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Online Resumes with "MEDICAID"
Project Manager - 20 Years of Experience - Near 78052
Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...
Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager
Quality Coordinator - 20 Years of Experience - Near 11590
Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...
Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills
Medical Office Manager - 6 Years of Experience - Near 77385
A top-performing highly accomplished self-directed professional with diverse experience and expertise in healthcare administration operations nursing training customer service and program development seeks a position with an organization that values drive energy and dedication to achieve results. Successful in creating business relationships building trust and supporting business plans focused on key stakeholders across div...
Tags for this Online Resume: Insurance, Data Entry, Medical, Medical Records, Pharmaceutical, Triage, Vitals, Assessments, Billing, Budgeting, healthcare
Registered Nurse -16 years expierence in all areas of hospital, nursing home, wants remote work from home position
I am a RN with 16 years of experience in all areas of the hospital including critical care and I have 25 years of experience working in hospital business offices with experience in billing, coding (not certified), Medicare, Medicaid, workers compensation, precertification, denials, case management in rehabilitation.
Tags for this Online Resume: Insurance, Accounts Receivable, Collection, sheets, Coding, ACLS, ADM, Automobile Claim Law Specialist, registered nurse, healthcare
Manged Care Network Management - 20 Years of Experience - Near 29036
Summary of Experience More than 16 years of leadership experience in the Managed Care industry including 10 years in healthcare facilities. Extensive experience in developing, expanding, and maintaining provider networks as well as in: Health Care Delivery Systems Network Development Provider Relations Budget Administration Problem Resolution Team Development Trend Analysis/Valued-Based Purchasing Salesforce Data Regulation...
Tags for this Online Resume: Leadership, Management, Program Manager, Services, Shared Services, Managed Care, healthcare, care, quality improvement, provider relations, network management, medicare, Medicaid, motivation, quality
Network Engineer - 19 Years of Experience - Near 20601
Duties, duties include but not limited to: * Expert understanding of the following Cisco Unified Communication Products: Cisco Contact Center (UCCE) technologies, including centralized ingress, CVP, VXML, ICMand UCCE/UC integration. * Experience with Call Manager Unity and Unity Connection, Cisco Emergency Responder. * Understand the Cisco Unified Contact Center product portfolio and platform architecture * Configure Cisco ...
Tags for this Online Resume: HP, Networking, Novell, Novell Netware, software, Citrix, VMWare, Design system, Xen-desktop, Xen-Apps, EIGRP, BGP, OSPF, RIP
Supervisor - 8 Years of Experience - Near 95610
SUMMARY: I work in a cooperative fashion that encourages teamwork and utilize my interpersonal skills to foster resolution of issues. I consider myself meticulous and excellent at juggling multiple tasks and working under pressure. I am an experienced manager with excellent client and project management skills. I am action-oriented and possess a strong ability to communicate effectively with all type of audiences. I welcome...
Tags for this Online Resume: Managed Care, Audit, Licensing, Billing, Documentation, Data Analysis, Data Management, Diversity, Leadership, management
Registered Nurse - 10 Years of Experience - Near 06471
Summary of qualifications The personal care provided to the clients stated above covered many areas of nursing at the level of a certified nurse's aide, a Registered Nurse licensed with the State of Connecticut in a Clinical Hospital environment, a Nursing Case Manager in a Home Health Care Agency, Admissions RN for the same Home Health Care Agency, as well as Clinical Supervisor in both a Medicaid and Medicare Home Care Ag...
Tags for this Online Resume: Medication Administration, Home Health, Home Care, Medicare, Novell Netware, Insurance, Long Term Care, Behavioral Health, Computer Aided Software Engineering, Documentation, registered nurse, nurse, healthcare
Registered Nurse for over 34 years, specializing in dialysis, both management and bedside care.5 year history of Care Manager working from home for Insurance Provider- 33605
10 years as an LPN prior to obtaining RN degree and took a position as Clinician at Tampa General Hospital Pediatric Dialysis, both peritoneal and hemodialysis. Functioned as manager, answering to Medicare, Medicaid, Medical Director and Network Seven. Obtained certification in nephrology in 2005. Served as President, Vice President, Secretary/ Treasurer and Legislative Liaison for local chapter of ANNA. Served on SIG in na...
Tags for this Online Resume: Dialysis, Nephrology, Nursing, PEDIATRIC, Science, LNP, Filing, LPN, Management, Medicare, physical therapist, physical therapy
Business Analyst - 12 Years of Experience - Near 31312
SUMMARY * Over 18 years of professional experience related to Account Management, Project Management, Business Analysis, Quality Assurance and Training backed by a positive attitude, high degree of enthusiasm and passion for success * Proficient in Medicaid and MMIS in subject areas of Provider and Provider Enrollment, Member and Member Enrollment, Claims, TPL, Reference, Prior Authorization and Multipayer * Development, cr...
Tags for this Online Resume: Billing, Consulting, Training, Management, Test Plans, Health Insurance Portability And Accountability Act, Benefits, Business Analysis, Design Specification, Quality Assurance, Claims, Medicaid, Provider, Testing, High Level Requirements, Account Management, Project Management
Medical & Health Services Manager - 15 Years of Experience - Near 00926
Professional eager to contribute exceptional project management, communication, client relation and database administration skills towards supporting operations of a progressive organization offering long-term career opportunities.
Tags for this Online Resume: Microsoft office, Cactus, managed Care, icd10, provider relations, Providers Service, medicaid, Medicare Advantage, Coding, Networking, Management, Billing, Integrate, Medicare, C Programming Language, Compliance
Admissions Registration Clerk - 20 Years of Experience - Near 98032
Experienced with supervisory skills Mastered office skills Provided Implement operations policies and procedures * Ensure all maintenance is completed at all company offices/facilities. * Prepare reports and conduct scheduling, calendaring for Managers Meetings and all Staff Meetings. * Meet with State, City, and County auditors and implement funder's recommendations dealing with facility issues, housing contracts, Section ...
Tags for this Online Resume: Policies and Procedures, Accounts Payable, Complaints, English Language, Management, Microsoft Outlook, Scheduling, Security, Training, Assessments, physical therapy, outpatient rehabilitation, healthcare, pt, care, outpatient physical therapy
