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Online Resumes with "Provider Claims "
Quality Assurance Specialist - 15 Years of Experience - Near 91321
Professional Summary: Work Status: Green Card Satya Sakhamuri an Engineering Graduate has 15+ years of I.T experience which includes Software Quality Assurance, Testing, Project Management, Development and Implementation for various complex enterprise applications using the latest technologies. Have Excellent Communication and coordination skills. Experience working with Medical, Pharmacy, Billing, Ecommerce, Health Insuran...
Tags for this Online Resume: Agile, Extensible Markup Language (XML), Software, Structured Query Language, Test, Test Cases, Web, C Programming Language, Quality, Active Server Pages
Business Analyst - 20 Years of Experience - Near 17111
Career Highlights: I have 25 plus years of overall working knowledge of claims processing experience in both a client server and mainframe environment. I deal very effectively with all levels of staff and have excellent organizational and communication skills. I am extremely well organized and can handle multiple tasks and high volumes of data. My accomplishments include: * Accessing several database for data mining to prep...
Tags for this Online Resume: Information Technology, System Analyst, Business Analysis, Business Analyst, IBM DB2 Database, Support, Billing, Call Center, Inventory, Management, sql
Quality Assurance Director - 20 Years of Experience - Near 60440
Summary of Experience An exceptional operations professional with more than 20 years in a healthcare setting. Established and implemented regulatory policies and procedures, quality services and revenue management metrics. Responsible for all provider claims reimbursements, satisfaction and provider contract negotiation functions and oversight. Experienced in payment software, quality audits and technical problems associate...
Tags for this Online Resume: Services, Financials, Management, Behavioral Health, Business Operations, Project Management, Project Manager, director operations, Provider Network, Claims Operation, Healthcare
Paralegal - 16 Years of Experience - Near 80107
Summary Bilingual: English/Spanish with the ability to translate * Reliable, patient and responsible * Ability to multi-task in a fast paced environment and under deadlines * Resourceful problem solver with a reputation of completing tasks with accuracy * Ability to effectively communicate with clients on the telephone, in person and through written correspondence Research Research properties and surrounding conditions to d...
Tags for this Online Resume: Billing, Computer Aided Software Engineering, Accounting, Apple, Claims Adjuster
Business Analyst - 8 Years of Experience - Near 17011
SUMMARY Proactive, self-directed, result oriented Senior Business Analyst with around 9 years of experience in business requirements gathering and analysis, object-oriented design, data modeling, systems development, implementation & administration. * Experience in Business Process Flows and Business Process Modeling (BPM), Business Process Re-engineering. * Proficient in Requirement Management including gathering, analyzin...
Tags for this Online Resume: Business Analysis, Business Analyst, Business Requirements, Integrate, Microsoft SQL Server, Quality, Quality Assurance, Quality of Service, Security, Structured Query Language, sql, agile, software, html, it jobs
Case Manager - Paralegal
Summary Bilingual: English/Spanish with the ability to translate * Reliable, patient and responsible * Ability to multi-task in a fast paced environment and under deadlines * Resourceful problem solver with a reputation of completing tasks with accuracy * Ability to effectively communicate with clients on the telephone, in person and through written correspondence Research Research properties and surrounding conditions to d...
Tags for this Online Resume: Billing, Computer Aided Software Engineering, Accounts Payable, Accounts Receivable, Real Estate, Accounting, Administrative Assistant, Apple, Bilingual, Claims Adjuster
Professional with extensive experience in healthcare revenue cycle management and data analysis.
Driven and determined professional with more than a decade of experience in healthcare-related roles. Background includes managing teams with up to 60 members, as well as guiding long-term, complex projects from start to finish. Solutions-oriented approach and collaborative leadership style helps boost productivity, staff retention, and overall revenue outcomes.
Ideal Companies: Providence Health & Services, MultiCare Health System, Conifer Health Solutions
Tags for this Online Resume: Insurance, Medicare, Billing, Insurance processing, Medical, Medical Records, Accounts Receivable, Managed Care, Management, Data Analysis, Epic, SAP Hanna, Tableau, MySQL
Claims Examiner
Tags for this Online Resume: Audit, Benefits, Customer Service, Research, Technical Research, Management, Compensation, Legal, Managed Care, Medical
