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Online Resumes with "MEDICAID"



Chief Information Officer - 20 Years of Experience - Near 20755

Professional Summary Associate Vice President, Chief Information Officer (CIO), Cyber Security Fellow, Change Manager and Scientist offering over 37 years of leadership experience within complex organizations including Federal, State and local Governments and Commercial Industries within the following domains - Healthcare, Medicare, Medicaid, Air Force Supply Chain Management Officer, Contracting Officer Representative, Cyb...

Tags for this Online Resume: Health Care Industry, Purchasing, Certification for Information System Security Professional, Data General Nova, Disaster Recovery, Enterprise Resource Planning, Integrate, Internet, Internet Protocol, Intrusion Detection

Billing/Coding Specialist - 16 Years of Experience - Near 98685 425

SUMMARY OF ACCOMPLISHMENTS, SKILLS and ABILITIES * One of the consistent top contributors in A/R Revenue, both Hospital and Clinics & Collection revenue. * Recognized for the ability to resolve customer issues, resolution of discrepancies, referring to the appropriate resources all while keeping a cheerful, professional conversation with the customer. * Experienced in the use of Epic applications, including pre-registration...

Tags for this Online Resume: Coding, Billing, Health Insurance Portability And Accountability Act, Medical, Medicare, Scheduling, Applications, Cancer, Urgent Care, Financial

Featured Profile

Distribution manager - 20 Years of Experience - Near 43016

I am looking for the opportunity to join a team and help that team with problem-solving, and personnel management. I have strong customer facing skills and experienced in developing and executing strategic plans. I have change management skills and given the opportunity; I believe I can strengthen a team. I have served as a project manager as well as a manager of people and I have agile development experience.

Ideal Companies: UPOX, Ohio Health, Big Lots. XPO,

Tags for this Online Resume: Inventory, Audit, Budgeting, Forecasting, Planning, Sales, Sales Analysis, Strategic Planning, Due Diligence, manager, Account Management, Distribution, Change Management, Agile, Project Management, Program Management, Product Management, Accounts Receivable, Training, Mergers & Acquisitions

Medical or Health Services Manager - 20 Years of Experience - Near 46062

Qualifications * Over 27 years of Health Care Administration experience * Developed and implemented budgets dealing with over $10 million in expense and $14 million in revenue * Marketed to Physicians, Hospitals, Hospice, Home Care and other health care providers where census increased by a minimum of 4% to 25% * Built profitability in the range of 5% to 20% * Trained, implemented, and oriented staff to new programs, polici...

Tags for this Online Resume: Budgeting, Nursing, Therapy, Medicare, Quality, Health Care Industry, Home Care, Hospice, Insurance, Managed Care, healthcare, Ececutive Director

Director - 20 Years of Experience - Near 60644

Senior Patient Accounts professional with exceptional analytical, organizational and problem solving skills. Consistently demonstrates exceptional customer services complementing any progressive customer focus environment.

Tags for this Online Resume: Accounts Receivable, Patient access, revenue cycle, reimbursement, Medicare and Medicaid knowledge, manage care, Accounting, Accounting Records, Customer Service, Managed Care, management, Director of Patient Financial Services, Director of Revenue Cycle, MCO Knowledge, FQHC

Featured Profile

RN with experience in multiple nursing disciplines.

To secure a position with a well- established organization with advancement opportunities utilizing my skills in the field of Case Management Utilization Management and years of Nursing Experience.

Ideal Companies: United Healthcare, Anthem, Blue Cross, Centene

Tags for this Online Resume: Patient Care, Surgical, Trauma, Critical Care, Medical, Medical/Surgical, Neurological, Orthopedic, Cardiac Monitoring, rn, physical therapy, nurse, registered nurse, care, Case Manager, Case Management, Remote RN, MCO, Clinical Education, House Supervisor, Plasmapheresis, Home Health, physical therapist

Featured Profile

Medical or Health Services Manager - 20 Years of Experience - Near 32174

SUMMARY * 30 years in healthcare with thorough knowledge of ICD-10-CM, ICD-10-PCS and CPT coding for hospital and physician reimbursement, including Medicare and Medicaid regulations * Successful with hospital and physician coding and billing denials and appeals * Performed monthly MS DRG and APC audits and coding education internally * Successful appeals of MS DRG and APC denials from insurance companies * Successful devel...

Ideal Companies: Hospitals, colleges, university.

Tags for this Online Resume: Documentation, Management, Coding, Data Quality, Quality, Quality Assurance, Quality Management, CCS, Audit, Billing, coding, Health Information, Online Health Information Management Coding Jobs

Featured Profile

Pharmacist

Areas of Expertise * Medicare/Medicaid Filing * DUR * OTC Medication * Customer Service * Order Verification * Specialized Consultation * Compound Preparing * Prescription Verification * Training Employees * Certified Immunizer * Prescription Dispensing * Supervising Employees

Ideal Companies: LONG TERM CARE, MAIL ORDER, SPECIALTY PHARAMACY, INFUSION PHRMACY, VA HOSPITAL

Tags for this Online Resume: Inventory, Medicare, Customer Service, CVS, Medication Adherence, OTC, Benefits, Data Entry, Documentation, Drug Information

Construction Assistant - 10 Years of Experience - Near 33772

Profile * Analytical, motivated and strong work ethic. * Project management and operations background * Computer savvy and proficient in many reporting programs * Construction and ProCore experience * Experienced in rehabbing properties and overseeing vendors and subcontractors. * Bilingual (Spanish) * Polite, professional and carry a positive attitude Responsible for, St Petersburg, FL * Responsible for gathering data and ...

Tags for this Online Resume: Management, Health Insurance Portability And Accountability Act, Pre-certifications, Audit, Root Cause Analysis, Vendor Management, Adobe, Adobe Photoshop, Bilingual, CADD, OSHA

Case Manager - 20 Years of Experience - Near 34698

ACCOMPLISHMENTS Quality Improvement/Care Management * Developed criteria for specifications to analyze group specific data, both demographic and claims, quantifying and stratifying to determine areas of savings opportunities and health enhancements for specific accounts. * Audited patient charts for NCQA/HEDIS and Joint Commission, helping clients to achieve respective accreditation. * Abstracted charts to boost OASIS compl...

Tags for this Online Resume: Business Development, Quality, Compliance, Credentialed, Disease Management, HEDIS, Abstractor, care management, case management, RN

Payroll Administrator - 10 Years of Experience - Near 92807

Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...

Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting