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Online Resumes with "Payers"
Quality Coordinator
SUMMARY OF PROFESSIONAL QUALIFICATIONS: * Expertise in Medical Terminology, Legal Ethics, Coding insurance * Medical Billing and Coding Certificate * (ICD9-ICD 10) and knowledge of HIPAA privacy laws * Solid problem-solving and analytical skills * Knowledge of CMS 1500 form, and billing programs * Excellent interpersonal, communication and leadership skills * Highly motivated individual and team player * Professional with e...
Tags for this Online Resume: Customer Service z, Medical Terminology,, Medical Terminology ll, Medical Legal Issues,, Data Entry, Payroll, Accounts Receivable, Pbx, Receivables, Quality, healthcare
Manager - 20 Years of Experience - Near 07082
PROFILE Senior business technology/information services manager. Expertise based on grounded experience and leadership to create and manage IT organizations. Extensive healthcare experience managing multi-state development teams for WEB portal applications. Managed and enhanced Outsourcing/Staff augmentation structures to support on-shore development teams. Managed several multi-state Internet/Intranet development teams for...
Tags for this Online Resume: Ramis, Tandem, VM, Application Development, Asynchronous Transfer Mode (ATM), Cms, HP, Infrastructure, Novell, software, it jobs, Healthcare Industry, Program Management
Coding Specialist and Educator - 6 Years of Experience - Near 34208
Highlights of Qualifications * Knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS guidelines. * Current Neurology coding experience including Botox, EEG's and EMG's * Current E/M coding experience * Current General and Bariatric surgery coding experience * Builds and maintains effective physician, staff and peer relationships * Proficient in eClinicalWorks and Cerner billing systems * Proficient in Microsoft Word, Excel, Outlo...
Tags for this Online Resume: Complaints, Billing, Coding, Documentation, Health Insurance Portability And Accountability Act, Insurance, Medical, Medical Records, Radiology, Referrals, Coder, Medical Coder
Director - 20 Years of Experience - Near 55444
Working with sales teams with up to 250 members and their customers throughout the USA responsible for development of tools and training materials for customers. Developed an across industry team to establish the strategy to meet with and impact the Medicare coding overhaul for endovascular procedures Responsible for approval of IDE for innovative procedure which provided coverage and payment during clinical trials. payers ...
Tags for this Online Resume: Medicare, Coding, Microsoft Access, Therapy, Business Development, Consulting, Reimbursement, coverage, policy, medical device strategy development
Team Leader - 7 Years of Experience - Near 23701
QUALIFICATIONS FOR IT CLINICAL SUPPORT / PROJECT DEVELOPMENT / QUALITY ASSURANCE Experienced leader in clinical and IT support with a history of ensuring quality and maximizing efficiency through utilization of cutting edge technology and software. Track record of enhancing systems and clinical processes to help address any noted deficiencies and satisfy requirements by governing authorities. Transformational styled leader ...
Tags for this Online Resume: Resource Management, Data Tracling and Archiving, Troubleshooting/Resolution, End-User Support, Crisis Support and Response, Team Building and Mentoring, Cross-Functional Cokrdination, Data Modeling, Client Relations and Presentations, Quality Measure, High Volume Solution Development, it jobs, software, html
Director - 15 Years of Experience - Near 19438
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, Computer Aided Software Engineering, Customer Service, Inventory, Managed Care, Management, Inventory management, PEDIATRIC, Benefits, Blue Prints
Sales Representative - 20 Years of Experience - Near 06067
SUMMARY: An accomplished biotech and pharmaceutical sales professional with a proven track record of consistent top rankings and ability to perform in a constantly changing industry Reputation for successfully targeting specific managed care plans, payers, academic institutions, hospitals, specialty pharmacies, buy and bill, and long term care markets Proven sales success in multiple therapeutic areas including, Immunology,...
Tags for this Online Resume: Gastroenterology, Sales, Sales Trainer, Medical, Pulmonary, Cardiovascular, Dermatology, Management, Pain Management, CT
Industrial Engineer - 20 Years of Experience - Near 35243
SUMMARY OF QUALIFICATIONS: Experience with project development in accordance with design controls per Company Quality System Controls. (ISO) Following all requirements in the aspects of design, testing and manufacturing, including regulations for environmental requirements and customer requirements required for bidding the job. Fluent in the use of mechanical modeling and design software using AutoCAD and AutoDesk Inventor ...
Tags for this Online Resume: Manufacturing, Product Development, Quality, Test, Autocad, Autodesk AutoCAD, CIO, Layout, Sales, Structured Query Language
Medical Sales Representative - 11 Years of Experience - Near 78703
Career Highlights Contracted with over 18 firms to manage building and construction permits for a client looking to purchase and demolish a building. Went in front of city council to obtain permits due to historical nature of building and was ultimately successful in demolishing. (Independently Contracted) Negotiated contracts with some of the largest hospital networks in the U.S. on pricing, RFPs with Group Purchasing Orga...
Ideal Companies: Top performer , Extremely driven, Team player
Tags for this Online Resume: Sales, Clubs, Orthopedic, Orthopedics, Instrumentation, Surgery, Surgical, Trauma, Operating Room, Referrals, sales, business development, marketing, technical sales, account manager, account executive, radionics, Interior design, Contract negotiations, Philanthropy
Auditor - 8 Years of Experience - Near 95035
8 years Overall of experience in Risk Advisory and Banking sector with nearly 6.5 years of experience in Risk Advisory/Internal Audit focusing on Internal Audit (Business Operations & IT) and SOX Compliance (Business and IT) for a portfolio of US based clients in various industries including Healthcare Retail Insurance and Manufacturing sectors. About 1.5 years of experience in Banking Services and Banking Operations as Ser...
Tags for this Online Resume: Audit, Internal audit, Sarbanes Oxley, SOX, KPMG, Reinsurance, Consulting, COSO, Documentation, finance, audit, excel, gaap, manufacturing, accounting
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
Chief Executive Officer - 20 Years of Experience - Near 33410
Career Highlights I have Intellectual Property in collaboration portals to enhance cross functional communication and organizational efficiency which has previously deployed across Health Care Providers (HCA), Healthcare Consultants (Studor Group), and Payers (BCBSVT). I successfully sold my software development and consultancy business and looking for new challenges. Entrepreneurial Leader with 3 Successful launches in the...
Tags for this Online Resume: Semiconductor Industry, Semiconductors, Start up, MicroElectronics, Fab, Intel, IBM, Management, Manufacturing, Acquisitions, P&L, IPO, VC Private Equity, Global Network
