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Online Resumes with "Prior authorization "
Business Analyst - 12 Years of Experience - Near 31312
SUMMARY * Over 18 years of professional experience related to Account Management, Project Management, Business Analysis, Quality Assurance and Training backed by a positive attitude, high degree of enthusiasm and passion for success * Proficient in Medicaid and MMIS in subject areas of Provider and Provider Enrollment, Member and Member Enrollment, Claims, TPL, Reference, Prior Authorization and Multipayer * Development, cr...
Tags for this Online Resume: Billing, Consulting, Training, Management, Test Plans, Health Insurance Portability And Accountability Act, Benefits, Business Analysis, Design Specification, Quality Assurance, Claims, Medicaid, Provider, Testing, High Level Requirements, Account Management, Project Management
Pharmacy Technician - 20 Years of Experience - Near 89002
Professional Summary * Primary Care Physician (Kenya, Africa) with 17 years clinical experience. * Pharmacy Technician with 20 years of hospital and retail pharmacy experience. * Pharmacy Technician Instructor at PIMA Medical Institute * Pharmacy Order Entry Technician with excellent data entry skills and telephone etiquette. Detail-oriented and focused on accuracy and efficiency. * Patient Care Advocate/Prior-Authorization...
Tags for this Online Resume: Email, Complaints, General Practice, Medical, OB/GYN, Orthopedics, Surgery, Communication Skills, Data Entry, Health Care Industry, PHARMACY TECH
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
LCSW; SPECIAL EDUC TEACHER 25 Years of Experience - Near 78664
Accomplishments * Created & marketed individual Psychotherapy practice, focused on relationship health through individual behavior. Richelle Y. Easley, LCSW (private practice) * Facilitated multiple services for dropout prevention program. Successfully navigated "the system" in order to keep students in class. Orchestrated mentoring program for students through interns, volunteers, and AmeriCorps members, overcoming challen...
Tags for this Online Resume: LCSW, Counseling , mood disorders , eating disorders , ADHD, parenting, outpatient0, Accounting, Billing, Custody, Facilitator, Microsoft Outlook, Program Manager, Accounting, Billing, Custody, Facilitator, Focus, Insurance, Microsoft Outlook, Program Manager, behavioral therapy, special needs children, trauma therapy, Health insurance, Medicaid
Health and Wellness consultant - 20 Years of Experience - Near 89002
Professional Summary * Primary Care Physician (Kenya, Africa) with 17 years clinical experience. * Pharmacy Technician with 20 years of hospital and retail pharmacy experience. * Pharmacy Technician Instructor at PIMA Medical Institute * Pharmacy Order Entry Technician with excellent data entry skills and telephone etiquette. Detail-oriented and focused on accuracy and efficiency. * Patient Care Advocate/Prior-Authorization...
Tags for this Online Resume: Email, Complaints, General Practice, Medical, OB/GYN, Orthopedics, Surgery, Communication Skills, Data Entry, Health Care Industry, pharmacy
Licensed Nurse
Tags for this Online Resume: Coding, Documentation, Health Care Industry, Patient Care, Treatment Goals, Voice, Medical, Networking, Staffing, Staffing & Recruitment, Appeals for claims, Prior authorization
Business Analyst
SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...
Tags for this Online Resume: Microsoft Visio, VISIO, Integrate, Legacy, Management, Planning, Business Analysis, Business Analyst, Business Requirements, Data Mapping
Business Analyst
SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...
Tags for this Online Resume: VISIO, Microsoft Visio, Business Analysis, Business Analyst, Business Requirements, Integrate, Legacy, Management, Planning, Structured Query Language
Registered Nurse
Profile * More than 15 years of experience in the field of nursing and serving people. * Strong Disease Management and Telephonic Case Management Knowledge base * Integrated Case Management which include prior authorization, concurrent reviews and manage case management * Sharpened skills regarding appropriate Disease Management of Diabetic, Complex and Cardiac clients
Tags for this Online Resume: Management, Benefits, Nursing, Surgical, Trauma, Cancer, Computer Aided Software Engineering, COPD, Dialysis, Disease Management
Registered Nurse
Profile * More than 15 years of experience in the field of nursing and serving people. * Strong Disease Management and Telephonic Case Management Knowledge base * Integrated Case Management which include prior authorization, concurrent reviews and manage case management * Sharpened skills regarding appropriate Disease Management of Diabetic, Complex and Cardiac clients
Tags for this Online Resume: Management, Benefits, Nursing, Surgical, Trauma, Cancer, Computer Aided Software Engineering, COPD, Dialysis, Disease Management
Registered Nurse
Compassionate Registered Nurse with 28 years of experience in various arenas of the healthcare industry. Skilled in providing exceptional care to diverse patient populations with a unique focus on oncology nursing, pediatric nursing and holistic wellness. Experienced patient liaison for various populations particularly skilled in advocating for families with children with special needs.
Tags for this Online Resume: Scheduling, Medical, Oncology, Chemotherapy, Cardiopulmonary resuscitation (CPR), CENTRAL LINES, Office Management, Insurance Prior Authorization, IV Infusion, Phlebotomy, Records Review, EMR Customization, rn, registered nurse, nurse, care, healthcare
Pharmacist
Reorganized structure of compounding department which had more than 40 employees. Processed SOPs for pharmacy compounding practice. * Checked and billed compound prescriptions for pain management patches anti-inflammatory formulations scar treatments and other dermatology compounded drugs Vitamin formulas in capsules. * Trained four technicians to make capsules and to use Profill 100 capsule filling machine. * Reviewed for ...
Ideal Companies: Pharmacist, Community Pharmacy
Tags for this Online Resume: Billing, Dermatology, Insurance, Inventory, Management, Pain Management, Policies and Procedures
