to ensure compliance service goals are met according to applicable laws and regulations. Demonstrated capaci...

Tags for this Online Resume: healthcare, Healthcare Administration, Policies and Procedures, Audit, Billing, Accounts Receivable, Compliance, Insurance, Medicare, Account Reconciliation

Licensed Nurse - 10 Years of Experience - Near 38135

Professional Summary I have 16 years of experience in most fields of nursing and patient relations I have a associates degree in applied sciences and general technology. I am currently working on my Bachelor's in Professional Study's with a Concentration in Organizational Leadership at the University of Memphis. I have 3 semester hours to complete my degree, which I am finishing now and will graduate in the spring semester....

Tags for this Online Resume: Communication Skills, LPN, Wound Care, Medical, Critical Care - Vascular, Insurance, Surgery, VASCULAR, Patient Care, nurse, healthcare, Manager, Human resource, Care coordinator

Sales Engineer

Accomplishments Avoided a data catastrophe. A 2PB data lake at Optum was suffering major issues. Discovered the lake was operating at 12x recommended limits, threatening imminent collapse. Played a key role in improving the data management model and securing a $10M+ budget for 1,000+ new nodes. Enabled the firm to scale up capacity to meet exploding demand. Drove an IBM Cloud & AI deal. A 3rd-party health insurance claims p...

Tags for this Online Resume: Services, BIS, Enterprise Architecture, Integrate, SAP, Support, Symantec, Technical Support, Unix, Veritas

Project Manager - 10 Years of Experience

EXECUTIVE PROFILE Both PMP - and ITIL-certified a highly accomplished, Program/Project Management (PMO) professional with over 20 years progressively responsible client-facing service delivery, consulting experience, the past 10 on Medicare projects supporting the 1-800 Medicare enterprise SDLC and IT Service Delivery for the Centers for Medicare and Medicaid Services (CMS). A proven, motivated self-starter, with demonstrat...

Tags for this Online Resume: Management, Coding, Medicare, Scheduling, Support, Call Center, Health Insurance, Insurance, Insurance Claims, Monitoring, Program/Project Manager, Program Manager, Operations Manager

General Manager

Tags for this Online Resume: Sourcing, Strategic Initiatives, Pricing, Equity, Inventory, Sales, Distribution, Support, Forecasting, Insurance