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Online Resumes with "TPA"
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Senior Medical Claims Examiner - 15 Years of Experience - Near 33173
I strongly believe my record as Senior Medical Claims Examiner as well as my Certificate in Medical Billing could be suitable for any position you have related to those skills above mentioned. I have 15 plus years of experience in Health Claim Field for a Medical Insurance T.P.A (Third Party Administrator) in Miami, Florida and, as my enclosed resume illustrates. My line of work in my present job is not only the analysis ...
Tags for this Online Resume: Billing, Coding, Data Processing, Hudson, Medical, Medical Billing, Medical Claims Examiner, Benefits, COB, Medicare
Claims Adjuster - 5 Years of Experience - Near M6E 2H6
Qualification Summary : B.H.M.S - Bachelors of Homoeopathy In Medicine & Surgery. Has knowledge of Homoeopathy as well as Allopathy medicine with all medical terminology. 3 years and 4 months experience as a claim adjuster in Raksha TPA Pvt. Ltd. i.e. Third party administrator company settling mediclaims (Health insurance claims) on behalf of government insurance companies. 2 years experience as a medical officer in a hospi...
Tags for this Online Resume: Audit, Fraud, Insurance, Management, Medical, Vitals, Communication Skills, Government, Health Insurance, Insurance Claims
Biologist - 16 Years of Experience - Near 400615
Profile I am ambitious and driven professional with extensive knowledge of small molecule drug discovery. Have strong scientific background in inflammation and pain area with a new technical and conceptual idea. Have extensive knowledge and expertise in preclinical in-vivo efficacy models of asthma, chronic obstructive pulmonary disease, lung fibrosis, rheumatoid arthritis, inflammatory bowel disease, psoriasis and pain in ...
Tags for this Online Resume: Coaching, Collection, COPD, Evaluate, Integrate, Pharmaceutical, Pharmaceutical Industry, Preclinical Pharmacologist, CFA, Chemistry
Admissions Director
QUALIFICATIONS * 20 year record in sales, training, operations, and insurance experience in market strategies, selling techniques, public speaking, recruiting, management, and training. * A proven sales leader and team player dedicated to results and customer service with clients/ referral sources. * Proven Health Care Sales and Marketing Experience in Home Health, Skilled Nursing, Acute Rehabilitation, Hospice, and Behavio...
Tags for this Online Resume: Home Health, Hospice, Managed Care, Referrals, Skilled Nursing Facility, Integrate, SOC, CHF, COPD, Medicare, Tucson,, Sales and Marketing, Behavioral health, Insurance, 5 Star, HEDIS
Manager - 20 Years of Experience - Near 70433
Tags for this Online Resume: Application Architecture, Application Design, Benefits, Business Management, C# Programming Language, CIO, Cisco, Citrix, Commissions, Strategic Planning, IT Budgeting, Certified Management Development Trainer, Enterprise Infrastrucutre, MVC, C#, SaaS, Azure, AWS, CISO, Incident Response, Disaster Recovery, Project Management
Insurance Sales Manager - 20 Years of Experience - Near 16066
Career Summary Vice President, Neace Lukens, 2007 to 2015 - Facilitated the insurance brokerage firm's expansion into PA with a focus on generating new business both organically and via acquisition. Includes full suite of employee benefit and risk management products and services for commercial accounts. Also responsible for the successful ongoing management of client accounts. Executive Vice President of Sales and Marketin...
Tags for this Online Resume: Account Management, Budgeting, Business Plan, Business Strategies, Business Strategy, Customer Accounts, Financial, Financial Services, Focus, Insurance
Claims Adjuster - 18 Years of Experience - Near 75243
Experienced with Value Stream and Process Mapping. Implemented and managed the revised total loss program, in the Irving and Denver Liberty offices. Achieved significant improvements on rental, storage and salvage processing times. Experience handling Third Party Liability losses for both Operations and Completed operations for Construction, Manufacturing, and Auto Repair facilities as well as other accounts. Managed claims...
Tags for this Online Resume: Management, Property Management, Risk Management, Construction, Customer Service, Manufacturing, Quality, Quality Assurance, Reviews, Training
Chief Executive Officer
Profile: * An accomplished and recognized healthcare/benefits executive with a broad knowledge of current industry trends/landscape. * Skilled presenter with ability to gain rapport quickly with various audiences and develop positive relationships. * Founder and creator of VBS, LLC, in 2005, a leader in voluntary benefits and employee benefit education. Approached/acquired in 2011 by Hub International and became the practic...
Tags for this Online Resume: Investment Services, Management, Marketing Management, Networking, New Business Development, Planning, Publications, Sales, Sales Training, Services
