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Online Resumes with "PROCESS CLAIMS "



Developer - 20 Years of Experience - Near 92677

Many of these achievements were done from past employers as a consultant to another company with work that was usually a mixture of onsite and offsite work. Managed projects for Agiline (see below) for development by overseas programmers including database and application design and architecture of their databases. Functioned as Database architect in a team for a Health Services company developing in-house medical web and S...

Tags for this Online Resume: Active Server Pages, Microsoft .Net, Microsoft .Net Framework, Microsoft ASP.Net, C# Programming Language, Dba (Database Admin), Software, Software Development, SQL DBA, Structured Query Language, javascript, c#, agile, html, jQuery, WebAPI, Database Developer, SSIS, Visual Studio, tfs, svn

Business Analyst - 7 Years of Experience - Near 60661

Summary: * Qualified professional with more than 7 years of experience as a IT Business Analyst in Healthcare and Banking Industry. * Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment. * Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Waterfall, RUP an...

Tags for this Online Resume: Business Analysis, Business Requirements, Insurance, Microsoft Visio, Structured Query Language, Unified Modelling Language, Use Cases, agile, Risk analysis, Impact analysis, Change management, EDI Claims

Manager - 10 Years of Experience - Near 48066

CAREER SUMMARY I am an energetic professional with experience managing financial operations, developing and implementing strategic plans, developing personnel and maximizing results. My recent experience as Operational Manager for Pierce, Monroe & Associates, LLC included overseeing collection of over $12,000,000 in revenue annually and management of the parking division. I developed results with Ford Motor Credit Company, ...

Tags for this Online Resume: Call Center, Financial, Services, Audit, Customer Service, Wholesale, Green Belt, Insurance, Management, Microsoft Office, management, manager

Manager

SUMMARY * Managed $7M+ Portfolio, Lead the work of 100+ Resources including Onsite and Offshore team * 17+ years of experience in Information Technology Industry Good Domain experience in Insurance and Healthcare. * Performed Variety of roles Project Manager, Engagement Manager, Portfolio Manager and Service Delivery Manager Role * Very good exposure in Application Maintenance (IT Service Management) and executed Managed Se...

Tags for this Online Resume: Active Server Pages, Reviews, Management, Metrics, Monitoring, Offshore, Planning, Services, Status Report, Support

Human Resources Assistant - 16 Years of Experience

Professional Summary Innovative and experienced leader in team management, attains company goals, contributes to mission success as well as the enhancement of a positive company culture. Motivated problem solver with 10 years of demonstrated ability to supervise, lead, follow and serve in all aspects of operations management, personnel training, and entitlement processing. * Advanced customer service skills with public, pri...

Tags for this Online Resume: Training, Protocol, Radar, Basic First Aid, BASIC Programming Language, Cardiopulmonary resuscitation (CPR), First Aid, Sar, Security, Applications

HR Generalist/Manager

Career Summary: I am a bilingual Spanish Human Resource professional with more than 5 years of hands on experience. I am a member of the Society for Human Resource Management (SHRM). My proficiency extends to a vast knowledge of the MS Office suite, HRIS systems such as, ADP ezLabor Manager, ADP Run, ADP Workforce Now, Paychex, Prestige Administrators, ESS 32BJ Employer portal, and Lawson. I have knowledge of union contract...

Tags for this Online Resume: Policies and Procedures, Compensation, Human Resources Information System, Benefits, Management, HR, Human Resources, Payroll, Audit, customer service, worker's comp, FMLA, claims processing and claims resolution, disability, Benefit Administration

Customer Service Representative

Professional Summary: A Medical Billing Specialist with over 15 years of experience in the healthcare field. Over 10 years of her experience in the healthcare field was spent handling the submission of claims, processing claims, the claim appeal process, following up with insurance companies and resubmission of claims to third party payers. Experience verifying patients' insurance benefits and eligibility. Accustomed to ens...

Ideal Companies: Amazon, Google, Apple

Tags for this Online Resume: Billing, Delinquent Accounts, Health Insurance Portability And Accountability Act, Pediatrics, Insurance, Complaints, Front Office, Benefits, Co-Pays, Coding

Sales Representative - 20 Years of Experience - Near 49512 616

Tags for this Online Resume: Business Development, New Business Development, Atlas, Cms, Management, Filing, Credit Card, Payroll, Retail, Sales

Billing/Coding Specialist -7 Years of Experience

SUMMARY Highly experienced Insurance Claims Specialist/Medical Biller and Coder. Highly organized, efficient and skilled in: * EDI Claims processing, Claims rejections * Denials and communicating with insurance companies * Drafting Appeal letters and corrected claims for payment * Medical insurance claims processing * Interpreting and transferring doctor notes into codes for billing * Medical Terminology * Able to read and ...

Tags for this Online Resume: Insurance, Benefits, Management, Administrative Assistant, Billing, Claim Processing, Database, Medicare, Microsoft Word, Receivables

Financial Manager, Branch or Department - 0 Years of Experience

o Mortgage professional with 4 years' experience in the Loan, Servicing, and Excel. 0 Review of processes, claims and/or loan documentation to assess any potential harm to customers or clients 0 Serve as a second level loan review on highly complex claims completed by Mortgage Claims Analysts 0 Examination of processes, claims and/or documentation to identify potential gaps in the process and ensure servicing standards and...

Tags for this Online Resume: Account Management, Banking Industry, Billing, Fraud, Management, Real Estate, Microsoft Excel, Database, Evaluate, Appraisals

Billing/Coding Specialist - 20 Years of Experience - Near 95835

Healthcare professional with over 20 years of experience in customer and administrative services * Skilled in medical terminology, definitions, coordination and explanation of benefits * Proficient in processing HCFA 1500 and UB04 forms for ICD 9/10, CPT, and HCPCS codes * Ability to type 50 - 60 wpm and 10-Key with 95% accuracy * Proficient in Microsoft Word, Excel, Power Point, Outlook, and using Xerox Scanner * Handled ...

Tags for this Online Resume: Audit, Benefits, Citrix, Cms, Diversity, Folder, Fraud, Health Care Industry, Health Insurance, Health Insurance Portability And Accountability Act