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Online Resumes with "MEDICAID"



Licensed Nurse - 20 Years of Experience - Near 78665

corre Medicaid and Healthcare Partnership) QUALIFICATION SUMMARY: I'm able to work well under pressure and to communicate and coordinate in the quality of my work. I'm prepared to work extended hours if needed. communication skills with my co-workers and my patients/clients

Tags for this Online Resume: Transportation, Benefits, Compensation, Data Entry, Assessments, Audit, Communication Skills, Injections, Insurance, Management, healthcare

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

Registered Nurse - 20 Years of Experience - Near 78599

I have worked as a pediatric nurse both in the acute care setting and the home care setting. In the acue care setting I functioned as a charge nurse in the pediatric intensive care unit at McAllen Medical Center. Areas I rotated within the hospital included NICU PEDIATRICS ADULT ICU and ER. I have had certification for PICC line insertion thru MMC and MCH Services. I also had NALS and PALS certifications. In the home care s...

Tags for this Online Resume: Computer Aided Software Engineering, Home Health, PICU, PEDIATRIC, ICU, NICU, Nursing, Pediatrics, Coding, Documentation, nurse

Medical & Health Services Manager - 18 Years of Experience - Near 89141

SKILLS SUMMARY * Provider Relations and Liaison * Trainer, Presenter, Speaker * Medicaid, Medicare Advantage, Dual Eligible * Network Management, Development, and Recruitment collaboration with Regional Teams * P4P, PPO, POS, Managed Care, Medicaid, and Medicare contracting * Ancillary, Physician/Medical Group, and Facility contract administration * Complex issue resolution * HIPAA, NCQA, and CMS Compliance and contracting ...

Tags for this Online Resume: AR, Accounts Receivable, Compliance, Corrective Actions, Field Work, Financial Services, Medicare, Managed Care, Healthcare Exchange, Medicare Advantage, Medicaid Managed Care, Project Management, Provider Contracting

Manager - 13 Years of Experience - Near 07006

PROFILE ? Pharmaceutical sales representative about 17 years experience in this field. Medical Billing/Collection professional with 12+ years experience offering excellent skills gained through years of 5 years being a billing manager.Talent for quickly mastering technology - recently completed Microsoft Office Suite certificate course. Diplomatic and tactful with professionals and non-professionals at all levels. Accustome...

Tags for this Online Resume: Billing, Insurance, Internet, Medical, Medical Billing, Sales, Coding, Accounting, Accounts Receivable, Arabic Language, healthcare, Medical billing manager

Vice President - 19 Years of Experience - Near 12019

Career Highlights & Milestones Sales Management Selling Skills & Results Customer Perspective Digital Media / SEO Direct Response Advertising Developing New Markets Health Plan Product Design Distribution Channels Provider Networks 16+ years of Medicare Advantage sales, product management, and marketing experience in leading healthy teams - brings deep knowledge of Centers of Medicare & Medicaid Services regulations. * Brou...

Tags for this Online Resume: Advertising, Medicare, Marketing Management, Sales, Management, Product Design, Product Development, Quality, Sales Training, Services

Medical Office Manager - 20 Years of Experience - Near 33411

PROFILE Twenty five years of results oriented experience in administration. Exceptional management and planning skills detail driven professional with common sense approach to problem solving. Adept at communicating effectively with management, clients and staff, motivating employees to perform to their maximum potential. (Consultant - Business Development, setting up three medical business offices from the ground up (Finan...

Tags for this Online Resume: Insurance, Inventory, Managed Care, Management, Medical, Medicare, Office Administrator, Oncology, Planning, Practice Administrator

Sales & Marketing, Product Development, Healthcare Insurance - 20 Years of Experience - Near 98012

PROFILE Energetic, results-oriented healthcare professional with extensive experience in management, product development, production, sales and marketing. Passionate about taking products and organizations from concept to market and shepherding large, complex programs from vision through implementation. Servant leader with keen abilities to build trust quickly, align disparate groups and build high-performing teams extensiv...

Tags for this Online Resume: Management, Sales, Distribution, Account Management, Customer Relationship Management, Planning, Product Development, Marketing, Business Development

Sales Manager - 15 Years of Experience - Near 29466

Areas of Expertise Sr. Business Analyst, Project Manager and Program Manager, Veteran Affairs (VA), Department of Defense (DoD) and multiple Healthcare initiatives including work with Medicaid Management Information System (MMIS) Electronic Medical Records (EMR), Electronic Health Records (EHR), Agile - Software Development Life Cycle (SDLC), and development of Virtual Lifetime Electronic Record (VLER) initiatives. Most rec...

Tags for this Online Resume: Agile, Audit, Change Management, Defense, Documentation, JIRA, Management, Microsoft, Microsoft Change Management, Microsoft Visio

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

Registered Nurse - 20 Years of Experience - Near 08618

Tags for this Online Resume: Medicare, Nursing, registered nurse, healthcare, Psychiatric Nurse, MLTSS Assessments, Medicaid

Case Manager

To utilize my skills as a Mental Health/Substance Abuse Counselor and secure a challenging position which will provide me an opportunity for professional growth. Strong administrative skills in the areas of quality assurance for Medicare and Medicaid funded agencies and private agencies with commercial and private insurance carriers. Strong skills with children, adolescent, young adult and adult treatment services, includin...

Tags for this Online Resume: Assessments, Management, Quality Assurance, Test, Documentation, Facilitator, Nursing, Therapy, Clinical Programs, Social Service