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Online Resumes with "MEDICARE MEDICAID"
Medical & Health Services Manager - 20 Years of Experience - Near 01949
management position locally, with upward mobility and advancement
Tags for this Online Resume: Referrals, Rehabilitation, Payroll, Procurement, Computer Aided Software Engineering, management, nursing/medical, insurance,, reimbursement, medicare/medicaid, customer service, sales/marketing
Director - 20 Years of Experience - Near 92708
SUMMARY Seeking a position where I can utilize my accomplished leadership skills in nursing, management and organization to provide projected, qualitative client and business outcomes. To utilize my nursing and leadership background and extensive knowledge of Managed Care, including Commercial, Medicare, and Medicaid experience, in an environment where excellence, professionalism, and vision are valued. Talented interviewer...
Tags for this Online Resume: Management, Cms, Integrate, Medicare, Assessments, Leadership, Planning, Quality, Quality Assurance
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
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
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
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
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
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
