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Online Resumes with "Medical necessity"



Sr. Customer Representative

Cheerful, trustworthy, honest, hardworking, athletic,peopleperson,active, outgoing, helpful, fast learner, problem solver

Ideal Companies: Aetna; CNA; Sovereign;Wachovia;

A Leader ready for a new challenge

Highly motivated leader with exceptional motivational skills. Number cruncher with lots of MS Office experience.

Ideal Companies: IBM, Verizon, Sterling Commerce, Federal Goverment, Local Government

Tags for this Online Resume: Accounts Receivable, Supervisor, Medical Billing

Outgoing in any environment

Understand the importance of strong communication skills and leadership abilities as well as a commitment to providing excellent customer service, creative, honest & loyal, always wanting to learn more.

Ideal Companies: Great-West, Metlife, Blue cross blue sheild

Tags for this Online Resume: Insurance, Administrative, Clerical, Healthcare, Medical

You want ME to work for YOU.......

Sound professional looking for new challenges. Strong consumer focus, retail (cosmetic, wellness, toiletries) & merchandising experience, with a health care education and background. Desire transition out of Nursing field.

Ideal Companies: Company with growth opportunity. Career change desired, willing to start at entry level, but desire to advance. Open to exact position: management, customer service, sales, retail, fashion, cosmetics, design- all of which I do have some background in. Also interested in entry-level clinical research.

Tags for this Online Resume: merchandising, retail, customer service, clinical research, entry-level, management, growth opportunity, wellness, travel, service, restaurant, hospitality, design

Legal Review Specialist/Paralegal/Investigator

Looking for a position as a Legal Review Specialist/Paralegal. I would like to utilize by abilities in obtaining claims overpayment recovery and subrogation recovery on third party accident claims, in addition to responding to complaints from State Regulators and Client/Policyholder base. It should be noted that I have strong verbal and written communication skills. Work with team members to develope new procedures that w...

Ideal Companies: Guardian Life Insurance Co, Genworth Long Term Care Insurance Co, Coordinated Health (Paralegal)

Tags for this Online Resume: AHIP Certifications as follows:, Long Term Care Professional (LTCP), Disability Income Associate (DIA), Disability Healthcare Professional (DHP)

Utilization Management in Psychiatry

To provide U.M. in Psychiaty. Collaborate with Healthcare Team to determine medical necessity criteria and appropriate level of care. Experienced in both Inptient and Partial Hospital Hospitalization.

RN Consultant, presenter, educator extraordinare

Very pleasant RN with diverse experience - Full of Integrity, loyalty and professionalism. I enjoy presenting or the field of education as imparting knowledge in a helpful and entertaining way has been successful for me in the past.

Ideal Companies: Health Care Related:, education, consulting, career advising

Tags for this Online Resume: Health Care, Consulting Health Care, Education - Health Care, Corporate Compliance

PATIENT ADVOCATE ,SOCIAL AND MEDICAL NECESSITIES

TO SERVE AS AN RIGHT ARM IN ALL VARIOUS FIELDS.TO BE A PUBLIC SERVANT IN ALL OF MY SKILLS.MOST IMPORTANT, TO BE A TEAM PLAYER IN ALL ASPECTS WITH A POSITIVE MIND TO COMPLIMENT YOUR NEEDS.

Licensed Nurse

RE-enter work force. I am a Masters prepared RN with an entire career in psych, From staff, to privated duty, to managed care director, and director of utilization management. I have also done psych claims reviews for medical necessity, and for over and under billing, I have also reviewed the coding on the psych claims because many of the coder are not really cognizant of appropriate psych diagnoses and their ramificatio...

Med billing/Coding Specialist

To have a rewarding career as a Certified Medical Biller/Coder, that will utilize my professionalism, education, skills, impeccable work ethics and my dedication to maintaining strict patient confidentiality.

Tags for this Online Resume: Customer Service, Medicare Medical Necessity Coder, Medical Billing, Medical Records, Certified Biller/Coder

MEDICAL INSURANCE AND MEDICAL BILLING * CLAIMS AND MEDICAL REVIEW

CURRENTLY WORKING IN MEDICAL INSURANCE * HMO WITH MEDICAID FOR MEDICAL NECESSITY MEMBERS AND LOW INCOME FAMILIES IN NEED OF PUBLIC SERVICES. OVER 25 YEARS IN MEDICAL WITH UNDERSTANDING MEMBERS MEDICAL NEEDS AND BENEFITS OF QUALIFICATIONS NEEDS TO FAMILIES AND INDIVIDUALS.

Tags for this Online Resume: MEDICAL MANAGEMENT, PATIENT SERVICES * CLAIMS, ANSWERING SERVICES, MEMBER SERVICES, PROVIDER SERVICES, MEDCIAL BILLING

Licensed Practical Nurse

Review medical records for lost charges and medical necessity I am in the process of learning Medical Billing and Coding in Carrington college ( Apollo College)