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Online Resumes with "MEDICARE"



Director - 20 Years of Experience - Near 46307

SUMMARY Results oriented General Manager with 20 years of experience in the service industry. Keen ability to understand and communicate complex issues, develop buy-in, unlock creativity in the staff, and enable them to achieve their full potential. A hands-on, walk around management style overseeing the entire operation, sensitive to interdepartmental dynamics. Analytical, resourceful, with a constant awareness of product ...

Tags for this Online Resume: Security, Management, Planning, Strategic Planning, Long Term Care, Marketing Management, Medicare, Procurement, Referrals, Retail

Claims Examiner - 10 Years of Experience - Near 30052

Summary of Qualifications Twenty-Five years of progressive experience in the health insurance industry. Extensive knowledge of reimbursement methodologies, claims payment analysis, quality assurance. Proven ability to effectively resolve issues through superior customer service techniques and analytical skills. Ability to prioritize and multi-task to achieve productive outcomes. Proficient operations of QCARE and ACARE clai...

Ideal Companies: anthem

Tags for this Online Resume: medicare/medicaid, medical claims, claims adjuster, customer service, hospital, professional, Acceptance Testing, Clarify, COB, Documentation, Health Care Industry, Inventory, Medicare

Medical Sales Representative - 10 Years of Experience - Near 01199

SUMMARY Experienced Sales and Customer Service professional with over 20 years in the Medicare billing and supplies industry. ACCOMPLISHMENTS Increased sales volume by adding 50 plus new accounts in the assigned territory over a 3 month period.

Tags for this Online Resume: Medicare, Sales, Customer Service, Documentation, Facilitator, Medical, Medical Records, Microsoft, Microsoft Word, Nursing

Billing/Coding Specialist - 17 Years of Experience - Near 55112

Professional Summary I have been Office Manager for Dr. Gary E. Schnitker for 15 years, performing all office duties including payroll, taxes, surgery scheduling, coding/billing, and managing all accounts. I have expertise in working with insurance companies, including verifying coverage, prior authorizations, and claims follow up. I am also trained in ICD 10 and electronic medical records. I am a member of a Coding Workgro...

Tags for this Online Resume: Bank Deposits, Deposits, Receivables, Benefits, Medicare, Payroll, Billing, Insurance, Coding, Data Entry

Physical Therapist - 7 Years of Experience - Near 79415

A challenging opportunity in the field of Physical Therapy that would enable me to utilize my clinical and educational experience as well as facilitate evidence based practice. My area of work focuses on orthopedics (surgical/non surgical) and geriatric population with emphasis on manual therapy approach.

Tags for this Online Resume: Documentation, Orthopedics, Patient Care, Physical Therapy, Therapy, Orthopedic, CCU, ICU, Medicare, Rehabilitation

Project Manager - 14 Years of Experience - Near 56005

To work in USA / UK for long term in IT Management / Executive Leadership positions or IT Technical positions for long term. 20+ yrs experience in IT and 8+ yrs in USA. Worked in USA from 98-2008. Came to India for a vacation in 2007 that got extended. Waiting since 2010 for any employer in USA to relocate me back to USA and provide me a job to work there. Currently do not have a job and not much funds. Need immediate reloc...

Tags for this Online Resume: Project Management, e-Commerce, Medicare, Health Insurance, Insurance, Solution Architecture, Web Technologies, Websphere, Cloud Computing, Amazon Cloud Computing, Pivotal Cloud Foundry, Apprenda, People Management, Customer Service, Financial Services, Product Management, Release Management, Infrastructure Management, sql, linux, agile, java, software, html

Director - 8 Years of Experience - Near 21740

SUMMARY Senior Director/Manager with experience leading multiple departments and disciplines and the ability to create cooperative alliances among organization leaders to support key business initiatives. Proven ability to meet goals and build and retain high performance teams by hiring, developing and motivating skilled professionals. ACCOMPLISHMENTS Managed multiple functional areas, including Quality, Communications, Tec...

Tags for this Online Resume: Assessments, Metrics, ISO, Quality, Communications, Marketing, Audit, Business Development, Clinical Programs, Legal, Hagerstown, Frederick, Martinsburg, Chambersburg, Cumberland

Compliance Manager - 3 Years of Experience - Near 15132

PROFESSIONAL SUMMARY Subject matter expert with 16 years' experience in Medicaid Managed Care Operations experienced at providing software development solutions for health plan optimization and process efficiency solutions. Holds a certificate in Business Value in Agile Projects, an M.B.A. in Strategic Management, a B.A. in Communication and a certified Lean Six Sigma Green Belt. CORE QUALIFICATIONS * Medicaid Managed Care ...

Tags for this Online Resume: Pittsburgh, healthcare, analysis, process analysis, Medicare, Managed Care, Consulting, Health Care Industry, Software Development, Root Cause Analysis, Lean six sigma

Director

Areas of expertise: Cross Functional Team Leadership, Process Improvement, Business Analysis, Strategy and Vendor Management DST Systems/Argus Health Systems, Kansas City, Missouri * Oct 2014 - present Director, Government Program Operations (April 2016 - present) Leader of newly formed Operations team accountable for Medicare, Medicaid and Health Insurance Marketplace (HIM) program service, quality and cost by overseeing a...

Tags for this Online Resume: Management, Project Management, Medicare, Pdp, Reliability, Leadership, Business Process Modeling, Business Requirements, Capital Planning, CIO, Operatons, Quality

Administrator - 15 Years of Experience - Near 07083

HIGHLIGHTS OF QUALIFICATIONS * Dedicated hard-working Administrator with first-hand knowledge of Human Services from both clinical and management perspectives and eager for new challenges. * More than 17 years managing Vocational, Mental Health and cognitively impaired programs. Including staff development, training, developing and administering budgets, supervising personnel, ensuring compliance with program standards and ...

Tags for this Online Resume: Training, Rehabilitation, Services, Budgeting, Management, Payroll, Assessments, Documentation, Medicare, Budget Preparation

Registered Nurse - 10 Years of Experience - Near 12561

Tags for this Online Resume: Evaluate, Medicare, Microsoft, Microsoft Access, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Quicken, Designed a clinical evaluationt tool