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Online Resumes with "appeals "



Claims Investigator

Career Summary MORE THAN 30 YEARS AT ASSURANT HEALTH/FORTIS/TIME INSURANCE COMPANY. EMPLOYMENT ENDED DUE TO COMPANY CLOSING. POSITIONS HELD: CODING REVIEW ASSOCIATE/PHYSICIAN AUDIT EXAMINER, HEALTH CORRESPONDENT/APPEAL RESOLUTION SPECIALIST, MEMBER SERVICE REPRESENTATIVE, PROJECT COORDINATOR, CORPORATE COMMUNICATIONS ASSISTANT, BENEFIT ASSISTANT, DATA ENTRY CLERK, AND CLOSE CLAIMS CLERK. Accomplishments and Career Highlight...

Tags for this Online Resume: Benefit Specialist, Appeals Specialist, Quality Assurance, Claims Representative, Project Coordinator, Customer Resolution Specialist, Telecommute, Customer Service, Clinical/Code Review, Claim Investigations, Data Support Specialist, Adjustment Specialist

Accountant - 10 Years of Experience - Near 76010

SUMMARY OF QUALIFICATIONS An accomplished professional with experience in many phases of Accounting, seeking a challenging, results-driven opportunity. Customer service oriented and highly skilled in Medicaid Cost Report and Claims acceptance and Appeals. Also, experienced in management and diverse areas of corporate, federal, state, and sales tax return preparation. I am results driven with strong communication skills. Hig...

Tags for this Online Resume: Arlington Texas, Management, Microsoft, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Quick Books, Outlook, Accounting, Bookkeeping, Medicaid Cost Repots, Medicaid Final Settlements, Abila, NLS, Dallas, Fort Worth, Corporate Tax, Sharepoint, BiQuery, Business Objects, Work Flow Processes, Auditor, Data Entry

Litigation Attorney

QUALIFICATION SUMMARY 29+ years of law firm experience including Practice Area Management, as well as Civil and Criminal Jury Trial Experience from investigation through jury verdict. * Practice area management including setting litigation plans, assessing and implementing new performance standards within a practice area team of both lawyer and non-lawyer staff. Creation of new practice benchmarks for the entire team to all...

Tags for this Online Resume: Management, Project Manager, Evaluate, Legal, Litigation, Communication skills

Billing/Coding Specialist

PROFESSIONAL SUMMARY Certified Medical Billing Specialist with 22 years experience in a fast-paced, multiple client medical billing company. Researched and denied claims and submitted appeals. Familiar with health billing and collections.

Tags for this Online Resume: Audit, Benefits, Billing, Cms, Coding, Collection, Collection Procedures, Documentation, Emergency Room, ER

Technician and Shop Manager

•Examine immigration applications, visas, and passports and interview persons to determine eligibility for admission, residence, and travel in the U.S. •Detain persons found to be in violation of customs or immigration laws and arrange for legal action, such as deportation. •Inspect cargo, baggage, and personal articles entering or leaving U.S. for compliance with revenue laws and U.S. customs regulations. •Locate and seize...

Medical Office Manager - 8 Years of Experience - Near 33069

Detail-oriented, dedicated and energetic professional with 10+ years of successful experience. Committed in maintaining a reputation based on customer service, quality, and effective leadership. Currently seeking a position where I can effectively utilize my skills, abilities, and expertise as follows: * Team Lead/Oriented * Supervise/Mentoring * Medicare/Medicaid * Team building/Coaching * Operations Management * Strategic...

Tags for this Online Resume: Complaints, Customer Service, Negotiation Skills, Retention, Team Lead, Call Center, Microsoft, Microsoft Access, Microsoft Excel, Microsoft Office

Billing/Coding Specialist - 7 Years of Experience - Near 37115

Profile Motivated, personable business professional with a successful 10-year track record that demonstrates initiative to achieve both personal and professional goals. Talent for quickly mastering new responsibilities. Accustomed to handling sensitive, confidential records. Flexible and versatile - able to maintain composure under pressure. Thrive in deadline-driven environments. Excellent team-building skills. Skills Summ...

Tags for this Online Resume: Billing, HYGIENE, Vitals, Documentation, Home Health, Licensing, Medical, Medical Billing, Scheduling, Spreadsheet

Human Resources Manager

Accomplishments * Strategically formulated the human resources plans to 100% align with the organization's vision and mission plan * Increased district retention rates by 2% each year by implementing responsive human resources services. * Presented over 50 adult training sessions with 90% positive survey responses. * Resolved 95% of employee relation conflicts saving the district over $500,00 by utilizing positive communica...

Tags for this Online Resume: Benefits, Budgeting, Business Development, Coaching, Communication Systems, Communications, Compensation, Consulting, Employee Relations, Human Resources

Registered Nurse - 20 Years of Experience - Near 43068

Tags for this Online Resume: Documentation, EMR, Health Insurance Portability And Accountability Act, Microsoft Outlook, Audit, Insurance, Medical, Quality, Cancer, Rehabilitation, Case Management, CCM, Appeals, Experienced Work at home