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Online Resumes with "PROCESS CLAIMS "

Tester - 14 Years of Experience - Near 92121

Experience Summary Overall 15 years of Total Experience in the IT Industry, and 5 year of Experience in Syntel * Very strong Domain knowledge in Health Care * Hands on knowledge in FACETS Application (Member, Plan/Product, Provider, Eligibility & UM) * Working experience on Agile testing methodology. Acting as Scrum Master. Organize Sprint planning meeting, Daily Scrum Meeting, Creating Sprint report, Create task to the tea...

Tags for this Online Resume: Consulting, Quality Assurance, Structured Query Language, Test, Cognos, Health Care Industry, IBM, Script, System Testing, Test Cases

Insurance Sales Representative - 14 Years of Experience - Near 99037

COVER LETTER: Dear Sir or Madam, I was previously employed as an Account Manager where I had plenty of interaction with clients, carriers, and members, via phone and email. While there, I created census's, quotes, comparison sheets, along with renewals, and open enrollment packets. I also visited the clients location to explain to them the new renewal rates and the other carrier's comparison rates. Prior employment included...

Tags for this Online Resume: Benefits, Complaints, Inside Sales, Insurance, Sales, Accounting, Administrative Assistant, Advertising, apparel, Life Insurance

Billing/Coding Specialist

PROFESSIONAL SUMMARY Dependable professional with 20 years' experience in coding and processing claims forms for payment while ensuring all information is supplied before eligible payments are made. Outpatient scheduler with background in billing and collections, records management and maintenance and appointment setting. Desires a role in a medical office environment.

Tags for this Online Resume: Management, Billing, Coding, Medical, Scheduler

Team Leader

Areas of Expertise: * IT & operational transformation * Application development & production support * Data management & business intelligence * PMO - Portfolio, program & project management * Enterprise infrastructure strategy & management * Financial management of large IT budgets * Software engineering, application development methodology & solution architecture, programming languages * Supplier & vendor management - ons...

Tags for this Online Resume: Application Development, Development Methodology, Budgeting, Financial, Financial Services, Services, Automation, Information Technology, Insurance, Management

Business Analyst - 20 Years of Experience - Near 17111

Career Highlights: I have 25 plus years of overall working knowledge of claims processing experience in both a client server and mainframe environment. I deal very effectively with all levels of staff and have excellent organizational and communication skills. I am extremely well organized and can handle multiple tasks and high volumes of data. My accomplishments include: * Accessing several database for data mining to prep...

Tags for this Online Resume: Information Technology, System Analyst, Business Analysis, Business Analyst, IBM DB2 Database, Support, Billing, Call Center, Inventory, Management, sql

Billing/Coding Specialist - 4 Years of Experience - Near 78242

at Position Description: Reviewing claims working off project list or work queue. Responsible for providing expertise or general support in reviewing, researching. Experience in a production based environment with an emphasis on quality outcomes. Primary Resposabilities: * Reviewing and adjudicating medical claims in accordance with CMS claim processing guidelines. * Processing claims Up to 50K * Provide expertise claims su...

Tags for this Online Resume: Microsoft, Microsoft Outlook, Services, Adobe, Audit, Banking Industry, Benefits, Billing, Call Center, Cardiopulmonary resuscitation (CPR)

Construction Trade Worker Manager - 20 Years of Experience - Near 33647

Highly Experienced Professional with over 25 years of experience in Project / Construction Engineering and Construction Management Quality Control Startup & Commissioning and Operations & Maintenance of water wastewater chemical and fertilizer plants / facilities. Experience includes: Resident Engineering/Project Engineering Construction /QA - QC Management Claims & Variation Orders Initiation Processing / Management Docume...

Tags for this Online Resume: Water Treatment, Project Management, Project Manager, Scheduling, Procurement, Construction, Project Control, Project Controls, Quality, Quality Assurance

Payroll Administrator - 3 Years of Experience - Near 30228

Profile Payroll Specialist handling multi - million-dollar client payroll such as Phoenix House, Cole Haan, Coca Cola, and Duracell. Diversified customer service professional providing world class customer service to both external and internal customers. Expertise in fast track banking, billing and financial service industry with transferable skills that can be utilized in any customer oriented organization. Strong work eth...

Tags for this Online Resume: Accounts Payable, Apple Newton, Banking Industry, Billing, Call Center, Credit Card, Customer Service, Data Entry, Deductions

Medical Claims Processor

Team player, fast learner, open to learn new things, HIPPA compliant,reliable,and detailed oriented.

Ideal Companies: The companies that I would love to work for is a sucessful, stable and a growing company.

Tags for this Online Resume: Healthcare Medical Billing, Clerical, Adminitration, Receptionist

Insurance Underwriter - 20 Years of Experience - Near 60606

Analyze Commercial Insurance Handle Brokers' Requests and Inquiries, Handle Renewals for accounts $5,000 and under, Process Policy Renewals and New Business, Endorsements, Motor Vehicle Report Analysis, Premium Audits, Financials (Dun & Brad Street) and Loss Control, Compose all Correspondence Letters Memos, Rating and Various Underwriting Support Duties. Policies Enter Claim Reports Ascertain Location Applicable Coverages ...

Tags for this Online Resume: Underwriting, Appraisals, Call Center, Documentation, Financials, Accounting, DMS, Dms (Data Mgmt Tool), Entertainment, Filing, insurance