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Online Resumes with "MEDICARE MEDICAID"
Case Management Manager - 11 Years of Experience - Near 32162
Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stay...
Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence
Financial Analyst - 20 Years of Experience - Near 27341
Tags for this Online Resume: Payroll, Medicare/Medicaid, Receivables/Payables, Accounting, Billing, CMS, Co-Pays, Deposits, Financial Analyst, Home Health Billing, Coder
Medical or Health Services Manager - 3 Years of Experience - Near 30044
QUALIFICATIONS * * Qualified by over 25 years professional experience in: * * Operations/Program Management * P & L Responsibility * Teambuilding * Management Control Systems * Medicare, Medicaid, Managed Care * Financial Management * Finance/Operational Audits * Financial Planning/Reporting * Consulting/Problem Solving * Sales Management * Business Development * Healthcare Services * Strategic Planning * Coaching/Training ...
Tags for this Online Resume: Medical, Medical Devices, Rehabilitation, Services, Nursing, Sales, Sales Calls, Accounts Receivable, Financial, Management
Pharmacist - 20 Years of Experience - Near 92604
Professional Summary Highly qualified pharmacist with 20 years of pharmacy services, bringing management, administrative and medicalPed Immunizing Pharmacist CPR Certification Skill Highlights * Expert understanding of Medicare and Medicaid * Certified Immunizing Pharmacist in processes California * Exceptional patient care and interaction * Inventory management * HIPAA training * Strong decision-making ability * Efficient ...
Tags for this Online Resume: Inventory, Inventory Control, Complaints, Distribution, Immunization, Customer Service, Health Insurance Portability And Accountability Act, Inventory management, Management
Education Teacher - 20 Years of Experience - Near 77089
Qualifications for Senior Management in Health Services/Education Possesses extensive experience in performing and overseeing clinical/laboratory operations and training. Has managed as many as 30 FTEs. Adept at introducing, validating, and monitoring new technologies and methodologies as well as enforcing QA/QC, OSHA, and EEOC standards. Committed to cost reduction and continual improvement of processes, productivity, and ...
Tags for this Online Resume: Management, Medical, Medical Technology, Planning, Retention, Scheduling, Ambulatory Services, ASCP, Budgeting, Coding, Coordinating, Staffing, Directing, Organizing, Curriculum Review, Program Review, Faculty Development, Coaching, Collaborator
Medical Records Assistant - 2 Years of Experience - Near 71640
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 policies guidelines and procedures to assure consistent quality. Experienced with Microsoft Word, PowerPoint, Excel, and Outlook Types 36 WPM. Willing to learn new skills and take on new challenges. KEY ...
Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Customer Service, EHR, EMR
Business Analyst - 6 Years of Experience
Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into d...
Tags for this Online Resume: Management, System design, Test, Test Plan, Coding, Monitoring, Project Management, Scheduler, Stored Procedures, Structured Query Language
Medical or Health Services Manager - 20 Years of Experience - Near 33534
SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...
Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer
Case Manager - 6 Years of Experience - Near 01033
To obtain a position that will showcase my skills and diverse background in the healthcare industry while allowing my continued professional growth and goal attainment within the company's vision. Background Qualifications: -Detailed oriented, with extensive experience in case management at the Ltach and SNF levels of care -Ability to work in high stress positions dealing with peers, patients, families, medical staff, and p...
Tags for this Online Resume: Dialysis, Management, Pulmonary, Utilization Management, Insurance, Medicare, Assessments, Documentation, Marketing Management, Referrals
Registered Nurse - 20 Years of Experience - Near 34787
Professional Summary Registered Nurse Professional registered nurse in both hospital and clinical setting Highly skilled career professional with more than 35 years of practical experience in hospitals, home health, trauma, psychiatric unit, emergency room, critical care, and nursing home management. Owned a nursing home for 5 years as well as a pharmacy infusion (in-home healthcare) Attended in-service for Medicare, Medica...
Tags for this Online Resume: Coding, ER, Home Health, Management, Medical
Medical or Health Services Manager - 20 Years of Experience - Near 11553
PROFILE: Broadminded, diplomatic and accomplished manager with expertise in maximizing revenue capture, regulatory compliance, metrics, performance improvement initiatives, policy and procedure creation, managed care, Medicare, Medicaid, Blue Shield, commercial insurance, professional billing, collections, third-party reimbursement, and Provider credentialing. Effective leader with the ability to mentor, develop and motivat...
Tags for this Online Resume: CPC , 20years managerial experience, Industry expert, CMS , OMH/DOH/Specialty billing expertise , FQHC knowledge, IDX/Nextgen/ ECW billing software, Revenue cycle, Billing, Documentation
Health Technologist - 7 Years of Experience - Near 02370
COVER LETTER: Dear Hiring Manager , I am writing to express my interest in open Application Support Analyst position currently posted on the organization careers page. My name is Soukaina Menelas and I am currently a Sr. Application Analyst at Mercer. I have a special appreciation for information technology's great potential to positively influence healthcare, and a fond understanding of the impact of proper documentation o...
Tags for this Online Resume: Troubleshooting, Email, Customer Service, Software, Acceptance Testing, Business Analysis, Microsoft Excel, Test, Test Cases, User Acceptance Testing
