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Online Resumes with "Medicare Medicaid "



Manager - 20 Years of Experience - Near 53725

Resourceful professional with wealth of experience in branch and store operations management, including inventory/distribution control, purchasing, accounts receivable (AR), and sales/service. Strong background in start-up and growth of retail operations, supervising and training customer service representatives and delivery field technicians. Proven ability to guide range of healthcare administrative operations, such as Me...

Tags for this Online Resume: Southern Wisconsin, Flexible, Therapy, Billing, Budgeting, Health Care Industry, Insurance, Inventory, Inventory Control, Logistics, store manager, management, manager

Medical Office Manager - 6 Years of Experience - Near 62690

Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Familiar with Microsoft Word Excel and PowerPoint Typing Speed: 34 words per minute. Manages time and prioritizes duties in fast-paced multi-task environments. Leads by exa...

Tags for this Online Resume: Customer Service, Payroll, Management, Medical, Medical Billing, Medical Records, Medical Terminology, Medicare, Accounts Receivable, Amazon Elastic MapReduce

Medical Office Manager - 15 Years of Experience - Near 77532

SUMMARY OF QUALIFICATIONS: Ten years of Clinical Management 18+ years of CCMA/Management Managing remote clinical sites Budget and P&L AP/AR, Revenue Cycle Management Experience with Medical Information Management Systems (HIM) Efficiency Management Analytical Thinker (Also think 'outside the box) Strategic Planning Marketing the practice/business Experience with Workers Compensation, Referrals Management, Medicare/Medicaid...

Tags for this Online Resume: Practice Manager, Clinical Management, Management, Referrals, Satellite, Strategic Planning, Surgery, Surgical, healthcare

Director - 20 Years of Experience - Near 60563

SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...

Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management

Featured Profile

Executive Director - 20 Years of Experience - Near 76036

PROFESSIONAL SUMMARY Administrator and Executive Director for 4 major corporations. More than 40 years work in upper management. Expertise in all areas of health care management, including budgeting, program planning, project management and staff training and development. A highly analytical health care management professional combining more than forty years of work in long term care with proficiency in financial management...

Ideal Companies: Senior Living Companies, Rehab and SNF Facilities

Tags for this Online Resume: Accounting, Financial, Financial Reporting, Business Plan, Home Care, Medicare, Policies and Procedures, Nursing, Billing, Budgeting

Operations - 16 Years of Experience - Near 33063

CAREER SUMMARY A bi-lingual, call center management professional with a proven managerial background and a proficiency in Medicare, Medicaid, and Healthcare Reform programs. Extensive Quality Assurance background and expert in developing and maintaining both internal and external business relationships. Request by senior management to be part of the strategic planning team and provide a new prospective, and ideas, for the d...

Tags for this Online Resume: Quality Assurance, Strategic Planning, Test, Audit, Compliance, Planning, Policies and Procedures, Quality, Call Center, Sales

Quality Coordinator

SUMMARY OF PROFESSIONAL QUALIFICATIONS: * Expertise in Medical Terminology, Legal Ethics, Coding insurance * Medical Billing and Coding Certificate * (ICD9-ICD 10) and knowledge of HIPAA privacy laws * Solid problem-solving and analytical skills * Knowledge of CMS 1500 form, and billing programs * Excellent interpersonal, communication and leadership skills * Highly motivated individual and team player * Professional with e...

Tags for this Online Resume: Customer Service z, Medical Terminology,, Medical Terminology ll, Medical Legal Issues,, Data Entry, Payroll, Accounts Receivable, Pbx, Receivables, Quality, healthcare

Pharmacist - 20 Years of Experience - Near 01760

Profile A qualified and dedicated medical professional, committed to the advancement of public health through research, education, and integration of preventative and therapeutic medicine and pharmacy. Thorough knowledge of the contemporary health care system, fully literate in Medicare and Medicaid. Committed to leading-edge knowledge of emerging health care therapies and business practices through active participation in ...

Tags for this Online Resume: Home Care, Leadership, Lyme Disease, Medical, Mergers, Nursing, Payroll, Pharmaceutical Industry, Policies and Procedures, Quality

Case Manager - 12 Years of Experience - Near 30040

SUMMARY EXPERIENCE Significant experience in nursing: Critical Care, Nursing management Case Management, ongoing Utilization Review with Medicare and Medicaid experience. Strong administrative and communication skills. Team Lead DME/Radiology prior authorization. Responsible for PA reviews and appropriate Turn around Times for the following areas: DME, Radiology, HOTS, Meds, Office visits, Emergency and non-Emergency transp...

Tags for this Online Resume: Radiology, Computer Aided Software Engineering, Medical, Obstetrics, registered nurse

Licensed Nurse - 14 Years of Experience - Near 77346

SUMMARY OF QUALIFICATIONS SHAPE Thirteen years experience within nursing Multispecialty physician practice ( Family/Internal Medicine, Cardiology, Pulmonology, Pyschology, Endocrinology, and Behavioral Health) Knowledge of regulatory standards, compliance requirements, hospital policies and procedures Strong knowledge of Medicare and Medicaid Case management Excellent clinical and patient assessment skills SHAPE

Tags for this Online Resume: Assessments, Documentation, EKG, Injections, Insurance, Triage, Nursing, Patient Care, Basic Care, BASIC Programming Language, nurse, healthcare, Healthcare Manager, Medical Office Manager, Healthcare Administration

Director of Human Resources - 15 Years of Experience - Near 21113-1094

Noteworthy accomplishments included: * In December 2010, approximately 30% of the staff was conducting the required SRDs staff assistant visits and less than 20% were dual function. Established strict controls and guidelines resulting in FER CPACs conducting SRDs at 100%, 100% for staff assistant visits and approximately 80% of HR Specialists were dual functioning. The results were accomplished absent 3 CPAC directors and 3...

Tags for this Online Resume: Security, Assessments, Benefits, Bridges, Budgetary, Development Activities, Drafting, Employee Relations, HR, Human Resources

Case Manager - 20 Years of Experience - Near 45005

Professional Summary In-depth social work, case management experience. Very strong knowledge base of managed care products, Medicare and Medicaid regulations and community resources. Possess an understanding of the challenges faced by health care organizations and the ability to develop policies and practices that meet business objectives, while providing maximum quality service to various client populations. Accomplishment...

Tags for this Online Resume: Social Service, Assessments, Computer Aided Software Engineering, Long Term Care, Patient Care, Planning, Training, Customer Service, Discharge Planning, Documentation