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Online Resumes with "Preauthorization"



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

Registered Nurse - 22 Years of Experience - Near 65202

Tags for this Online Resume: Medicare, Nursing, Insurance, Managed Care, Assessments, HEDIS, Health Coach, Disease Management, Preauthorization, Utilization Review, Quality Improvement, Quality Review, Medical Record Review, URAC, Case Management, Drug Adherence

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

Licensed Certified Phlebotomy Technician

interesting position that will utilize my skills

Tags for this Online Resume: blood draw, multiline phones, health ins contract interpretation, federal health insurance laws, PC, health insurance preauthorization, health insurance claims processing, Customer Service, Benefits, Medical, Front desk, Intake

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

Featured Profile

Specialty Sales Representative-16 years Experience-Omaha, NE

Highly motivated, specialty sales representative, with a well documented sales history while promoting a variety of therapeutic products within the pharmaceutical and biotechnology markets.

Ideal Companies: Amgen, Genentech, Gilead, Genzyme, Johnson & Johnson, Calgene, Abbott Labs, Aptalis

Tags for this Online Resume: Pharmaceutical Sales, Buy and Bill , Hospital Sales , IV and IM, Omaha, Product Launches, Biotechnology Sales, Pharmaceutical, Sales, Gastroenterology

Billing/Coding Specialist - 0 Years of Experience

17+ years successfully inputting and validating medical claims data and overseeing the use of proper documentation and coding on patients' accounts. Skilled at preparing and submitting clean claims to various insurance companies and performing regular follow-up. Oversee staff of five. Baiance daily receivables and run daily/monthly A/R reports. Coordinate referrals and pre-authorizations. Very positive and proactive approa...

Tags for this Online Resume: Billing, Managed Care, Pediatrics, Receivables, Documentation, Special Procedures, Accounts Receivable, Amazon Elastic MapReduce, Coding, Credentialed

Billing/Coding Specialist - 0 Years of Experience

17+ years successfully inputting and validating medical claims data and overseeing the use of proper documentation and coding on patients' accounts. Skilled at preparing and submitting clean claims to various insurance companies and performing regular follow-up. Oversee staff of five. Baiance daily receivables and run daily/monthly A/R reports. Coordinate referrals and pre-authorizations. Very positive and proactive approa...

Tags for this Online Resume: Billing, Managed Care, Pediatrics, Receivables, Documentation, Special Procedures, Accounts Receivable, Amazon Elastic MapReduce, Coding, Credentialed