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Online Resumes with "PPO"



Administrative Assistant - 17 Years of Experience - Near 21017

Summary of Qualifications Twenty plus years experience in dental field from front desk to office management Extensive knowledge of insurance plans (traditional PPO and hmo plans) Implement bonus incentives with marked results Excellent customer service, organizational and interpersonal skills Team motivator as well as a team player Managed dental practice with as many as seven providers and ten staff members Interviewed hir...

Tags for this Online Resume: Front Desk Receptionist, Account Reconciliation, Accounts Receivable, Benefits, Compaq Alpha, Customer Service, Deposits, Insurance, Insurance Claims, Management, administrative, customer service, clerical, administrative assistant, receptionist

Billing/Coding Specialist - 20 Years of Experience - Near 80205

Professional Summary: Healthcare Professional seeking a challenging and rewarding position that will utilize my knowledge and experience, as well as offer opportunies for growth and advancement. Summary of Qualifications: * Over 10 years Healthcare/Revenue Cycle Management * Over 20 years experience in Healthcare Administration * Management PPO and PIP Claims Department Call Center * Extensive Provider Relations and Custome...

Tags for this Online Resume: Customer Service, Call Center, EDI, Electronic Data Interchange, Insurance, Inventory, Policies and Procedures, Coding, Data Entry, Distribution

Payroll Administrator - 10 Years of Experience - Near 92807

Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...

Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting

Manager - 12 Years of Experience - Near 85338

To find a leadership position where I can effectively utilize my expertise in Information Technology, Project Management, and Operations. * Disciplined professional with proven success in expanding business operations, managing large team oriented projects, controlling costs, and meeting IT related project deadlines with time sensitive schedules * Extensive knowledge of Network Operation Center and Service Desk Operations t...

Tags for this Online Resume: Management, Network Operations Center, Networking, Policies and Procedures, Ds3, E1, Ethernet, Gigabit Ethernet, Integrate, Satellite

Billing/Coding Specialist - 11 Years of Experience - Near 90706

SUMMARY Dental Manager over 10 years of experience with direct patient communication, patient financing treatmetn cordinator dental billing (ppo) marketing and answering phones .

Tags for this Online Resume: Billing, Fabrication, Front Office, Home Care, Insurance, Marketing Management, Microsoft, Microsoft Word, Scheduling, Software

Director

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development

Insurance Underwriter - 20 Years of Experience - Near 40165

Summary of Qualifications An employee benefit professional with demonstrated expertise in the sale, underwriting and service of employee benefits plans covering Group Life, AD&D, DI, Dental, Vision, Pharmacy, HMO, PPO, POS and Indemnity Medical and Stop Loss product lines. Experienced working with internal and external partners/vendors providing comprehensive product knowledge to ensure correct product placement and account...

Tags for this Online Resume: Underwriting, Consulting, Process Improvement, Request for Proposal, Sales, Underwriter, Audit, Benefits, Actuarial, Request for Proposals

Marketing manager

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development

Claims Adjuster - 20 Years of Experience - Near 08520

Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...

Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross

Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster

Executive Customer Representative

PROFESSIONAL SUMMARY Extensive experience in sales, marketing and finance. Key strengths include: Strong customer centric selling skills and relationship building, exceptional team player, strong work ethic, detail oriented. MERCK & COMPANY Executive Customer Representative 10/16- Present * Implemented strategies that increased sales volume for BELSOMRA within the Canton, Ohio insomnia market * Conducted a detailed analysis...

Tags for this Online Resume: Marketing Management, Systems Administrator, Distribution, Diversity, Sales, Transportation, Critical Care - Respiratory, Financial, Management, Management Trainee, sales, outside sales

Featured Profile

Excellent insurance sales experience with the constant balance of underwriting (company) and service (client).

My career objective is to obtain financial position within either the Insurance or the Banking industries offering a full-time, direct employee position. I welcome responsibly and have experience managing each market to operate at full staff capacity; a proven record of achieve or exceed business goals.

Ideal Companies: USAA, Amica Insurance, Allstate Insurance, Wells Fargo, UnitedHealth Group, BB&T, Bank o America, & ect...

Tags for this Online Resume: analyze risk, profitability, retention, counseling borrowers, advanced verbal and written communication skills, relationship-building skills, marketing, integrity, manager experience, proven sales experence

Billing/Coding Specialist - 20 Years of Experience - Near 48075

To leverage my experience, processing member data and medical claims in the managed care industry. Expertise in performing timely reviews of new and current procedures and policies for accuracy. Proficient at developing policies and procedures for clerical and financial claims processing areas.

Tags for this Online Resume: Audit, Benefits, Claim Processing, Cms, Configure, Customer Service, Medicare A &B, Medicare C&D, Managed care, Quality Assurance, Trainer, Claims resolution, HMO, PPO, Medical Terminology, Team Building