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Online Resumes with "Verification "



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

Billing/Coding Specialist - 20 Years of Experience - Near 33316

Experienced with Thoracic * HIPPA compliance Surgeons Ivor Lewis, Lung * Insurance eligibility Verification Resections Vats Procedures * International Classification of Chamberlains Diseases (ICD.9CM) Experienced with Vascular * Medical Billing Surgeons Tevars, Evars, Open * Experience with Whipple ANERYSM repairs, Vascular Procedures, Puestow Stents, Angioplasties, Av Procedures, Rouen-en-Y Fistulas, Chimmney Stents, proce...

Tags for this Online Resume: Medical, Emergency Room, ER, Surgical, Billing, Coding, Communication Skills, Critical Care - Vascular, Data Entry, Encoder, general surgery coding,remote medical coder

Quality Assurance Specialist - 7 Years of Experience - Near 48307

Professional Summary: * Over 7 years of industry experience as a QA Engineer with solid understanding of Manual Testing and 2 years of Automation testing. * Performed Web Application and Web Services testing in the Automotive, Application using Selenium, Testng. * Strong understanding of QA principles, QA processes use cases and software development life cycle (SDLC) such as Waterfall Model, AGILE (SCRUM). * Expertise in pr...

Tags for this Online Resume: Agile, Management, Test, Test Cases, Test Plans, Acceptance Testing, JIRA, Linux, Microsoft SQL Server, Structured Query Language, java, linux, it jobs, c#, agile, html, software, javascript, sql, c++

Life Scientist - 20 Years of Experience - Near 60559

Tags for this Online Resume: trial, pharmaceutical, clinical, protocol, validation, verification, project, management, regulatory, pcr, immunoassay, automation

Electro-mechanical Engineer - 20 Years of Experience - Near 94525

SUMMARY OF EXPERIENCE: Electro-Mechanical Design Engineer with over 20 years experience in electro-mechanical design/drafting, verification and validation. Proficient in Pro-E Wildfire 4.0 ( Pro/E-piping and Pro/E-cabling, Pro/E-RSD) Proficient in SolidWorks, CATIA V5, AutoCad. Proficient in Creo and Zuken E3 Designed various types of enclosures, sheet metal brackets and machine parts. Knowledgeable in electrical and mechan...

Tags for this Online Resume: Management, Packaging, Rf, Satellite, Autodesk AutoCAD 13, CAD Tools, Military Standard, Procurement, Pc, Personal Computer

Quality Assurance Specialist - 7 Years of Experience - Near 08817

Experience Summary * 7+ years of professional experience with proven abilities in Software Quality Assurance and Software Testing of Client-Server and Web applications. * Extensive experience in backend Testing of Medical and Pharmacy claims, EDI transactions 837 (Institutional, Professional, and Dental), 834 (Enrollment), 835, 270, 271 276 and 277 - X12, XML and NCPDP. * Experience in interacting with business analysts, st...

Tags for this Online Resume: Software Quality Assurance, Software Testing, Test, Structured Query Language, EDI, Electronic Data Interchange, Oracle, Test Cases, Unix, Applications, agile, software, html, it jobs, sql, javascript

Educational Administrator - 20 Years of Experience - Near 33312

PROFESSIONAL SUMMARY: Higher Education in Admissions/Marketing/Financial-Aid Innovative professional with strengths in admissions, marketing and financial-aid. Career includes experience in developing strategic plans, growing profitability and maintaining productive relationships with upper management. Collaborative team leader focused on fostering clarity of purpose, mentoring the team, and ensuring accountability to effec...

Tags for this Online Resume: Cash Flow, Compliance, Financial, Financial Aid, Leadership, Management, Marketing Management, Policies and Procedures

Database Administrator - 8 Years of Experience - Near 22192

Experienced with Business Intelligence in MS SQL Server 2005/2008/2012 in SQL Server Reporting Services and SQL Server Integration Services. * Expert in Database Design activities including Data Files and File group organization, Capacity Planning, Data partitioning and Data Normalization. * Experience in capacity planning, performance tuning, and disaster recovery and troubleshot performance issues. * Extensive experience ...

Tags for this Online Resume: Database, Microsoft SQL Server, Dba (Database Admin), Structured Query Language, Business Contingency Planning, Data Modeling, Disaster Recovery, Engineering, Modeling Experience, Monitoring, sql

Claims Adjuster - 18 Years of Experience - Near 77584

Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...

Tags for this Online Resume: Complaints, Fraud, Policies and Procedures, Documentation, Management, Claim Processing, Data Quality, Protocol, Quality, Quality Assurance, insurance

Electronics Engineer - 20 Years of Experience - Near 91326

Professional Summary Accomplished Project Manager Professional (PMP), and RF Microwave System Engineer with extensive leadership and management experience in definition, design, development, review, verification, and delivery of RF Microwave Antenna front-end Telecommunication Systems & multi-mission embedded real-time control software systems within project planned scope, schedule, budget, and quality baselines, successful...

Tags for this Online Resume: Los Angeles, RF UWV System Engineer & Project Manager. RF Microwave Antenna front-end Systems & multi-mission embedded real-time control software systems. Earn value Management, Quality Assurance, Test, Telemetry, Budgeting, SDLC, SDLC (Software Development Life Cycle), Software, Software Development, Distribution, Technical Project Manager and RF UWV System Engineering

Principle / senior programmer / scientist - 20 Years of Experience - Near 98004

Professional Summary: Experienced software development professional with excellent technical, analytical and communication skills demonstrated by successful completion of numerous application software products implemented in medical device development, including cardiac monitoring and resuscitation products, from concept through implementation and final FDA submission and acceptance testing. Articulate and innovative resear...

Tags for this Online Resume: Documentation, User Documentation, VITAL SIGNS, Cardiac Monitoring, Data Analysis, Monitoring, Software, Test, Medical, Medical Devices, algorithm, scientific, FDA, Concept to V&V Testing, Innovative, imaging, ultra sound, signal processing

Quality Supervisor - 18 Years of Experience - Near 11434

SUMMARY A professional Quality Control and Quality Assurance Engineer/Specialist with 9 years of experience implementing and improving quality management systems/ programs to support Manufacturing, instrumentation, Validation, and processes Quality Management Systems and Information Management Systems Qualification Summary: Quality Assurance (manufacturing) * Experienced in ISO 9001 and ISO 13485 standards to ensure that pr...

Tags for this Online Resume: Quality Assurance, Test, Database, ISO, Management, Manufacturing, Procurement, Quality, Quality Control, Quality Management, manufacturing, production