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Online Resumes with "MEDICAID"



Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst

Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...

Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest

production supervisor

To work for a reputable company that has good benefits,and that values their employees.

Ideal Companies: automotive industry, food industry

Tags for this Online Resume: shipping, distubution center, operated two shifts

Claims Examiner - 12 Years of Experience - Near 44203

15 years experience as a Medical Claims processor with 5 years experience in management

Ideal Companies: Akron General Medical Center, Children's Hospital, Nursing Homes, private insurance companies

Tags for this Online Resume: claims processor, customer service , appeals, data entry, Medicare , Billing, Management, Medical, Medical Transcription, Radiology, Transcription, Insurance, Medicare

Case Manager - 20 Years of Experience - Near 12601

SUMMARY: I have worked as a nursing home social worker for over twenty-two years. Over that time I have assisted my facility with adapting to an ever-changing environment by creating forms to make the intake system much more stream line and putting together care plans that were easier to match to the minimum data set 3.0. Over my career I have always strived to strengthen my abilities and continually acquire new skills. I c...

Tags for this Online Resume: Assessments, Health care proxy, Wills, Food stamps , Medicaid application , Notes

Featured Profile

Highly Skilled Senior Director Seeks Next Great Adventure!

Behavioral health and social services senior directorl with extensive upper management experience directing service delivery operations, full-cycle program management, and leadership development seeking an innovative and growing organization in need of savvy and experienced executive leadership Multiple achievements in key business activities: contract negotiation and administration, reporting and compliance, performance as...

Ideal Companies: Behavioral Health, Social Services, healthcare, education, agencies which provide not-for-profit OR for-profit services in multiple sectors to which my skills are transferrable, including foster care, developmental disabilities, chronic diseases, education, and management consulting.

Tags for this Online Resume: Director, Social Services, Strategic Planning, Ft Collins, Program Development, Leadership Development, Mental Health, Business Operations

Featured Profile

Sales and Consulting - 17 Years of Experience - Central Valley Area CA and Denver North Area CO

SPECIALTY PHARMACEUTICAL SALES REPRESENTATIVE Dynamic Pharmaceutical, Medical Sales Professional and Consultant with eight years of territory sales experience. Demonstrated pharmacy and small pharmaceutical sales expertise increasing contacts, introducing new products, providing patient education and billing support. Proven success creating and launching programs to increase revenues and commissions. Skilled at improving...

Ideal Companies: Bellevue Pharmacy LLC, Nestle Health Sciences, Genuine Parts Company (Napa)

Tags for this Online Resume: Distribution, Sales, Territory Sales, Critical Care - Neurology, Family Practice, Neurology, Pharmaceutical Sales, Medical Sales, Consulting, Endocrinology, Primary Care, Pain Management, Psychiatry, OBGYN, Podiatry, Orthapedic, Dermatology, Cardiology, Product Launch, President's Club, Midicare, Medicaid, Sales Cycle Management, Territory Management, Lead Generation, Team Leadership, Leadership, B2B Sales, Marketing, Specialty Pharmaceutical Sales, Territory Revitalization, Client Relations, Business Development

Healthcare Turnaround Executive Director - 20 Years of Experience - Near 21157

Summary of Qualifications Seasoned behavioral healthcare turnaround executive, intent on uniting organizations, driving profitability, strategizing and analyzing toward unique outcomes, all in a transparent manner, utilizing highest ethical standards, with a bias for positive action within an organized process as evidenced by * Improved financial status of non-profits/government providers by $200,000 or more * KHI Services ...

Tags for this Online Resume: Computer Literate, Financial, Graphic Design, Health Care Industry, Health Insurance, Insurance, Meridian, Microsoft, Behavioral Health, Evaluate, Financial Statements, Management, Marketing Management

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

Case Management Manager - 20 Years of Experience

Professional summary: Kathleen M. Halligan is a nursing professional with over 20 years of experience. She has over 10 years of experience as a case manager in the home health and skilled nursing environment. She is experienced working with Medicare, Medicaid and private insurance. She is well versed in performing initial and ongoing assessments while implementing and developing care plans for patients. Kathleen rounds out ...

Tags for this Online Resume: Insurance, Medicare, Computer Aided Software Engineering, PEDIATRIC, Home Care, Home Health, Nursing, Pharmacology

Featured Profile

Pharmaceutical Sales Representative - 13 Years of Experience - Near 48154

Results-driven and principle-centered Sales Professional with a passion for developing and expanding current skills and responsibilities within the pharmaceutical/medical sales industry. Documented success in brand sales growth within diverse industries including direct sales roles. A resourceful and innovative sales leader with a unique ability to translate persuasive selling skills, relationship-building, and statistical...

Ideal Companies: Astra Zeneca, GSK, Novartis, Allergan, Pfizer, Ashfield, Aventis

Tags for this Online Resume: Account Manager, Respiratory Sales, Pulmonology, President Club, Pharmaceutical, Health Care Industry, Leadership, Account Management, Category Management, Microsoft Office, PhRMa Guidelines, EMR, Cardiology, Asthma, Neurology, Psychiatry, Primary Care, Internal Medicine

Featured Profile

Case Manager - 2 Years of Experience - Near 03253

Active case manager working in the insurance industry for an MCO of state Medicaid program is looking to expand her experience to include the hospital-based and/or medical office-based case manager role.

Ideal Companies: Dartmouth Hitchcock Medical Center, Concord Hospital, Catholic Medical Center

Tags for this Online Resume: Educator, MSN, Rehab, Med-Surg, NCQA, Adult, Pediatric, Patient Care, Nursing, Home Care, Support, Technical Support, ICU, Critical Care, FACETS, CCMS, BSN, diligent, organized, prioritize, patient education, assessment/reassessment, strategize, utilize strengths, overcome barriers, goal achievement, utilize resources, interdisciplinary, teamwork