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Online Resumes with "Payors"



proficient with extraordinary communication skills

Self – motivated individual,Ambition, friendly and hard- working individual who get along suitably with others.

Ideal Companies: Humana City of Tampa State Of Florida Hillsborough County Tax Collector St.Joseph's Hospital Aetna

Executive Assistant

Ideal Companies: Hospitals, medical practices, freestanding surgery centers

Tags for this Online Resume: Executive Assistant, Administrative Assistant, Healthcare Management

achievement-oriented and enthusiastic professional

Innovative leader possessing vision and tenacity to quickly build new customer accounts and accelerate corporate image and growth.

Ideal Companies: Anthem, Covance, Eli Lilly & Co.

Tags for this Online Resume: Sales

EDI Medical Billing Specialist

I have proven myself to be a great asset to the EDI department at KCI. A proven track record, efficient and consistent work, as well as the loyalty I have exhibited has made me a worthy employee. I also know how to use basic office equipment such as a fax machine, printer and copier. Working with spreadsheets everyday has helped me learn to work and set them up with confidence. Utilizing all of the different billing applica...

Ideal Companies: DME companies

Tags for this Online Resume: DME, EDI

I am an widely experienced RN, believing I can coordinate individualized patient care; making clinical judgements that will enhance the patient's clinical course and the payor's financial bottom line.

I am looking for a stimulating and challenging job where I work with RN and MD professionals making healthcare decisions. Those employers could be the Federal, State or local governments. I would like to work for an organization that is instrumental in directing our fee for service healthcare system to univeral healthcare should that day ever come.

Ideal Companies: I would like to work in the case management field with the decision makers, the insurance companies or the providers of care who need assistance with patient care coordination and commplex planning for their health care needs.

Tags for this Online Resume: Interqual-severity of illness and intensity of service, Electronic medical record review, Care coordination/complex discharge planning, Educating the public regarding Medicare's important message, Proactively assisting physicians with difficult discharge planning and alternative levels of care., Active professonal participation on committees

Manager/Director

Medical Staff/Managed Care Credentialing and Provider Relations Professional with extensive experience working for New Mexico’s largest medical and behavioral healthcare organizations. Extensive & diverse healthcare industry experience including health facility administration, managed healthcare, medical recruiting, health systems compliance, delegation oversight, and network and organizational development. Exceptional str...

Tags for this Online Resume: Credentialing, Privileging, Provider Relations, Contracting, Payor Enrollment (Governmental/Commercial), Medical Recruiting

Director, Managed Care Provider and Payor Contracting

Actively searching for a position that utilizes my managed care contract negotiating experience and one that challenges me to stay abreast and knowledgeable of the rapidly changing health care industry.

Tags for this Online Resume: managed care reimbursement, contract negotiations, payer relations, health plan contracting, provider contracting, network management

Medical Clerical with 18 years experience

I feel that I am an intelligent person and a self-starter. I have the knowledge of billing practices, policies and procedures with a knowledge of coding. I have the ability to deal with all levels of personnel. I have the ability to work effectively in a team environment. Also have a willingness to be cross-trained in other positions. I have strong organization, communication and interpersonal skills as well as being able ...

Ideal Companies: I have no ideal companies at this time.

Tags for this Online Resume: Medical Billing, Payment Processing, Coding, Medical Records, Scanning, Index Queue, Payment Posting

Payor Liaison

Seeking positions that will allow me to work a home base business.

Senior Biller/Coding Specialist, CPC

My objective is to find a company that can benefit from the skills and experience that I have from working Medical Billing for the past 10 years. I have revenue cycle management experience ranges from A-Z. My philosophy is to try to get a claim paid the first time by knowing coding and payor policies.

11 yrs of nursing management various acute care unit., admittingdepartmetn,business development and marketing. able to negotiate contracts w/ various payors. assist in the the hospital reviews of medicare chart reviews. undertanding and application of drg

case maangement . supervisory or icu,er case management position

Ideal Companies: sort term acute hospital

Tags for this Online Resume: critical care registered nurse, case management training, drg, interqual, goal oriented

Medical Director

Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through building a culture wher...

Tags for this Online Resume: Healthcare, ICD-10 certified AHIMA Instructor, Medical Director, Contracting, Compliance, medical software