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Online Resumes with "PPO"
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Billing/Coding Specialist - 20 Years of Experience - Near 05401
SUMMARY OF QUALIFICATIONS * Knowledgeable and experienced in administrative management * Front/Back Office Manager - Medical Records - ICD-9/10 * CPT Coding * Receptionist/Transcriptionist - Medical Document * Business Machines Business/Medical Law - Title 22 * Insurance Billing/CMA & UB94 - Insurance Follow-Up & Verification/Pre-Certification * Word Processing - Medicare, Medicaid, HMO. PPO, Champus, IPA * HIPAA Rules/Regu...
Tags for this Online Resume: Coding, Billing, Insurance, Medicare, Attention to Detail, Automation, Back Office, Centricity, Medical, Administrative Assistant, Documentation, Medical Billing, Medical Records, Medical Administration
Director for Revenue Cycle, Contracting, Providers, CMS project management.
Work for a growing sustainable, health care system. Experienced in medical practice setting, hospital and PPO Insurance enviroment.
Tags for this Online Resume: rev
Customer Service Representative - 19 Years of Experience - Near 85308
QUALIFICATIONS * Experienced handling a high volume of inbound calls, while multitasking * Extremely confident and shows confidence over the phone, puts caller at ease * Ensure first call resolution while respecting the customers time * De-escalation * Technical/Troubleshooting support * Medical and Auto Insurance * FMLA, Long/Short term disability, enrollment, claims, All Medicare Plans, PPO, HMO, Limited Indemnity, HIPAA,...
Tags for this Online Resume: Customer Service, Billing, Email, Team Lead, APEX, Applications, Associate of the Society of Actuaries, Auto Insurance, Technical Support, Troubleshooting
Admissions Director
QUALIFICATIONS * 20 year record in sales, training, operations, and insurance experience in market strategies, selling techniques, public speaking, recruiting, management, and training. * A proven sales leader and team player dedicated to results and customer service with clients/ referral sources. * Proven Health Care Sales and Marketing Experience in Home Health, Skilled Nursing, Acute Rehabilitation, Hospice, and Behavio...
Tags for this Online Resume: Home Health, Hospice, Managed Care, Referrals, Skilled Nursing Facility, Integrate, SOC, CHF, COPD, Medicare, Tucson,, Sales and Marketing, Behavioral health, Insurance, 5 Star, HEDIS
Advertising Sales Agent
Tags for this Online Resume: COB, Data Mining, Management, Mining, Protocol, Request for Proposals, Health Insurance, Insurance, Interactive Voice Response, Services, Sales, Process efficiencies
Billing/Coding Specialist
Ambitious and responsible professional with a proven record of accomplishment of success in positions requiring well-developed hands-on skill sets and customer service expertise. Pays close attention to detail for accurate and compliant documentation and remains committed to ensuring optimal client outcomes. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology Electr...
Tags for this Online Resume: Deposits, Point Of Sale (Pos), Sales, Quality Assurance, Test, Amazon Elastic MapReduce, Billing, Claim Processing, Cms, Coding
Administrative Services Manager - 15 Years of Experience - Near 95624
SUMMARY Ethical, Energetic, detail oriented leader with over 20 years of progressive experience within the Dental industry. Focused leader that develops talent and identifies opportunities for growth and efficiencies through experience and knowledge. Develop and understand business plans utilizing all aspects of dentistry, General, Specialties and Hygiene. Ability to interpret and apply policies and procedures. Understand E...
Tags for this Online Resume: Management, Insurance, Surgery, Policies and Procedures, Billing, Cancer, HYGIENE, Insurance Claims, Referrals, Scheduling, Health Care, Dental, Medical
Billing, Posting or Calculating Machine Operator - 4 Years of Experience - Near 23320
Results oriented professional backed by cross-functional medical billing healthcare claims and accounts receivable experience. Ensures data integrity for optimal and correct reimbursement. Proficient with Microsoft Word Excel Medical Manager Greenway Realmed. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * HCPCS * CPT * ICD-10-CM * Medical Terminology Electronic Health Records (EHR) * Electronic Medical Rec...
Ideal Companies: Wake Forest Baptist Health, BCBS
Tags for this Online Resume: Insurance, Benefits, Credit Card, Medical, Medical Billing, Billing, Medical Records, Medical Terminology, Medicare, Microsoft
Billing/Coding Specialist
Skills Summary CPT Procedures, HCPCS, Medical Terminology, Multi-Task Medicare/Medicaid Guidelines, ICD-9/10 Coding Microsoft Word/Windows, HMO's, PPO's, Worker Comp Excel, Access, Lotus Notes, Power Point Data Entry, Payroll, Accounting, Medical Records, Outlook Customer Service, Scheduling, Diversity Scanner, 35-55 WPM, 10-key Calculator skills Administrative Assistant, Secretary, Professional Presentations Nationally Reg...
Tags for this Online Resume: Insurance, Coding, Medical, Benefits, CCS, Medicare, Scheduling, Data Conversion, Diversity, sheets
Billing/Coding Specialist - 20 Years of Experience - Near 75040
Familiarity with HMO/PPO insurance. Medicare & Managed Care claims experience. Interpret Managed Care terms and contract language. Exceptional analytical skills and problem solver. Excellent communications skills-both written and verbal. Proficient data entry and typing skills. (50 WPM min.) Proficient in the use of general office equipment (copier, fax, scanners, and computers). MS Word, Excel, Open Office, Windows, RM5 Sy...
Tags for this Online Resume: Budgeting, Health Insurance, Insurance, Oracle, Delinquent Accounts, Managed Care, Quantify, Management, Medicare, Home Health
Business Analyst
Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...
Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro
