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Online Resumes with "appeals "



Executive Director

SUMMARY Executive leader with excellent administrative, communication, relational, and motivational abilities. Recognized for accomplishments in for-profit settings and non-profit mission oriented environments with highly invested participation in management, marketing, sales, fundraising and development, public relations and community events. Increased client satisfaction and directed major expansions of networks and fisca...

Compliance Officer - 8 Years of Experience - Near 77027

Areas of Expertise: Regulatory Compliance (EAR, ITAR, OFAC, etc.) - Customs Relations - International Trade - Supply Chain Management Cost Controls - Project Management - Distribution Strategies -Team Building & Leadership - Lean Material Flow Negotiations - Customer Service - Inventory Control - Process Improvement - Policy Development - Strategic Planning Select Career Highlights * At Oceaneering International, managed an...

Tags for this Online Resume: Network Infrastructure, Automotive, Logistics, Supply Chain, Distribution Strategies, Sourcing, Regulatory Compliance, Inventory Control, International Trade, Oil & Gas, Project Management, Team Building & Leadership, Process Improvement, Customer Service, Cost Controls

Claims Investigator - 10 Years of Experience - Near 07823

PROFESSIONAL SUMMARY: Core Qualifications: * Proficient in data management, web applications, Microsoft Office suite including Excel, Power Point, Publisher, Adobe Suite and other specialty specific software applications * Accomplished in medical claim verification of coverage, denial and appeal processes * Facile in coordination of post-acute care patient needs * Skilled in all aspects office management, including scheduli...

Tags for this Online Resume: Denials, Billing, Claims, Financial Services, Compliance, Managed Care, Recoupment, Investigation, Insurance, Appeals, Regulations, Hackettstown, NJ

Medical Office Manager - 20 Years of Experience - Near 90041

Tags for this Online Resume: Claims Auditing, Billing & Collections, Management, Medicare & Medicaid, Authrizaions / Pre-Certifications, Claims Reconciliations, Appeals & Grievance, WC Compensation Negociations, Appeals, Financial Analyst, Contract Specialist, Quality Assurance, Medical- Legal

Federal Government - 20 Years of Experience - Near 60544

Managed Responsible for the solicitation, negotiation, administration, close-out, and termination of purchase orders and contracts using procedures outlined in the Federal Acquisition Regulations, VA Acquisition Regulations, Public Laws, and Agency policy. Develop, implement, and review contracting plans for pre-award, post-award, price/cost analysis and a wide variety of procurement activities. Responsible for recommending...

Tags for this Online Resume: Procurement, Acquisitions, Contracting, Documentation, ECMS, Market Research, Research, Planning, Solicitations, Architectural, Negotiations, Contract Administration

Electrical Engineer - 9 Years of Experience - Near 34787

Seeking stable employment with a company that possesses an excellent reputation in the market place and conducts its business with honesty and integrity. Company cultures of employee appreciation displayed by comprehensive benefits are important to me. The opportunities for personal growth and advancement through job experience and/or specific training classes have great appeal to me.

Tags for this Online Resume: Troubleshooting, Audit, Autocad, Autodesk AutoCAD, Communications, Compressors, Construction, Cyber, Data Entry, FANUC

Lawyer - 20 Years of Experience - Near 44077

Tags for this Online Resume: Civil Litigation, Criminal Defense, Defense, Document Review, Litigation, Appeals

Chief Financial Officer - 20 Years of Experience - Near 46814

CAREER SUMMARY Financial executive with significant experience with high quality companies. As a manager and leader developed extensive experience and expertise including: Financial & Managerial Reporting Debt Financing Insurance and Risk Management Loan Workout Operations Review Investment Strategies Partnership Structuring Disposition of Assets Capital Planning Cash Management Employee Benefits Property Management Acquisi...

Tags for this Online Resume: Accounting, Finance, Banking Relationships, Payroll, Employee Benefits, Financial Analysis, Audit, Real Estate, Budgeting, Forecasting, Financial Statements, Insurance

Claims Examiner

Insurance Completed various forms such as accident reports, trial and courtroom requests, and applications for clients. Draft and type office memos, schedule and make appointments, receive and place telephone calls. Attend legal meetings such as client interview/depositions and take notes. Prepare and process legal documents and papers such as summonses, subpoenas, complaints, appeals, motions and pretrial agreements. Assis...

Tags for this Online Resume: Compensation, Benefits, Claims Adjuster, Workers Compensation, Integrate, Management, Risk Manager, Training, Customer Service, Complaints

Featured Profile

Lawyer - 20+ Years of Experience - Near 01960

Versatile Attorney with over 20 years of experience encompassing corporations, real estate, litigation, and estate planning. Highly motivated to utilize extensive legal knowledge, experience, and education to obtain a position with a company or organization that fosters dedication to their clients and the law. Well versed in drafting and negotiating corporate legal documents and agreements, commercial and residential leases...

Ideal Companies: In House Attorney

Tags for this Online Resume: Boston Area, Legal Counsel, Litigation, Real Estate, Contracts, Experienced, Drafting, Estate planning, Corporate, Bankruptcy

Billing/Coding Specialist

SUMMARY OF QUALIFICATIONS Over 25 years experience in position of increasing responsibility, including more than 8 years in intensive care, and cardiac care unit More than 8 years experience in emergency medicine and ICU. Five years experience working as CDI More than 8 years experience as Manager One and half year experience in doing Rac denial appeal and success rate is over 78% Solid experience in administration in prima...

Tags for this Online Resume: Documentation, Management, Surgical, Emergency Room, ER, Coding, Medical, Query, Audit, Cardiology

Educational Administrator - 16 Years of Experience - Near 99354

SUMMARY OF QUALIFICATIONS * High energy, life long learner who thrives in an every evolving environment. * Experienced in delivering training using "Understanding by Design" which is a "Systematic Approach to Training" encompassing all phases include analysis, design, development, implementation, and evaluation. * Administrative management experience in strategic planning, monitoring, e xecution, and evaluation. * Experienc...

Tags for this Online Resume: Document Control, Evaluate, Leadership, Management, Microsoft Exchange, Microsoft Internet Explorer, Monitoring, Planning, Public Sector, SAFE (Slab Analysis by the Finite Element Method)