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Online Resumes with "Medical Claims "



Adaptable, Goal Oriented Accountant

Well-rounded financial professional. Flexible, resourceful, reliable.

Ideal Companies: Citibank, FIA Card Services, Bank of America, Wells Fargo Bank, US Bank, Kaiser Permanente, Cedars-Sinai Health System

Tags for this Online Resume: Senior, Accountant, Financial Analyst, MBA, Senior Accountant, Senior Financial Analyst

Medical Claims and Billing Specialist

I am a stay at home mom looking to seek a job to do from home.

Medical Coder Representative

Objective: To acquire full-time employment as a Medical Claims Representative in conjunction with Business Administration attributes.

Tags for this Online Resume: Medical Biller and Coder

Medical Claims Examiner

Joy Johnson- A Joy to Work With

Har working, honest, loyal, very reliable, people person, easy to work with, quick learner, always willing to help other's, always willing to go the extra mile to get the job done correctly

Ideal Companies: Emory Uniersity Hospital, Cigna, BlueCross BlueShield of Georgia- State Department, The State of Georgia, Northside Hospital, Def Jam

Tags for this Online Resume: administrative/clerical, entry level, insurance- claims processing, receptionist

Dedicated to achieving customer satisfaction

Excellent verbal skills Very Organized Eager to get the job done correctly to first time

Ideal Companies: Washington Mutual, Bank of America, Merrill Lynch

Tags for this Online Resume: Sales Associate, Clerical, Customer Service

Systems Analyst / Information Architect

Senior Business Systems Analyst with experience across a broad array of industries. Experienced in identifying business needs and designing new IT solutions to improve business productivity and efficiency. Effective at bridging the communication gap between business leaders and IT. Particularly interested in enterprise analysis, requirements analysis, and software development.

Ideal Companies: None

Tags for this Online Resume: Application Development, Technical Support, Infrastructure, Systems Integration, Application Integration

Auditor

 Audit Medical Claims, including errors from claims pricing, adjudication, adjustments, and bill issues. Conduct periodic post audit of claims to alleviate any incorrect decisions. Maintain a record of audit results Submit errors back to the proper source. Review, research, and resolve complex claims processing issues. Conduct audits of high dollar claims, staff, auditors, regulatory compliance audits, PDR audits and sp...

Tags for this Online Resume: IDX/MACESS, CODE AUDIT/TOUCH WORK, IBM AS/400, OAOHS,MC400, EZ/CAP, EPIC, EDI, Office Ally

Health Insurance Consultant/ Revenue Cycle/ Accounts Receivable Management/ Benefits Advisor

Healthcare Insurance and Policy Professional, with 9 years professional administrative experience delivering results in the healthcare insurance financial industry, with technical expertise in analyzing medical claims for health services organizations. Delivering strong operating and financial gains through utilizing procedures, protocols, regulations and policies, on major revenue cycle projects with strategic knowledge o...

Tags for this Online Resume: Health Insurance Consultant, Health Care Administration, Benefits Advisor , Revenue Cycle, Provider Relations, Accounts Receivable Management

Health Insurance and Medicaid Operations Manager - more than 10 years experience in managmement

Experienced in managing large operations department including Medicaid Customer Service Center, Provider Credentialing and Enrollment, as well as Claims and Membership Accounting. Skilled in performing as operations lead for large projects and their successful implementation. Process improvement is always at the forefront of my best skills set.

Tags for this Online Resume: Medicaid experience, Customer Service, Medical Claims, Provider Relations, Provider Enrollment, Provider Credentialing, Health Insurance Manager, Health Insurance Operations, Medicaid Operations

Program/Project Manager - 11 years experience - 2 million to 20 million

Seeking Sr level Project or Program Manager opportunity in the Dallas/Fort Worth, TX commuting area. Open to both W-2 contractor roles, contract to hire, or perm opportunities. Total of 11 years Sr level Project/Program management experience of projects and programs ranging from 2 million to 20 million, and up to 120 onshore, offshore, and vendor resources.

Tags for this Online Resume: Agile, Program Manager, Project Manager, MS Project, ICD-10, Medical claims adjudication

Registered Nurse

my objective is to find a rewarding career in the healthcare industry or related fields in which I can utilize my nursing degree.

Tags for this Online Resume: medical claims, does not desire hospital work, health coaching`, phone triage, insurance physicals, maternal/infant home visits