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Online Resumes with "MEDICARE"



Quality Assurance Specialist

PROFESSIONAL SUMMARY * Over 9+ years of IT experience in Software Testing, proficient in Client/Server and Web based applications. * Holds an extensive background creating and maintaining Master Test Plans, Scenarios, Cases and Scripts that increase reuse. * Comprehensive experience in leading highly complex and challenging industrial and commercial projects by designing, developing and delivering innovative solutions that ...

Tags for this Online Resume: JIRA, Management, Quality Assurance, Test, Applications, Test Scripts, Business Requirements, Integrate, ISO, Project Management

Case Management Manager - 18 Years of Experience - Near 78611

PROFESSIONAL SUMMARY An experienced Health Care Management Professional with a proven record of direct client care specializing in providing services to a broad range of demographic populations and culturally diverse consumers. Proven staffing, business administration, change management, and team leadership skills. Able to prioritize and expedite projects within tight deadlines. Effective in coordinating tasks with associat...

Tags for this Online Resume: Management, Assessments, Medicare, Program Manager, Behavioral Health, Construction, Quality, Quality Assurance, Quality of Service, Residential Construction

Licensed Nurse

Qualifications * I am very familiar with the EPIC systems that were put in place a few years back as well as going back as far as paper charting and all the different technology systems placed in between. * I started the Porter Cardiac electrophysiology program from scratch: sitting with the architects, building CDM's, hiring staff, ordering equipment and supplies - from every syringe to the carpet and paint. I was involved...

Tags for this Online Resume: Home Health, Insurance, Life Insurance, Billing, Budgeting, CFO, Computer Aided Software Engineering, EKG, EP, Financial

Controller - 20 Years of Experience - Near 10303

Seeking a position with an organization to apply my knowledge and skills in general accounting, auditing, grants and budget management, Investment Portfolio Analysis, Payroll/HR administration, Corporate and Individual tax preparations, all with compute applications. COVER LETTER: Dear Sir/Madam I am a skilled accounting professional with 32 years of experience, a cross-functional background in administrative and operationa...

Tags for this Online Resume: Journal Entries, Medicare, Receivables, Sales, Sales Tax, General Ledger, Payroll, Reconciliations, Accounts Payable, Accounting, controller, accountant

Billing/Coding Specialist - 16 Years of Experience - Near 30252

HIGHLIGHTS OF QUALIFICATIONS * Excellent verbal and written communication skills * Strong customer service problem resolution and satisfaction based on customer surveys and feedback * Certified Professional Coder with knowledge of ICD-10, CPT and HCPCS codes * Demonstrated knowledge of Medical Terminology, Anatomy and Physiology * Proficient in billing, coding, policy guidelines, reimbursement and HIPPA guidelines * Excelle...

Tags for this Online Resume: Billing, Business Analysis, Business Analyst, Publications

Billing/Coding Specialist - 20 Years of Experience - Near 10465

Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...

Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare

Bookkeeper - 20 Years of Experience - Near 94550

AREAS OF EXPERTISE Payroll Services * Client Support * Operations * Quality Service * Payroll Input Process Attention To Detail * Policy & Procedures * Confidentiality * Communication * Customer Service Benefit Enrollment * Payroll Taxes * Insurance * Workers Compensation * Relative Value Units/RVU

Tags for this Online Resume: Accounting, Billing, Medicare, Business Management, Financial, Financial Management, Management, Quality, Quick Books, Quickbooks, payroll specialist, Payroll

Coordinator / Administrator/ Social Services- 15 Years of Experience - Near 70507

Qualifications Summary * Successful years providing quality administrative support to senior level executives and directors. * Extensive experience coordinating and overseeing employees, meetings, reports and special projects. * Outstanding organizational and problem-solving abilities with strong background in social services, management, coordination and health administration skills. * Excellent customer service, communica...

Tags for this Online Resume: Customer Service, customer service skills, Documentation, Front Office, Medical, Medical Records, Release of Information, healthcare, medical records, program coordinator, social services, Health administration, human resources, employee relations, staffing, recruiting, customer service

Manager/Director Provider Relations

Experience Summary * 5 years of experience in Medicaid Medicare Marketing * 17 years of Provider Relations, Network Development/Management and Contracting * 10 years Managerial Experience in Provider Relations & Business Development * Full Knowledge of CMS & NCQA Regulatory Guidelines. Completed Six Sigma Seminar. * Performed QAR and STAR data analysis & CQI projects initiatives.

Tags for this Online Resume: Complaints, Services, Management, Network Management, Networking, Referrals, Business Development, PEDIATRIC, Quality Assurance, Test

Admissions Director - 28 Years of Experience

Accomplishments: Consistently led all teams to exceed net sales and market share growth targets for nation in all targeted therapeutic disease states. Led department from below 10 ranking by customers in Scott-Levin rankings to #1 ranking. Led a small but focused group in obtaining the first ever preferred access within United Healthcare

Tags for this Online Resume: Account Management, CVS, Defense, Evaluate, Management, Medicare, Microsoft Access, Pharmaceutical Industry, Prime, Staffing & Recruitment, Access, Reimbursement, Pull Through

Medical Sales Representative - 20 Years of Experience - Near 32804

PROFESSIONAL SUMMARY With my 25 plus years experience in the Home Health Care, Sales, and Management arena, I bring, well rounded knowledge to the Team and the patient's in our community. My people skills and beside manner have served my customer's well through out the Central Florida Health Care market. I have an extentsive training back ground including, Service Plus, Heart Failure, Leadership, Apria Univ., Sales Force, M...

Tags for this Online Resume: Home Health, Sales, Therapy, Account Manager, Business Plan, Nursing, Training, Health Care Industry, Insurance, Leadership, outside sales, account executive, business development, account manager, sales representative, inside sales, sales, Outside sales, marketing

Insurance Underwriter - 20 Years of Experience - Near 32224

Tags for this Online Resume: insurance, underwriter, sales, claims, loss control, medicare, property causalty, disability, life insurance, medical, annunnity, employee benefits, marketing, customer service, health benefits broker