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Online Resumes with "MEDICAID"
Insurance Sales Agent - 19 Years of Experience - Near 44110
Profile An innovative, high performance insurance specialist with over 15 successful years of experience combined with exceptional project management, contract administration, and communication skills. Versatile and adept at investigative techniques and program operations. Core competencies include: * Insurance * Leadership/Management * Sales * Medicare * Program Oversight * Medicaid * Marketing * Research & Analysis * Clai...
Tags for this Online Resume: Insurance, Communication Skills, Compliance, Leadership, Management, Marketing Management, Medicare, Project Management, Research, Reviews
Admissions Director - 19 Years of Experience - Near 10710
Qualifications Profile I am able to establish a cooperative climate, across multiple departments to identify opportunities which will result in long-term benefits for the employer. I have proficiency in Medicare and Medicaid compliance and NYSDOH regulations. I continuously seek out new ways to streamline and expedite operational processes and procedures in the Admissions and Marketing functions.
Tags for this Online Resume: Managed Care, Referrals, Rehabilitation, Marketing Management, Quality Assurance, Test, Insurance, ALLSCRIPTS, Benefits, Budgetary
Accountant - 20 Years of Experience - Near 46163
PROFILE Resourceful accounting professional with proven abilities in supervising the accounting and managing the accounts payable departments including helping oversee the monthly accounting processes, financial statements reporting, gathering of information for the annual cost report filings and Medicaid audits, and researching and resolving accounting issues.
Tags for this Online Resume: Accounting, Accounting Functions, Integrate, Statistics, Loan Portfolios, Management, Billing, Reconciliations, Accounting Records, Accounts Payable
Claims Examiner
Summary A social worker with 15 years' experience worked for the Department of Health and Human Services. Assisted clients of Middlesex County Board of Social Services with state funded programs "Family Care/Kid Care and Medicaid" in NJ. Determined eligibility for applicants requesting medical assistance, using available data in state software systems and applicant provided documents. Resolved problems and consulted clients...
Tags for this Online Resume: Benefits, Documentation, Medical, Billing, Coding, English Language, Insurance, Medical Billing, N?mecký jazyk, Services
Business Analyst
Summary * 10+ years of experience in the design, development and implementation of Windows/Web Based Application using .Net (C#, VB.Net, ASP.Net), SQL Server, SSIS (8 years), and SSRS (5+ years). * At HP, he developed a .NET application for the State of South Carolina (Child Support Project), including extensive use of SSIS to create all ETL processes and created SSRS reports to identify data gaps and errors. * Also with HP...
Tags for this Online Resume: Test, Test Cases, Active Server Pages, C# Programming Language, Microsoft ASP.Net, Windows Communication Foundation, Cascading Style Sheets, CSS, Integrate, Integration Testing
Billing/Coding Specialist
Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows polices guidelines and procedures to assure consistent quality. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * Electronic Health Records ...
Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Compliance, EHR, EMR
Case Management Manager - 20 Years of Experience - Near 75207
Summary of Qualifications: I have worked in Managed Care in the business arena for twenty years. My objective is to have a position with an organization which will allow me to be in a position within the Health Plan industry and be responsible for supporting associates and an institution to increase the profitability. This would allow me to integrate my extensive background in clinical nursing, training, sales/ marketing pr...
Tags for this Online Resume: Training, Infrastructure, SAN (Storage Area Network), Scheduling, Documentation, Health Care Industry, Managed Care, Management, Services, Communication Skills
Business Analyst
Experienced with EDI files 834,835,270/271, 276/277 file formats * Mapped HIPAA 4010 and 5010 differences * Read and interpreted 997/999 acknowledgments * Facilitated the setup of new trading partners, including planning, project management, testing, documentation, and implementation. * Developed and maintained functional specifications for new / existing applications needed to maintain/enhance EDI processing and address th...
Tags for this Online Resume: EDI, Electronic Data Interchange, Health Insurance Portability And Accountability Act, Management, Software, Systems Analyst, Health Care Industry, VISIO, Agile, Audit
Business Analyst - 11 Years of Experience - Near 34671
Areas of Expertise Requirements Management Analysis & Design Software & Application Development IT Assessments & Recommendation Database Design & Development System Migration & Integration Data Conversion & Migration Cost, Budgeting & Project Estimates Project Planning & Schedules Business Intelligence & Analytics Data Integration (ETL ) Business & Information Technology Planning Enterprise Implementation Data Management Ch...
Tags for this Online Resume: Management, Project Management, Risk Analysis, Use Cases, Data Analysis, MySQL, Data Mapping, Business Analysis, Systems Analysis, Project Planning/Schedule, Project documentation, Program & Project Estimates, Project Control & Monitoring, Data/database Design, Data Management, Strategic Planning, Strategic IT Planning, DBVisualizer, IBM DB2, Azure, AWS, MS Dynamics CRM, Agile, Requirements Management, Business Requirements, Functional Requirements, Data Migration & Conversion, Identity and Access Management, Scrum, Waterfall
Registered Nurse - 20 Years of Experience
Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...
Tags for this Online Resume: Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care
Chief Financial Officer - 15 Years of Experience - Near 31210
Accomplishments Led $50M acquisition to support national contract with Marriot Corp. Professional Systems had been awarded nationwide contract for housekeeping services. Sourced acquisition target, raised substantial capital, conducted due diligence and closed $50M transaction. Expanded to 48 states with new contracts from Starwood and Avendra. Developed new reporting systems to dramatically improve accountability. Newly-fo...
Tags for this Online Resume: CFO, Medical, Medical Devices, Management, Services, Acquisitions, Budgeting, Business Plan, Due Diligence, Enterprise Requirements Planning
Bill & Account Collector - 10 Years of Experience - Near 30213
Professional Summary Driven and compassionate healthcare professional with more than 18 years of experience in fast-paced residential and hospital environments. With a strong focus on financials, I take a detail oriented approach to resolving long standing billing issues and establishing new processes and procedural baselines for future efficiency. I have a proven track record in the following key areas: ICD-9, ICD-10 Medic...
Tags for this Online Resume: Billing, Past Due Accounts, Insurance, Medical, Medical Billing, Receivables, Accounts Receivable, Benefits, Delinquent Accounts, Insurance Claims
