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Online Resumes with "MEDICARE"



Claims Examiner - 20 Years of Experience - Near 48235

PROFESSIONAL SUMMARY * Skilled dedicated 26 year healthcare professional with a versatile administrative skill-set developed as an office manager, claims processing supervisor, administrative assistant and quality assurance tester. * Extensive experience in resolving employer challenges with innovative solutions, systems and quality improvements proven to increase efficiency, customer service and provider satisfaction withi...

Tags for this Online Resume: Medical, Medical Records, Audit, Therapy, Training, Customer Service, Web, Coding, ICD-9, Claim Processing

Lawyer

SUMMARY OF QUALIFICATIONS * A professional with experience in the private and public sector legal and business sectors who thrives on challenge and change. * An experienced executive who is a strategic thinker and uses excellent judgment to reduce risks and to resolve organizational challenges. * A team player with the ability to build consensus by identifying and utilizing the best qualities of staff. * An organized and ef...

Tags for this Online Resume: Compliance, Management, Policies and Procedures, Training, Benefits, Complaints, Insurance, Regulatory Affairs, Cms, Medicare

Featured Profile

Pharmacy Manager

Detail-oriented and driven pharmacist over 20 years’ experience. Thrive in team-based environment with strong communication skills, though self-sufficient and able to work independently. Flexible, having produced results for various companies within differing communities – quickly-learning new skills and policies. Calmly handled upset customers and reassured nervous patients.

Ideal Companies: Hospital, Retail , Pharmaceutical

Tags for this Online Resume: pharmacist, Registered pharmacist, Pharmacy Manager, Clinical pharmacist

Occupational Therapist

Tags for this Online Resume: Architectural, COPD, Fabrication, Inservices, Medicare, Neurological, Nursing, Occupational Therapy, Orthopedic, Orthopedics

Compliance Officer

QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...

Tags for this Online Resume: Home Health, Customer Service, Inventory, Managed Care, Management, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certifications

senior Insurance and sales consultant

To bless and be blessed! I love talking to people and helping them in anyway I can help to help them have a better life.

Tags for this Online Resume: sales, marketing, recruiting, training, management, consulting, Insurance, Advertising, Business Development, Medicare

Medical or Health Services Manager

Tags for this Online Resume: Billing, Insurance, Insurance Claims, Medical, Compensation, Medicare, Payroll, Ultipro

Quality Assurance Director

SUMMARY Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in compliance and in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through ...

Tags for this Online Resume: Billing, Coding, Management, Audit, Quality, Documentation, Policies and Procedures, Medicare, Cms, Health Insurance Portability And Accountability Act

Billing/Coding Specialist

Summary: * Well versed experience in Health Care, Health Care Administration management, Medicare/Medicaid Claims management. * Extensive Knowledge of Complex Disease Processes with Clinical experience in an Inpatient setting. * Experienced in Clinical & Experimental Research, Medical Information Retrieval and Communication. * ICD-10 Boot Camp successfully completed. * Good verbal and written communication and interpersonal...

Tags for this Online Resume: EKG, VITAL SIGNS, Imaging, Injections, Medical, Surgical, Venipuncture, Coding, Documentation, Management

Accountant

Seeking an accounting position that will utilize my education and experience in the accounting field which includes general ledger, budgeting, financial reporting, accounts payable, accounts receivable, payroll, and tax reporting.

Tags for this Online Resume: Assistant Controller, Audit, Fixed Assets, Capital Assets, Cms, Coding, Inventory, Medicare, Accruals, Accounts Payable

Registered Nurse

Tags for this Online Resume: Coding, Home Health, Management, Medicare, Microsoft, Quality, Quality Assurance, Quality Management, Support

Billing/Coding Specialist

Summary: -Results oriented representative with successful pharma, biologics sales and consulting experience -Twelve President's Council Awards Multiple National, Regional and District awards -Reimbursement experience: AAPC Medical Billing and Coding course Eleven years of Buy &Bill Sales experience -Experience with Medtronic medical devices and biologics -Experience with multiple physician specialties and institutions like ...

Tags for this Online Resume: Managed Care, Sales, Medical, Medical Devices, Hub, Marketing Management, Medical Billing, Medicare, Billing, Coding