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Online Resumes with "Payers"
Registered Nurse - 15 Years of Experience - Near 85705
Areas of Expertise * Practice Administration * Utilization and Quality Management abilities * Revenue Cycle Services * Extensive experience in Billing and Claim form processing * Fiscal Management * Oversight and Implementation of Performance Improvement Plans * Extensive knowledge of Government and Non Government payers * Believes in Transparency, Integrity and Trust * Works in concert with all service lines (IT, Clinical ...
Tags for this Online Resume: Policies and Procedures, Services, CFO, healthcare, registered nurse
Medical or Health Services Manager
Managed Care Contracting & Payer Strategies
Tags for this Online Resume: Managed Care, Prime, Problem Solving, CFO, Account Management, Audit, Bankruptcy, C Programming Language, Collection, Insurance, sales, business development, outside sales, account executive, account manager
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
Director - 20 Years of Experience - Near 60563
SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...
Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management
Chief Executive Officer - 20 Years of Experience - Near 15001
PROFILE Accomplished "hands - on" Chief Executive Officer with 10 years of healthcare leadership experience in strategic leadership in the hospital and medical practice management arena. Cross functional expertise in building leadership teams, business analytics and processes, organizational cultural development, strategic planning/implementation, revenue reimbursement and payer contracting.
Tags for this Online Resume: Management, Practice Management, Ophthalmology, Billing, Referrals, Public Health, Urology, Planning, Strategic Planning, Medical
Civil Engineer - 20 Years of Experience - Near 48127
Accomplishments City of Inkster * Completed construction of $20 million each, CSO (Combined Sewer Overflow) Retention and Treatment Basin, sewer separation and streets/water mains replacement projects within budget and on time. * Re-evaluated the options for the city's Eastern CSO Outfalls and came up with an alternative which saved millions of tax payer dollars. City of Grosse Pointe Park * Promoted as Department Head afte...
Tags for this Online Resume: Water & Sewer Treatment Plants, Public Works, Municipal Government, Management, Project Management, Day to day Management of the dept., CSO & SSO, Water Supply & Sanitary, Policies and Procedures, Project Manager
Business Analyst - 17 Years of Experience - Near 21117
Summary A seasoned professional with years (since 1994) experience in the management and administration of day-to-day operation for the insurance industry and a local non-profit organization. Significant experience in Medicare Part A and B Claims analysis, Recovery Audit Contractor Data Warehouse (RACDW), HIPAA assessments and implementations including impact assessments, gap analysis, requirements documentation, transactio...
Tags for this Online Resume: Health Insurance Portability And Accountability Act, Management, Project Management, Medicare, SDLC, Project Manager, Sybase, ANSI, Ansi (Am Natl Stds Inst), Collection
Telecom Engineering Manager - 20 Years of Experience - Near 85207
HIGHLIGHTS OF QUALIFICATIONS: * Has designed and built some of the most innovative Data Centers in the industry * Thorough knowledge of the Tiering system of Data Centers, BICSI, TIA and UTI * Well versed in both the Mechanical and Electrical requirements for the design of an efficient * Data Centers * Developed models for both CFD internal and external to the Data Center utilizing Six Sigma * Developed costing tools for Da...
Tags for this Online Resume: Budgetary, Sales, Project Management, Telephony, Wide Area Network, Intel, Local Area Network, Management, Network Architecture, infrastructure, data center, construction, design, engineering, low voltage, RCDD
Chief Operations Officer - 20 Years of Experience - Near 90265
AREAS OF EXPERTISE * Consulting Sales and Service Delivery: Leadership, Management and Execution * Technology Based Solutions: Digital, IoT, CRM, EMR, Population Health Management, Patient Engagement and Adherence, Multi-channel Communications, and Predictive Analytics * Multiple Health Care Industry Sectors: including Provider (IDN, Academic, Community), Payer (Government, Commercial and Provider-sponsored), Life Science /...
Tags for this Online Resume: Customer Relationship Management, Management, Risk Management, Sales, SAP, CFO, CIO, Consultative Sales, Leadership, Trauma
Quality Assurance Specialist - 11 Years of Experience - Near 37211
SUMMARY OF EXPERIENCE Overall 11 years of extensive and diversified experience in Information Technology with emphasis on Software Quality Assurance, Manual testing & E2E Test Management. * Expertise in QA Methodologies, Quality Assurance Life Cycle, Test Strategy, Test metrics. * Involved in all phases of testing, Preparing Test Plans, Test Strategy, Test Case Specifications, Test Scenario's, Test Cases, Test data, Test lo...
Tags for this Online Resume: Management, Test, Test Cases, Quality, Structured Query Language, Applications, Health Care Industry, Test Plan, Test Plans, Active Server Pages
Billing/Coding Specialist - 3 Years of Experience - Near 21009
PROFESSIONAL SUMMARY CAREER SUMMARY: Highly dedicated and enthusiastic Medical Coder, and with an extensive training in CPT, ICD-9 and ICD-10 CODING, is seeking a continued career in coding. Very organized, detailed and dedicated to company policies. Very resourceful, friendly and reliable . AAPC- PRACTICODE EXPERIENCE CAREER SUMMARY: Highly dedicated and enthusiastic Medical Coder, and with an extensive training in CPT, IC...
Tags for this Online Resume: Certified Pension Consultant, Coding, ICD 10, ICD-9, Medical, Training, healthcare, MEDICAL CODING SPECIALIST
Business Analyst - 20 Years of Experience - Near 80224
Working with a team of professionals to create quality products or services that make a meaningful difference in people's lives is my goal.
Tags for this Online Resume: Denver, Ft. Lauderdale, SDLC, Healthcare, Payer, Provider, EHR, Document Management, Management, CFO
