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Online Resumes with "MEDICARE"
Claims Adjuster - 18 Years of Experience - Near 74936
SUMMARY A Workers Compensation Claims Professional who managed medical only claims by analyzing multi-jurisdictional lower-level worker's compensation claims to determine benefits due. Ensured ongoing adjudication of claims within company standards and industry best practices. Have experience in higher level claims with contacts, investigation, determining compensability and settlement negotiations. Competent knowledge in m...
Tags for this Online Resume: Benefits, Billing, Compensation, Filing, Medical, Workers Compensation, Litigation, Medicare, Settlements, Management, insurance, human resources
Registered Nurse - 18 Years of Experience - Near 32110
To obtain a challenging position in nursing that will allow for growth and a chance to utilize and contribute my knowledge, skills, and job experience in the hospital/clinic, and home health/ hospice/ palliative care environments. To complete the Masters of Science in Nursing- Masters of Business / Health Care Administration.
Tags for this Online Resume: Home Health, Director, Patient Care, Home Care, Hospice, Management, Administrative Skills, healthcare, registered nurse, Clinical Services, Professional Services, Regional Director
Customer Service Representative - 8 Years of Experience - Near 11416
SUMMARY: - * Experience in areas of Voice and non voice processes. * Good communication and analytical skills
Tags for this Online Resume: Citrix, Email, Insurance, Medicare, Receivables, Siemens, Analytical Skills, Audit, Voice
Registered Nurse - 20 Years of Experience - Near 95670
Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...
Tags for this Online Resume: Compliance, Management, Quality Management, Assessments, Medical, Medicare, registered nurse, healthcare, Managed Care, Utilization Management
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
Medical Assistant - 6 Years of Experience - Near 33313
QUALIFICATIONS Back Office * Urinalysis * EKG * Excellent computer skills * Spirometry * Vital signs * Instrument preparation * CLIA lab tests * Glucose testing * Visual Acuity testing * Administer topical/oral Meds * Bandaging, wound sanitizing * HGB Testing * Ear lavage * Injections * Autoclaving * Aseptic technique * Obtain medical HX * Patient flow * Stress Echo/ Treadmill Front Office * Bi - lingual English/Creole * Wo...
Tags for this Online Resume: Customer Service, Patient Care, Medical, VITAL SIGNS, Call Center, Front Office, HYGIENE, Medicare, Phlebotomy, Policies and Procedures, Medical assistant
Medical Office Manager - 20 Years of Experience - Near 28626
Quality-Driven leader with years of experience assessing operations, improving productivity through re-engineering of processes and procedures and forgoing future managers through stellar training and mentoring skills. Provide ongoing management in physician practice operations, improving financial, operating and service performance. Especially skilled at strategic planning, budget controls, and problem resolution. Outstand...
Ideal Companies: Cone Healthcare, Gastroenterology, Wake Forest Medical Center, Forsyth Hospital, Novant, Ophthalmology, Surgery Centers, Ambulatory Surgical Centers.
Tags for this Online Resume: Surgery, THORACIC, VASCULAR, Billing, Deposits, Insurance, Medical, Medical Records, Medicare, healthcare, nurse, registered nurse, Practice Administrator, Revenue Cycle, Credentialing, Healthcare, Quality, Risk Managment, HIPAA, OSHA, Gastroenterology, Pediatrics, Surgery Center, Ambulatory Surgery Center, Providers, Nurse Practitioner, Physician Assistant
Pharmacist - 10 Years of Experience - Near 33470
PROFESSIONAL SUMMARY Staff Pharmacist licensed in Florida with a Pharm.D. and Consultant Pharmacy license with experience in a retail setting. Currently studying for BPS certification in Ambulatory Care. Dedicated to providing high quality patient care using medication therapy management and clinical application. SKILL HIGHLIGHTS Preceptor for Nova Southeastern Customer Service University Self-Motivated Medication Therapy M...
Tags for this Online Resume: Inventory, Medicare, Retail, Ambulatory Services, BPS, Cardiopulmonary resuscitation (CPR), Customer Service, Data General Nova, Immunization, Insulin
Case Management Nurse - 10 Years of Experience - Near 55445
Tags for this Online Resume: Medicare, Insurance, Management, Satellite, Utilization Management, Documentation, Medical, Medical Records, nurse, Telemetry
Physical Therapist - 12 Years of Experience - Near 48047
412 (888) 677-7055 Diamond Healthcare Staffing 0139 441 - 5593 Duties performed Work with acute/sub-acute patients to help them achieve goals established to help them regain strength and prior level of function in order for them to return home or to their previous residence. I also made recommendations for equipment needed or other therapy requirements such as home care or home Therapy. 677 - 1238 Duties performed Work with...
Tags for this Online Resume: Medicare
Business Analyst - 7 Years of Experience - Near 60661
Summary: * Qualified professional with more than 7 years of experience as a IT Business Analyst in Healthcare and Banking Industry. * Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment. * Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Waterfall, RUP an...
Tags for this Online Resume: Business Analysis, Business Requirements, Insurance, Microsoft Visio, Structured Query Language, Unified Modelling Language, Use Cases, agile, Risk analysis, Impact analysis, Change management, EDI Claims
Insurance Sales Representative - 20 Years of Experience - Near 30228
SUMMARY OF EXPERIENCE * Licenses: Life, Fixed Annuities, Property & Casualty, Health and Accident * Sales Producer, Inside Sales Agent * Skilled with difficult people * Call Center Proficient, Claims Adjudication * Supervised, Managed
Tags for this Online Resume: Facilitator, Medicare, AIS, Associate in Insurance Services, Benefits, Compensation, Litigation, Workers Compensation, Sales, Medical, insurance, sales
