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Online Resumes with "appeals "



Director - 15 Years of Experience - Near 19438

QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...

Tags for this Online Resume: Home Health, Computer Aided Software Engineering, Customer Service, Inventory, Managed Care, Management, Inventory management, PEDIATRIC, Benefits, Blue Prints

Executive with 2 decades of Creating Original Tv formats and Content, plus Director of Art and Physical Production across all Media Platforms.

To continue making valuable, smart and informative content world wide, while cleverly delivering appealing creative matched with award nominated imagery!

Lawyer - 20 Years of Experience - Near 19341

I am searching for an opportunity which will allow me to grow and which I can contribute my knowledge and experience

Tags for this Online Resume: Management, Civil Litigation, Custody, Family Law, Litigation, Workers Compensation, appeals

Registered Nurse - 20 Years of Experience - Near 78410

COVER LETTER: Dear Perspective Employer , I am writing to you today because I am interested in working for your organization. I have been a dedicated, skilled and qualified case manager with 20+ years of extensive experience in providing quality, patient-centered care in the home, hospital and nursing home setting. Solidly credentialed and diversely experienced with comprehensive guidelines and regulations. Looking for a ch...

Tags for this Online Resume: Wound Care, Insurance, IV Therapy, Therapy, Computer Aided Software Engineering, Cancer, Quality Assurance, Scheduling, Test, healthcare

Editor - 20 Years of Experience - Near 20910

Hiram is an experienced journalist, with an extensive track record of innovation and success. He has created print and web news outlets, including a vibrant technology section for The Roanoke Times a website for Newsmax Media called "The Wire, " which quickly got thousands of hits and he revamped B'nai B'rith Magazine, making it more appealing to a millennial audience, thereby increasing its circulation by the hundreds. Hir...

Tags for this Online Resume: Environmental Issues, Publications, Data Mining, Management, Mining, Wireless, climate change, senior editor

Registered Nurse - 13 Years of Experience - Near 61822

SUMMARY Accomplished Masters prepared nurse with more than 13 years of extensive clinical and leadership experience with a focus on exceptional quality and service standards. Recognized as a natural leader and valued member of the interdisciplinary team with the ability to collaborate and make meaningful connections with patients, families, and colleagues. Seeking a new opportunity to apply my knowledge, experience, and ski...

Tags for this Online Resume: Rehabilitation, Benefits, Inpatient Rehabilitation, Insurance, Managed Care, Medicare, Referrals, Software AG Natural, Strategic Planning, Team Development, MSN, Telecommute, Nurse educator, Utilization Management, registered nurse, nurse, healthcare, Regulatory compliance, Appeals

Manager - 10 Years of Experience - Near 46582

QUALIFICATIONS AND BACKGROUND Over ten years of progressive responsibility in: Managing Departments Supervising Teams Confronting Change Explaining Expectations Improving Merchandising Performing Disciplinary Review SELECTED ACHIEVEMENTS MANAGED DEPARTMENTS to improve overall profitability. Interviewed, hired, arranged training, evaluated performance, motivated, supervised, and terminated individuals as needed to maintain a...

Tags for this Online Resume: Management, Merchandising, Science, Inventory, Inventory Control, Buying, Retail

Document Analyst - 10 Years of Experience - Near 28277

CAREER HIGHLIGHTS A highly proficient and experienced individual with over 7 years of a successful professional record in customer service, administration and project management roles in finance and banking industries, and in a variety of business environments. Driven and energetic individual with the exceptional communication, organizational, management, and people skills. Proven business expertise in Administration, Manag...

Tags for this Online Resume: Banking Industry, Benefits, Credit Cards, Customer Service, Documentation, English Language, Financial Industry, Charlotte

Featured Profile

Lawyer - 15 Years of Experience - Near 11960

SUMMARY Real Estate and Transactional Attorney. Specialize in both residential and commercial properties in the areas of buying, selling, leasing and financing. Known for negotiation acumen, for achieving quick and accurate contract turnaround and for building and retaining client and business referral relationships. Authored one of the first theses for the transfer of development rights and land development/preservation on...

Ideal Companies: Cadwaller Wikersham Taft

Tags for this Online Resume: Real Estate, Buying, Deposits, Drafting, High Net Worth, Civil Litigation, Community Development, Compliance, Criminal Defense, Defense, Leader, Analytical, Attorney, Banking, Title, Closer, Negotiator

Medical Office Manager - 10 Years of Experience - Near 30305

An accomplished Healthcare Practice Manager with a proven track record for building and leading teams that enabled revenue growth. A results oriented accomplished executive with a broad background in business healthcare and human services with operational and administrative expertise. Significant experience in single and multi-service practices urgent care and inpatient facilities. Broad knowledge of healthcare hospice util...

Tags for this Online Resume: Billing, Documentation, Medical, Medical Billing, Medical Records, Medicare, Receivables, 100% Travel, Accounts Payable, Accounts Receivable, healthcare, Trainer, EPIC Trained, Healthcare Management, Healthcare Revenue Cycle, Team Building, physical therapist

Lawyer - 18 Years of Experience - Near 92009

SUMMARY Performance driven attorney with extensive experience in military trial defense, legal assistance and administrative law. Operates own practice in all areas of family law, including divorce, child custody, and mediation. Over 15 years of experience developing sophisticated strategies to appeal security clearance denials. CORE ACCOMPLISHMENTS Operations Management * Developed and managed law firm with two offices ear...

Tags for this Online Resume: Management, Defense, Human Resources, Legal, Payroll, SAN (Storage Area Network), Wills, Family Law, Security, BAR

Quality Coordinator - 18 Years of Experience - Near 11356

To get started right away and make a difference. I have been in the claims insurance and customer service field for over 24 years. I am a self starter with common sense and considered a team player and by the book.

Tags for this Online Resume: Troubleshooting, Billing, Coding, Managed Care, Management, Medical, Medical Billing, Microsoft, Medical Review, Appeals Specialist, Claims Processing, Negotiator for Hospital Claims