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Online Resumes with "MEDICARE MEDICAID"
Manager - 15 Years of Experience - Near 15222
Seeking a leadership position in health care administration that will enable me to leverage a comprehensive background in risk adjustment, finance, program development, and project management to increase efficiencies within business operations, improving profit, strengthening structure, and suggesting methods of improvement.
Ideal Companies: Insurance Plans, Blue Cross Blue Shield, United Health, Aetna, Matrix
Tags for this Online Resume: Acceptance Testing, Accounts Receivable, Applications, Billing, Budget Review, Budgeting, Business Analysis, Business Analyst, Financial, Financial Systems, Risk Revenue, Risk Adjustment, Strategy, Manager, Project Manager, Supervisor, Strategic Planning
Clinical Quality Assurance and Compliance - 20 years experience
Multifaceted, results-driven, and methodical executive with comprehensive experience in post-acute clinical program development, reimbursement, compliance and staff supervision. Expert at creating clinical structures for service revenue optimization and establishing metrics and goals for effective outcome measures. Knowledgeable of the entire reimbursement and revenue cycle processes, as well as with the Medicare, Medicaid ...
Ideal Companies: Post-Acute Care, Hospital System, Home Health, Consulting, In-Patient Rehab
Tags for this Online Resume: Quality, Billing, Budgetary, Clinical Programs, Documentation, P&L, Policies and Procedures, Medicare, Healthcare Compliance, Managed Care, EMR Implementation
Billing/Coding Specialist - 10 Years of Experience - Near 10003
Experienced Agile Business Analyst in healthcare domain, with experience in development of large enterprise solutions for government (Middle East (Dubai) & United States (Medicare/Medicaid), with a strong interest in artificial intelligence, machine learning and data analytics.
Tags for this Online Resume: Artificial Intelligence, Buying, Medical, Health Insurance, Insurance, Management, Adobe, Adobe After Effects, Adobe Illustrator, Adobe InDesign
Medical Office Manager - 10 Years of Experience - Near 78501
Exceptional leader committed to cost effective management of resources and quality performance by combining hands on experience with a broad-based knowledge of the healthcare and managed care fields. SKILL HIGHLIGHTS Billing & collections management Budget and finance administration Project management Strategic development Conflict resolution Risk management process analysis Profit & Loss management Vendor management Proces...
Tags for this Online Resume: Project Management, Project Manager, Staffing & Recruitment, Statistics, Test, Urology, Vendor Management, Account Reconciliation, Accounting, Audit
Licensed Nurse
Tags for this Online Resume: Computer Aided Software Engineering, Medicare, Insurance, Long Term Care
Software Engineer - 4 Years of Experience
Over 5 years' experience in Software Quality Assurance and Quality Control on various levels of Quality Assurance and User Acceptance Testing for Client/Server and Web based applications on Windows and UNIX. * Solid understanding of Software Development Life Cycle (SDLC), CMMI, ITIL, and different types of methodologies such as Waterfall, Agile and Iterative. * Extensive work experience in Software Quality Assurance and Tes...
Tags for this Online Resume: Quality, Quality Assurance, Quality Center, Structured Query Language, Test, Test Cases, Test Scripts, Oracle, QTP, Regression Testing
Registered Nurse
Tags for this Online Resume: Computer Aided Software Engineering, Insulin, Medicare, Insurance, Triage, Assessments, Documentation, Nursing, Venipuncture, Management
Claims Examiner - 0 Years of Experience
My objective is to leverage my experiences while remaining teachable to essentials needed to grow within a new company. With 15 years of experience in a variety of workplace environments and business types ranging from management within an international food chain to processing medical insurance documents while supervising several teams to produce the best quality provides me with a strong background to benefit within any c...
Tags for this Online Resume: Billing, Compensation, Data Analysis, Email, Insurance, Management, Medicare, Payroll, Strong Work Ethic, Workers Compensation
Healthcare Executive
Results-oriented leader with proven experience in business development and management of sales, account management and marketing organizations for health care companies.
Ideal Companies: Anthem, CIGNA, Centene, Kaiser, AETNA, MetLife, Pacific Life,
Tags for this Online Resume: Benefits, Management, Operating Budget, ROI, Business Development, Consulting, Health Care Industry, Enterprise Sales Leadership, Commercial Insurance Products, Medicare and Medicaid Markets, Business Planning, Profit and Loss, Strategic Selling, Account Management, CRM Systems, Employee Benefits Consulting
Sales Manager - 0 Years of Experience
My goal is to acquire as much knowledge as possible to better myself and society as a whole. * I was awarded an Enrichment Diploma and received an Academic Achievement award. I also achieved the area of Automotive Technology and Small Engine Mechanic - Automotive. Pharmacy Technician * Knowledge of Top 200 Brand / Generic Drugs * Medical Terminology / RX Sig Codes Commonly Used Medications * Compounding Insurance Verificat...
Tags for this Online Resume: Customer Service, Drywall, Acquired Immune Deficiency Syndrome (AIDS), Applications, Automotive, Billing, Compliance, Data Entry, Fab, Health Insurance Portability And Accountability Act
Medical or Health Services Manager - 19 Years of Experience - Near 07424
A highly experienced and motivated Manager with 19 years of experience in Revenue Cycle Management combined experience in Hospitals located in New Jersey and California and Ambulatory Surgical Centers in New Jersey, New York and Florida looking for the opportunity to provide my knowledge to a health care organization. * Extremely focus on the Account Receivable, Cash collection and Process improvements. I have very strong l...
Ideal Companies: Health Care Organization, Credit Analyst, Biiing expert
Tags for this Online Resume: customer service skills, Dos, Insurance, Management, Medicare, Microsoft DOS, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Outsourcing
Customer Service Representative - 0 Years of Experience
Pivotal knowledge gained in Medical Billing and coding recently obtained Career Diploma from Everest University that includes the following coursework: Hospital Billing, Medical Office Management, CPT Coding and ICD-9-CM Coding, Third Party Payers and Medical Insurance Billing. * Well versed in medical terminology with insight to HIPAA/Privacy, Medicare, medical collections, insurance procedures, posting account payments, ...
Tags for this Online Resume: Support, Security, Billing, Coding, Health Insurance Portability And Accountability Act, Human Resources, ICD-9, Insurance, Logistics, Management
