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Online Resumes with "MEDICAID"
Experienced Business Professional
My personal mission is to offer my services where my attitude, skills and knowledge will most fully be engaged to the benefit of the cause for which I am playing a part of accomplishing. Bottom line: I want to maximize my impact in an organization that is having a positive influence on the world in which we live.
Ideal Companies: Concordance Healthcare Solutions, Tiffin University, Webster Industries, NaviHealth, Epic
Tags for this Online Resume: healthcare, DME, strategy, leader, creative, improvement, business, executive, manager, team, sleep apnea, home oxygen, entrepreneur, visionary, service
Sales Representative - 16 Years of Experience - Near 79904
SUMMARY OF QUALIFICATIONS * Excellent communication and interpersonal skills. * Ability to effectively interact with people from diverse backgrounds and all levels within an organization. * Self-motivated, goal/team oriented and efficiently resourceful in achieving desired results.
Tags for this Online Resume: Referrals, Lead Generation, Management, Medicare, Sales, Sales/Marketing, Needs Assessment, Account Manager, Outside Sales
Case Manager - 0 Years of Experience
ADDITIONAL QUALIFICATIONS: * Bilingual, Spanish/English. *Knowledge of Microsoft Office ste., Word, Power point and Excel * Eligibility Specialist for Medicaid and Medicare. * Received Training Program Certificate for Manhattan Teen Pregnancy Network. * Hunter College: Certification in the fundamentals of Psycho-Social Rehabilitation. * Training Course in Intensive Case Management. *Columbia University: Community Services, ...
Tags for this Online Resume: Services, Home Care, Bilingual, Computer Aided Software Engineering, English Language, Management, Medicare, Microsoft, Assessments, Coding
Graduate Teaching Assistant - 6 Years of Experience - Near 33319
SUMMARY OF QUALIFICATIONS: * Highly skilled professional with more than 20 years practical experience in hospital, Nursing home, primary care environment and nursing education. Great knowledge of medic are and Medicaid guidelines * State Agency Personnel commented on proficiency in documentation. * Worked in CCU, hospice care, telemetry, Medical/surgical, psychiatry units and currently as nursing faculty * Great knowledge o...
Tags for this Online Resume: Audit, Direct Patient Care, Patient Care, Telemetry, Computer Aided Software Engineering, Integrate
Healthcare Insurance Recovery, Cost Containment, Configuration and Operations Leadership 20 plus years experience in Medicare, Medicaid, Commercial Insurance Operation Management.
Obtain an Executive Leadership role where my skills and knowledge can be utilized to minimize costs, increase profits, and ensure compliance with all Federal and STate Regulations. Autonomy to build effective teams, mentor staff, and develop a world class organization in a rewarding environment with an atmosphere of innovation and leading edge technologies being implemented or utilized would be the most favorable situation.
Tags for this Online Resume: Medicare, Medicaid, Configuration QNXT Amisys MHS, Cost Containment, Operations Leadership, Business Process Improvement
Quality Coordinator - 14 Years of Experience
An accomplished multi-lingual medical program administrator/manager/trainer and auditor whose specialty in quality control, management analysis, risk and fiscal review of health care services/programs and departments, coupled with effective communication and case management expertise, thorough knowledge of QA practices, awareness of local, State and Federal government trends for quality controls and public safety of infecti...
Tags for this Online Resume: Management, Medicare, Coding, Fraud, Home Health, Risk Management, Services, Audit
Business Analyst - 10 Years of Experience - Near 30102
Tags for this Online Resume: Business Analysis, Business Analyst, Documentation, Test, Program Manager, HP, Claim Processing, Project Manager, Healthcare
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
Business Analyst - 2 Years of Experience - Near 30096
SUMMARY: Professional analyst with extensive experience in the Healthcare Insurance Industry for members and providers. Recent experience and education in business analysis with a focus on SQL and Scrum Agile Methodologies. Effective working directly with providers to elicit business requirements. Successful analyzing and testing denied healthcare claims to ensure proper posting, payment and maximum dollars returned to the ...
Tags for this Online Resume: Billing, Medical Billing, Business Analysis, Business Analyst, Account Manager, Business Requirements, Health Care Industry, Management, Visio, OracleSQL, SharePoint, SalesForce, Excel, Java
Not Listed - 15 Years of Experience - Near 33411
To work as a registered nurse with a company in the healthcare industry that will offer me the opportunity to grow while contributing in the progress of that company.
Tags for this Online Resume: ADM, Medicare, Wound Care, Rehabilitation, Home Care, ACLS, Automobile Claim Law Specialist, Cardiopulmonary resuscitation (CPR), EKG, Phlebotomy
Pharmacist - 18 Years of Experience - Near 11370
Experienced with readjusting and correcting cutbacks (cutback reports), and reimbursement amounts on submitted claims Experienced with Third Party and Medicaid Audit requirements * Adjusting for audited rejected claims and correcting them for resubmission * Very Experienced with OPUS-ISM Experienced with billing for time on compounded medications (i.e., legend drugs on insurances) with OPUS- ISM * Adding new insurance plans...
Tags for this Online Resume: Compliance, Inventory, Inventory management, Management, Pharmaceutical, Toxicology, Audit, Billing
Medicare, Medicaid, commercial insurance biller
To be a supervisor or manager of a department that can use my knowledge and skills to help bring in revenue to the company.
