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Online Resumes with "MEDICAID"
Quality Assurance Specialist
PROFESSIONAL SUMMARY * Over 9+ years of IT experience in Software Testing, proficient in Client/Server and Web based applications. * Holds an extensive background creating and maintaining Master Test Plans, Scenarios, Cases and Scripts that increase reuse. * Comprehensive experience in leading highly complex and challenging industrial and commercial projects by designing, developing and delivering innovative solutions that ...
Tags for this Online Resume: JIRA, Management, Quality Assurance, Test, Applications, Test Scripts, Business Requirements, Integrate, ISO, Project Management
Case Manager
Ideal Companies: Ms.
Tags for this Online Resume: Legal, Medical, Assessments, Nursing, Behavioral Health, Benefits, Documentation, Home Health, Medical Records, Patient Care
Billing/Coding Specialist - 16 Years of Experience - Near 30252
HIGHLIGHTS OF QUALIFICATIONS * Excellent verbal and written communication skills * Strong customer service problem resolution and satisfaction based on customer surveys and feedback * Certified Professional Coder with knowledge of ICD-10, CPT and HCPCS codes * Demonstrated knowledge of Medical Terminology, Anatomy and Physiology * Proficient in billing, coding, policy guidelines, reimbursement and HIPPA guidelines * Excelle...
Tags for this Online Resume: Billing, Business Analysis, Business Analyst, Publications
Billing/Coding Specialist - 20 Years of Experience - Near 10465
Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...
Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare
Manager/Director Provider Relations
Experience Summary * 5 years of experience in Medicaid Medicare Marketing * 17 years of Provider Relations, Network Development/Management and Contracting * 10 years Managerial Experience in Provider Relations & Business Development * Full Knowledge of CMS & NCQA Regulatory Guidelines. Completed Six Sigma Seminar. * Performed QAR and STAR data analysis & CQI projects initiatives.
Tags for this Online Resume: Complaints, Services, Management, Network Management, Networking, Referrals, Business Development, PEDIATRIC, Quality Assurance, Test
Business Analyst
Summary Self-motivated, detail oriented Sr. Data Analyst with great experience in the healthcare arena. Ready to use skills to make a difference. Knowledge, Skills, Abilities Great Experience with data from differing sources: UDS, EHB, multiple electronic health records systems, census sources, Medicaid, state health department, etc. Considerable project lead experience heading up 4 major initiatives at Community Health Cen...
Tags for this Online Resume: Medical, Data Analysis, Desk Top Support, Desktop Computer, Distribution, Information Technology, Metrics, Project Leader, Quality, sheets, Health Informatics, Informatics, i2i
Medical or Health Services Manager - 10 Years of Experience - Near 78665
Professional Summary Extensive experience in Network Development and Provider Contracting with Medicare, Medicaid, Commercial and Worker Compensation. Experience includes Senior Leadership roles managing a team between 5-25 people. Considerable success with building providers network in several states by designing, developing and implementing standard contracts to meet industry standards. Key skills include: Provider Relati...
Tags for this Online Resume: Networking, Medicare, Behavioral Health, Billing, Business Development, Business Strategies, Business Strategy, Coaching, Compensation, Contract Negotiations
Claims Adjuster - 20 Years of Experience
Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectivel...
Tags for this Online Resume: Benefits, Long Term Care, Microsoft Access, Customer Service, Management, Medical, Compensation, Computer Aided Software Engineering, Inventory, Risk Management, insurance, customer service, group health benefits
Manager
Areas of Expertise Project/Campaign Management * Leading projects from concept through completion * Create project plans and timelines for various marketing projects * Manage the development of Marketing Materials * Work directly with the designer, photographer and printer to estimate and execute various projects * Manage the execution of the project and ensure timelines/budgets are being met * Managed complex data driven M...
Tags for this Online Resume: Budgeting, Management, Advertising, Ariba, Cms, Distribution, Health Care Industry, Inventory, Legal, Marketing Management, print
Application Support
SUMMARY: Detail orientated, hardworking, dedicated Professional with over 25 years of Health Care experience with FACETS, AMISYS 3000, AMISYS Advanced configuration and testing, troubleshooting Claims, 10 years of building products and benefits, and 5 years configuring pricing which includes 3 years of NetworX . Demonstrated strengths include strong analytical skills and complex problem solving capabilities: Works well with...
Tags for this Online Resume: FACETS, Call Center, Insurance, Test, Test Plans, Benefits, Pricing, Test Cases, Acceptance Testing, Business Requirements
Accountant
SUMMARY: Accounting professional with broad experience and knowledge in accounts receivable, accounts payable, and general ledger providing regular reports. Diverse performance in all areas of accounting. Independent/team player, detailed-oriented, multi-tasked, meet deadlines, self-motivated, accurate, dependable, adaptable, quick learner, ethical, loyal, communicative, enthusiastic, strong qualities in organizational skil...
Tags for this Online Resume: Accounts Payable, Credit Cards, Payroll, ADM, Benefits, Reconciliations, Quick Books, Quickbooks, Accounts Receivable, Bookkeeper
Business Analyst - 20 Years of Experience
Summary of SAP R/3 Functional, Technical and Managerial skill set * Strong skill sets in Project Management, Team Lead, Business Analyst, Management Analyst, Blueprinting, Realization, Configuration, Functional Specifications, Protocol Development, Unit and Integration Testing and Execution, Data Definition, Data Mapping from Legacy Systems, End-user Training, Training Development, Train the Trainer, Cutover Activities, and...
Tags for this Online Resume: SAP, SAP R/3, Support, Test, Test Scripts, Business Requirements, Team Lead, Financial Industry, Logistics, Security
