CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Payers"

Developer

SUMMARY: * Having 11 years of IT experience in all phases of project lifecycle (SDLC). I.e. Analysis, Design, Development and Testing, various Client/Server, Internet, Intranet, Windows and Web-based applications using SOA and n-tier Architecture. And thorough understanding of Software Development Life Cycle (SDLC) processes using both Agile as well as Iterative models * Strong experience in Leadership, Schedule Management,...

Tags for this Online Resume: Web, Web Applications, Web Technologies, Acceptance Testing, Applications, Integrate, Test, Web Services, Windows Communication Foundation, Application Development

Claims Adjuster - 20 Years of Experience

Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectivel...

Tags for this Online Resume: Benefits, Long Term Care, Microsoft Access, Customer Service, Management, Medical, Compensation, Computer Aided Software Engineering, Inventory, Risk Management, insurance, customer service, group health benefits

Medical Office Manager

PROFESSIONAL SUMMARY * Eleven years' experience as a Pharmacy Technician. * One year experience as an Ophthalmology Technician. * Excellent patient relationship skills. * Five years' experience teaching Pharmacy, Insurance Claims, Billing and Coding, HIPAA Compliance. * Thorough understanding of the provider/payer relationship. * Proficient in MS Word and Outlook, working knowledge of Excel.

Tags for this Online Resume: Billing, Coding, Medical, Medical Billing, Compliance, Pharmaceutical, Inventory, Pharmaceutical Industry, Health Insurance Portability And Accountability Act, HIPAA compliance

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

Health Technologist - 20 Years of Experience - Near 28114

837D 835 999 277 Account managed large clients with specific needs. Including payers partners and providers. Knowing the ins and outs of their specific product usage while solving their problems directly or gathering research prior to escalation. Streamlined manual file processing for second largest client. 80% reduction in file processing time using new processes and client communication strategy. Troubleshooting front-end...

Ideal Companies: remote 1 month nothing

Tags for this Online Resume: Billing, Claim Processing, Medical, Medical Billing, Medicare, EDI, Electronic Data Interchange, Consulting, Management, Policies and Procedures, EDI analyst

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

Senior Business Analyst -15 years Experience - Columbia

Professional Summary Dynamic and motivated IT Senior Business Analyst with experience in client relations, team management, healthcare IT infrastructure and clinical data exchange. and Key Accomplishments Senior Business Analyst with strong healthcare analytic, design and implementation skills. Supported BlueCross BlueShield of South Carolina's TRICARE (military healthcare insurance) contract. Also acted as company liaison ...

Tags for this Online Resume: Application Programming, Budgetary, Infrastructure, Microsoft PowerPoint, Process Improvement, Programming, Research, Research and Development, Test, Test Plans, it jobs, agile, software

Billing/Coding Specialist - 20 Years of Experience - Near 75218

Tags for this Online Resume: Medicare, Benefits, EDI, Electronic Data Interchange, Intrepid, Billing, Health Care Industry, Services, Insurance, Receivables

Health and Wellness consultant - 0 Years of Experience

AREAS OF EXPERTISE -Regulatory Compliance -Training and Team Building -Operational Support -Strategic Planning -Clinical Administration -Project Coordination -LTC Facility Management -Business Development -Budget and Cost Control -Data Analysis and Reporting - Marketing and Promotions -Health and Safety Standards Summary of Qualifications and Achievements * Increased Payer Sources from just Medicare, Medicaid and Private Pa...

Tags for this Online Resume: Nursing, Health Care Industry, Budgeting, Compliance, Cost Control, Data Analysis, Evaluate, Financial, Health Insurance Portability And Accountability Act, Home Health, Detroit