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Online Resumes with "PPO"
Medical Sales Representative - 20 Years of Experience - Near 33062
QUALIFICATIONS: * successful in increasing census by 30% and maintained occupancy in snf @ 95- 100%. familiar with medicare, hmo's, ppo's, va, tricare, medicaid. * extensive experience in sales/marketing in healthcare (hospitals, snf/rehab, home health, alf, Physician offices) * Eighteen years of managing and coordinating patient care/cases. * LPn in hospital and home health setting for 15 years. provided Patient care in pr...
Tags for this Online Resume: Home Health, Business Development, Referrals, Patient Care, Account Manager, Insurance, Patient Education, Medical, Nursing, Surgical
Medical Records Assistant - 2 Years of Experience - Near 71640
Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies guidelines and procedures to assure consistent quality. Experienced with Microsoft Word, PowerPoint, Excel, and Outlook Types 36 WPM. Willing to learn new skills and take on new challenges. KEY ...
Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Customer Service, EHR, EMR
Business Analyst - 7 Years of Experience - Near 37209
Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...
Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing
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
Programmer Analyst - 20 Years of Experience - Near 34609
Summary of Professional Experience Client Name Project Type Software Version Focus Area Role Price Waterhouse Coopers (Infosys) Implementation/Conversion Workday 26 - 28 HCM, Payroll, Benefits Integrations Consultant Sacramento City Unified School District Implementation Workday 22 - 25 HCM, Payroll, Benefits, Financials Integrations Consultant Grossmont-Cuyamaca Community College District Implementation Workday 22 - 25 HCM...
Tags for this Online Resume: Accounts Payable, Benefits, Business Analysis, Business Analyst, Cobra, Data Conversion, Data Warehouse, Diagnostics, Extensible Markup Language (XML), Financial, workday peoplesoft
Admissions Director - 20 Years of Experience - Near 60430
CAREER SUMMARY * * Over 30 years in healthcare and 25 years as an Inpatient and Outpatient Managed Care HMO. PPO, POS, Medicare, Medicaid Commercial, Worker comp and Veteran Administration Biller and Collector, I billed primary, secondary, tertiary Insurance carriers. Verified benefits and eligibility for inpatient, outpatient, physician and hospital claims, also worked as a Financial Counselor. Hardworking, dedicated, comm...
Tags for this Online Resume: Coding, Allergy, Benefits, Financial, Litigation, Managed Care, Medical, Medical Records, PEDIATRIC, Pediatric Care, physical therapist, healthcare, Medical Insurance Collector
Medical & Health Services Manager - 18 Years of Experience - Near 89141
SKILLS SUMMARY * Provider Relations and Liaison * Trainer, Presenter, Speaker * Medicaid, Medicare Advantage, Dual Eligible * Network Management, Development, and Recruitment collaboration with Regional Teams * P4P, PPO, POS, Managed Care, Medicaid, and Medicare contracting * Ancillary, Physician/Medical Group, and Facility contract administration * Complex issue resolution * HIPAA, NCQA, and CMS Compliance and contracting ...
Tags for this Online Resume: AR, Accounts Receivable, Compliance, Corrective Actions, Field Work, Financial Services, Medicare, Managed Care, Healthcare Exchange, Medicare Advantage, Medicaid Managed Care, Project Management, Provider Contracting
Customer Service Representative - 10 Years of Experience - Near 71129
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. Experience with Microsoft Word and Power Point - Type 50 WPM. Well-organized manages time and priorities in multi-task environments. * Work as part of a team and maintain a...
Tags for this Online Resume: Customer Service, Policies and Procedures, Amazon Elastic MapReduce, Billing, Claim Processing, Cms, Coding, Compensation, EHR, EMR
Billing/Coding Specialist - 14 Years of Experience - Near 90620
Summary of Qualifications 21 years in medical field 5 years in leadership role Strong knowledge of anatomy and physiology Strong communication skills Knowledge of computers and electronic health record Basic and advanced life support training Understanding of ICD-9, ICD-10, CPT, HCPCS codes Understanding of billing process HIPAA Knowledge of Medicare and Medicaid Knowledge of HMO, PPO, POS, CDHC 21 years in medical field 5 ...
Tags for this Online Resume: Trauma, Medical, Critical Care - Respiratory, Patient Care, Billing, Coding, Communication Skills, Health Insurance Portability And Accountability Act, ICD 10, ICD-9
Medical or Health Services Manager - 10 Years of Experience - Near 43229
Results-oriented Director of Healthcare Administration with 10 years of proven experience optimizing patient care, operational performance, and financial efficiency. Exceptional communicator well-versed in conducting interviews, staff training, and patient interactions Advanced understanding of Medicare, Medicaid, HMO, PPO, and Managed Care products Proficiency in management information systems, as well as knowledge of ICD....
Tags for this Online Resume: Medicaid, Healthcare , Compliance/Auditing, Strategic Planning, Crendentailing, Budget Management , Process Improvment, Data Management, Billing, Compliance
Employee Benefits Account Manager - 20 Years of Experience - Near 19090
Profile Over thirty years in various insurance industry settings. Well versed in self-insured plan administration and funding, COB, Medicare, Major Medical, Basic, HMO, PPO, Dental, Workers' Compensation, and Disability Claim Processing. Fully trained in Medical Terminology, ICD-9 and CPT Coding. Excellent at handling customer service direct and or through insureds, group representatives, brokers, and various third party co...
Tags for this Online Resume: Cobra, Audit, Billing, Documentation, Benefits, Medical, Account Manager, Assessments, employee benefits, group benefits associate, group health benefits, benefits consultant, health benefits broker
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
