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Online Resumes with "Payers"



Sales Manager - 14 Years of Experience - Near 44107

Qualifications Summary: * Articulate persuasive communicator with excellent listening and negotiation skills able to build trust, confidence and cooperative spirit with people of diverse interest and authority levels to achieve goals. * Innovative and resourceful with business development a team player with the ability to project a positive image. * Well organized profit conscious sales professional who enjoys challenges an...

Tags for this Online Resume: Business Development, Managed Care, Nursing, Sales, Sales Calls, Advertising, Development Activities, Health Care Industry, Home Care, Integrate, Vice President of Business Development, Chief Marketing Officer, Marketing, Admissions

Civil Engineer

SUMMARY OF QUALIFICATIONS Since retirement from a 23-year military career in January 1992, have capitalized on opportunities, in the public and private sector, that utilize my extensive Program and Project Management, Construction Management, Design, Estimating and Field Architectural and Civil Engineering knowledge and experience to apply gathered expertise and knowledge in operations, management, and administration associ...

Tags for this Online Resume: Value Engineering, Windows Internet Name Service, Architectural, Budgeting, Civil Engineering, Communications, Construction, Documentation, siemens, lon, lonworks, Program Manager

Medical Office Manager - 18 Years of Experience - Near 48021

Range of Experience Over 20 years of experience in all aspects of running a medical practice. Range 0f experience includes: * Practice Assessment Reviewing daily operations within a medical facility to insure maximum efficiency, including full review of accounts receivables and accounts payables. Identifying problem areas pertaining to medical billing procedures and assisting in the implementation of advantageous policies a...

Tags for this Online Resume: Billing, Compliance, Financial, Financial Management, Human Resources, Management, Medical, healthcare, manager, Medical Office Administrator, Administrator

Registered Nurse

Summary: I have thirty years' experience in health care in various settings in the hospital and medical device industry. As a charge RN I ran the day to day operations of a 10 bed coronary care unit as well as developing a tool to isolate proper staffing ratios on the productivity needs of the unit. In the cath lab and cardiac progressive care unit I worked to standardize the orientation process to ensure a smooth transitio...

Tags for this Online Resume: Medical, Critical Care - Respiratory, Cardiovascular, Surgical, Management, Computer Aided Software Engineering, Emergency Room, ER, Business Plan, Coronary Care Unit

Medical or Health Services Manager - 20 Years of Experience - Near 10583

SUMMARY Skilled healthcare administration professional with a solid understanding of the interrelationships between systems and systems' impact on revenue operations and workflow. Strong analytical and problem solving skills including the ability to analyze operations for cost effectiveness and identify ways to optimize billing and increase reimbursement. Thorough, and highly organized able to perform with a high level of a...

Tags for this Online Resume: Scheduling, Billing, Documentation, Professional Services, Services, Ambulatory Services, Ad Hoc Reports, Assessments, Behavioral Health, Budgeting

Professional Medical Billing Specialist 18 Years of Experience - Near 93706

Detail oriented quality focused professional Billing Specialist that works well in fast paced environment * Over ten years experience working with all payer types in a variety of settings Excellent communication organizational and management skills * Thorough understanding of Medicare and M-Cal practices and reimbursement * Advanced knowledge of private insurance processes and codes

Tags for this Online Resume: Billing, Data Entry, Medicare, Customer Service, Coding, Insurance, Management

Registered Nurse - 20 Years of Experience - Near 85298

Communicated Provided direct nursing care on evening shift on 12-bed adolescent and child in-patient psychiatric unit. Offered day shift position. with insurance companies obtaining admission and continued stay authorizations. Collaborated with internal departments regarding payer relations denials and completed quality assurance audits on medical staff. Supervised utilization review RN case managers. (6 months). Assisted i...

Tags for this Online Resume: Infection control, Management, Quality, Quality Assurance, Quality Control, Assessments, Dialysis, Outpatient Rehabilitation, Phlebotomy, Physical Therapy

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

Quality Coordinator - 20 Years of Experience - Near 11590

Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...

Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills

Controller - 20 Years of Experience - Near Hollywood, Florida

ACCOMPLISHMENTS * IMPROVED MONTHLY CLOSING PROCESS and cut delivery time of the financial statements in half. * DEVELOPED AND IMPLEMENTED COST ACCOUNTING SYSTEM to understand margins by payer and by location, allowing JKV to develop more cost effective programs for providing care to residents * Annual audits of consolidated entity delivered to Board of Directors before March 1 each year with NO ADJUSTING ENTRIES OR MANAGEME...

Tags for this Online Resume: Audit, Benefits, Consulting, Management, Accounting, Accounting Functions, Banking Industry, Cash Management, Certified Public Accountant, Cms, accounting, controller, accountant

Payroll Administrator - 10 Years of Experience - Near 92807

Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...

Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting