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Online Resumes with "Precertification "
Medical or Health Services Manager - 20 Years of Experience - Near 07087
To obtain a challenging Coordinator position that will utilize my skills such as customer service, scheduling, insurance verification, prior authorization & follow ups. Knowledge on CAHC, JACHO and URAC. February 2017 - Present Empire Specialty Pharmacy West New York, NJ Intake/Prior Auth Coordinator * Obtain referrals from doctors, insurance companies and account representatives * Insurance verification and eligibility * O...
Tags for this Online Resume: Accenture FOUNDATION, Acquired Immune Deficiency Syndrome (AIDS), Coaching, English Language, Sports, healthcare
Director - 15 Years of Experience - Near 19438
QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...
Tags for this Online Resume: Home Health, Computer Aided Software Engineering, Customer Service, Inventory, Managed Care, Management, Inventory management, PEDIATRIC, Benefits, Blue Prints
Medical & Health Services Manager - 15 Years of Experience - Near 33414
PROFILE: ~ More than 20 years of Healthcare Experience~ Energetic, motivated and accomplished Practice Administrator with outstanding organizational skills, expertise in collections, medical office management, staff supervision, sales and medical coding. Accomplishments: * Developed strategic business practices resulting in increased business revenue * Reorganized the practice by building a team of well trained staff member...
Tags for this Online Resume: Medical, Surgical, PACEMAKER, Pacemakers, Back Office, Injections, Venipuncture, VITAL SIGNS, Chemistry, COLI, management
Registered Nurse -16 years expierence in all areas of hospital, nursing home, wants remote work from home position
I am a RN with 16 years of experience in all areas of the hospital including critical care and I have 25 years of experience working in hospital business offices with experience in billing, coding (not certified), Medicare, Medicaid, workers compensation, precertification, denials, case management in rehabilitation.
Tags for this Online Resume: Insurance, Accounts Receivable, Collection, sheets, Coding, ACLS, ADM, Automobile Claim Law Specialist, registered nurse, healthcare
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 19506
Established OB/GYN practice with MD. Office manager. Triage at a 6 MD OB/GYN practice. Writing Rx, ordering and reviewing lab work results. Scheduling add-on clients. Setting up surgical procedure and insurance precertifications . calls scheduling clients medical coding claims. Surgical scheduling insurance precertification. Assisting MD with all in- office surgical and routine visits. Phlebotomy sterilization of instrument...
Tags for this Online Resume: Scheduling, Triage, Medication Administration, Immunization, Surgical, Regulation compliance, CLIA Waive testing, Staff development
Compliance Officer
QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...
Tags for this Online Resume: Home Health, Customer Service, Inventory, Managed Care, Management, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certifications
Case Manager
Qualifications: * AAPC CPC -Certified Professional Coder & ICD-10 Certified * Extensive knowledge in CPT, HCPCS, APGs, DRGs & ICD-9 Coding & ICD-10 * Expert in Outpatient/Inpatient and Multi-specialty including OB/GYN, GI, Ambulatory Surgery * Revenue codes, DRGs, status indicators, medical necessity, authorizations and pre-certification * Participant in Quint Studer 5 pillars in-service (s) Extensive experience in medical ...
Tags for this Online Resume: Audit, Financial, Financial Management, Management, Policies and Procedures, Referrals, Security, Acquisitions, Integrate, Statistics
Licensed Nurse
Qualifications * I am very familiar with the EPIC systems that were put in place a few years back as well as going back as far as paper charting and all the different technology systems placed in between. * I started the Porter Cardiac electrophysiology program from scratch: sitting with the architects, building CDM's, hiring staff, ordering equipment and supplies - from every syringe to the carpet and paint. I was involved...
Tags for this Online Resume: Home Health, Insurance, Life Insurance, Billing, Budgeting, CFO, Computer Aided Software Engineering, EKG, EP, Financial
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
Medical or Health Services Manager - 16 Years of Experience - Near 35133
PROFILE: Highly experienced and dynamic Healthcare and Operations Management Professional skilled in developing programs to decrease medical cost while maintaining quality of care. SKILLS SUMMARY: * Strong leadership skills, leading large multi-location teams of various healthcare professionals * Strategic Planning for new healthcare programs and expanding existing business * Expertise in reviewing medical records for fraud...
Tags for this Online Resume: Services, Billing, Call Center, Disease Management, Management, Medical, Medical Devices, Business Development, Consulting, Protocol
Medical or Health Services Manager
Tags for this Online Resume: Management, Microsoft Word, Word Processing, OB/GYN, Billing, Biopsy, Cancer, Electronic Mail, FACETS, Geriatrics
