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Online Resumes with "Pre Authorization"



Registered Nurse - 20 Years of Experience - Near 93003

Looking for Staff Nurse Positions in Utilization Review/Case Manangement.

Tags for this Online Resume: Ventura, Ca. , Pre-Authorizations, Concurrent Review, Discharge Planning, Appeals, Utilization Review

Administrative Assistant - 20 Years of Experience - Near 07050

Windows 7 and 10, Microsoft 2010: (Word, Excel, PowerPoint, Outlook), Word Processing, Medisoft Advanced System (Medical Billing/Scheduling/Appointments), Epic, AS400, Co-Path, Marketplace (Banner), Wufoo, Moodle, Blackboard, New Innovation Management Suite, Data Entry, Database System, E-Mail, Internet, Supervisory, Cashier, Dictaphone, Type 75 wpm, Medical Terminology, Payroll, Transcriptionist, Insurance Verification an...

Registered Nurse- 10 years Experience- Austin, TX

I am a practicing RN with vast experience in the field of nursing seeking full time employment in Austin, TX. Previous positions held in the areas of: infusion therapy, pre authorization, case management, ICU, and professional clinical organization.

Tags for this Online Resume: Infusion, Nurse, Insurance, RN, Case Manager, Research

Business Analyst - 7 Years of Experience - Near 08817

Professional Summary: * 10+ years of overall IT experience with 6+ years of Business Analyst / Project Coordination and management expertise in Healthcare and Pharmaceutical Industry. * Lead JAD sessions to aid in requirement gathering, prototyping and documentation of business and system needs via BRDs, FRDs User Stories, Use Cases, Workflows, Wireframes and Software Requirement Specifications. * Expertise in implementing ...

Tags for this Online Resume: Business Analysis, Business Analyst, Information Technology, Acceptance Testing, Active Server Pages, Adobe, Adobe Acrobat, Agile, ANSI, Ansi (Am Natl Stds Inst), PMP certified, VISIO,MS Project

Financial Manager

Gynecology practice, Physical Therapy, Surgery, Acupuncture, Psychotherapy, Chiropractic, OB/Gyn, Orthopaedic Surgery, * Created/started a medical billing company, marketing that led to a clientele of 70 MDs with multiple locations and specialties * Responsible for interviewing, hiring, training and supervision of staff. * Program medical billing system. * Work with representatives from various insurance companies to resolv...

Tags for this Online Resume: Coding, Referrals, Documentation, Orthopedics, Remedy, Consulting, Billing, Insurance, Management, Cardiology

Licensed Nurse - 20 Years of Experience - Near 33610

Healthintegrated - April 18 2016 to May 19 2017 Utilization Review Coordinator Telephonic pre-authorization of procedures over the phone for inpatient and outpatient utilizes clinical skills to support the coordination documentation and communication of medical services and/or benefit administration determinations. Critical competencies include flexibility professionalism as well as clinical knowledge with claims. InterQual...

Tags for this Online Resume: Back Office, LPN, Drug Screen, Home Health, Injections, Management, Nursing, Patient Care, Patient Education, Policies and Procedures

Featured Profile

Clinical Research Professional

I am looking for a career opportunity in research or any science related field.

Ideal Companies: Any research company, FBI, CIA

Tags for this Online Resume: clinical, research, project management, biology, medical , science, monitoring, clinical trials, regulatory, quality assurance, laboratory

Case Manager - 14 Years of Experience - Near 34741

Care Management Specialist and Registered Nurse with strong clinical knowledge, bilingual ability to learn quickly and build strong working relationships. Relocating from Puerto Rico to the Florida area. Skilled in providing the highest level of quality patient care and relationship-based care. Experienced on diverse case management pre-authorization and discharge planning. Work collaboratively as part of the Critical Care ...

Tags for this Online Resume: Home Health, Management, Patient Care, Intensive Care, Intensive Care Unit, Nursing, PEDIATRIC, Pediatric Intensive Care, Pediatric Intensive Care Unit, PICU, rn, nurse, healthcare

Medical Office Manager - 10 Years of Experience - Near 30305

An accomplished Healthcare Practice Manager with a proven track record for building and leading teams that enabled revenue growth. A results oriented accomplished executive with a broad background in business healthcare and human services with operational and administrative expertise. Significant experience in single and multi-service practices urgent care and inpatient facilities. Broad knowledge of healthcare hospice util...

Tags for this Online Resume: Billing, Documentation, Medical, Medical Billing, Medical Records, Medicare, Receivables, 100% Travel, Accounts Payable, Accounts Receivable, healthcare, Trainer, EPIC Trained, Healthcare Management, Healthcare Revenue Cycle, Team Building, physical therapist

Construction Assistant - 10 Years of Experience - Near 33772

Profile * Analytical, motivated and strong work ethic. * Project management and operations background * Computer savvy and proficient in many reporting programs * Construction and ProCore experience * Experienced in rehabbing properties and overseeing vendors and subcontractors. * Bilingual (Spanish) * Polite, professional and carry a positive attitude Responsible for, St Petersburg, FL * Responsible for gathering data and ...

Tags for this Online Resume: Management, Health Insurance Portability And Accountability Act, Pre-certifications, Audit, Root Cause Analysis, Vendor Management, Adobe, Adobe Photoshop, Bilingual, CADD, OSHA

Registered Nurse - 20 Years of Experience - Near 20912

Summary: * Years of experience in the Clinical Nursing Environment include Case Management, Quality Assurance Coordination, Psychiatry/Health Home, Home Health-Nursing, and variably, a veteran Registered Nurse. * Experience in reviewing and analyzing referral information in consultation with the individual, health team members, employers, family, legal representative, and claims/insurance personnel as indicated. * Experienc...

Tags for this Online Resume: Computer Aided Software Engineering, Evaluate, Insurance, Legal, Management, Medical, Nursing, Psychiatry, Quality Assurance, Services

Billing/Coding Specialist - 20 Years of Experience - Near 10465

Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...

Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare