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Online Resumes with "Payer "



Software Sales Representative - 20 Years of Experience - Near 02478

PROFILE Results-driven healthcare business development executive with broad-based expertise in healthcare and technology sales, consulting and product development. Sought after as a builder who makes things happen. Big picture thinker known for leading cross-functional teams delivering innovative products to market. Known for rigor in market analysis, financial modeling, and contract negotiation for healthcare providers and...

Tags for this Online Resume: Business Development, Consulting, Financial, Health Care Industry, Health Insurance, Insurance, Leadership, Product Development, business development, sales, marketing, Practice Leader

Manager - 10 Years of Experience - Near 85050

PROFESSIONAL SUMMARY Innovative IT professional with progressive managerial/operational revenue cycle practice experience, practice management system implementation, process improvement and change management consulting and project management experience including AGILE methodology. More than 16 years of supervisory and managerial healthcare operations experience. Proven leadership in developing enterprise applications strate...

Tags for this Online Resume: Accounts Receivable, Change Management, Process Improvement, Sales, Sales Support, Support, Applications, Documentation, GE, Health Care Industry, it jobs, agile, software, sql, Resolute PB

Compliance Officer

QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...

Tags for this Online Resume: Home Health, Customer Service, Inventory, Managed Care, Management, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certifications

Lawyer - 20 Years of Experience - Near 75062

To pursue and accompiish the objectives of a firm/company by utilizing my skili set as an administrator, manager, negotiator, litigator, and marketer. ADMINISTRATORINIANAGER Since my appointment in 2015 by the Mayor and City Council of Irving, Texas I serve as a Director and Finance Committee member of the Dallas County Utility and Reclamation District responsible for managing and maintaining a significant portion of the La...

Tags for this Online Resume: Administrative, Litigation, Personal Injury Case Management, Law Firm Management, General Counsel, Real Estate Title Opinions, Banking Industry, Compensation, Family Law, Insurance

Medical Office Manager

Professional Summary Dedicated professional extremely experienced individual who has accomplished financial success, improving growth for organizations, detailed business planning to increasing revenue, knowledgeable, and highly motivated, with exceptional skills working through all the challenges closely with Insurance Companies and all payers to collect money that was believed to be lost revenue.

Tags for this Online Resume: Billing, Medicare, Charge Slips, Data Entry, ICD-9, Medical, Medical Billing, Financial, Insurance, Receivables

Featured Profile

Employees that lead the health care market are as priceless as the healthcare they promote

The ability to provide excellent affordable healthcare to all patient populations shouldn’t be an oxymoron. My goal is to work with a team that utilizes research and standards of care to improve health care delivery, decrease barriers to accessing health care delivery, offer creative ways to promote wellness, and improve patient outcomes for those with chronic disease states. I also want to develop ways to decrease the cos...

Ideal Companies: Cerner, Cancer Centers of America, Veterans Administration, University of Alabama, MD Anderson Cancer Center, Corizon Health

Tags for this Online Resume: Data Entry, Cisco, Nursing, Clinical Informatics, Linux Red, Microsoft Office Suite 365, Bedrock, HNA User, Architectural Troubleshooting/Maintenance Cerner Millenium, Dameware, Legacy, Innotas, ProVation, Oncology, Womens Health, PowerChart Ambulatory, Power Chart Millenium, Critical Care, Emergency Department, StepDown, Full Life-Cycle Implementation

Medical or Health Services Manager - 20 Years of Experience

QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...

Ideal Companies: ASBS

Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance

Claims Examiner

Summary To leverage my 15+ years of experience in the Healthcare Industry. Summary of Accomplishments Results oriented high-energy, hands-on professional with a successful record in the Healthcare field and Illinois Department of Human Services. For over 15 years as a contracted employee. In processing Medicaid applications & Medicare for patients who met eligibility criteria who did not have Medical Insurance as well as as...

Tags for this Online Resume: Applications, Payroll, Security, Bad Debt, Billing, Human Resources, Kronos, Kronos (Labor Mgmt Sys), Management, Benefits

Executive Assistant

ACCOMPLISHMENTS TriZetto Corporation - January 2014 Sales Support recognition "Unsung Hero" Award for my dedication and contributions to coordinating the 2014 Markets Kick-Off Sales Meeting, presented by our CEO and Senior Executives. Antarctic Program (USAP) Supported Directorates-Operations Division (Denver HQ Staff South Pole McMurdo & Palmer Stations). Supported the President, Payer Markets and President of New Business...

Tags for this Online Resume: Management, Due Diligence, Real Estate, Settlements, Business Development, Messaging, New Business Development, Sales, Sales Reports, Administrative Assistant

Inside Sales Representative - 10 Years of Experience - Near 08824

ACCOMPLISHMENTS & SALES EXPERIENCE: * Negotiated contracts with vendors * Inside Sales, Marketing and Lead Generation * Portfolio Management & Financial Tools * Pipeline Sustainability * Analytics & Insight Generation * Setup and maintained a high level of efficiency in managing "new" accounts * Negotiate pricing and fee structure while ensuring the continuation and enhancement of services * Maintained and added to "new" cu...

Tags for this Online Resume: Inside Sales, Customer Service, Dev OPPs, Portfolio Management, Sales, Inside Sales, Services, Operational Excellence, Enterprise Software, Management, Software, Telephony, Account Management, sales representative, account executive, inside sales, account manager, business development

Billing/Coding Specialist

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 polices guidelines and procedures to assure consistent quality. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * Electronic Health Records ...

Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Compliance, EHR, EMR

Tax Examiner - 2 Years of Experience - Near 40509

SUMMARY I am an Accountant, with 2 years of experience as a tax specialist with the Kentucky Department of Revenue. I am also a Marketing and Sports Trainer and Manager with over seven years of coaching and three years of marketing experience. My specialization includes Withholding taxes, organization of soccer clubs to find sponsors, provide inventory control, leadership of the marketing team, make strategic decision for t...

Ideal Companies: Amazon, World bank, Fifth Third Bank

Tags for this Online Resume: Clubs, Inventory, Inventory Control, Filing, Coaching, English Language, French Language, Leadership, Logistics, Marketing Management