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Online Resumes with "appeals"
Case Management Manager
Tags for this Online Resume: Nursing, compliance, Management, Patient Care, Rehabilitation, Acute Rehabilitation, Home Care, Managed Care, Medicare, Risk Management, appeals & denials, utilization review
Director - 20 Years of Experience - Near 60622
Profile: Digital expert with deep and broad marketing and leadership experience_________________ I lead organizations through digital transformation, building and developing teams and best practices to most effectively reach and engage customers throughout the buyer journey to build brands, revenues and loyalty. My powerful blend of strengths and skills include: u Strategic breadth: 20+ years of agency and client-side exper...
Tags for this Online Resume: Advertising, Banking Industry, Call Center, Consulting, Content Management, Email, Management, Messaging, Program Manager, Publishing
Credit Analyst - 20 Years of Experience - Near 20151
Areas of Expertise: * Mortgage Loan Underwriting * Risk Identification & Mitigation * GSE Repurchases & Appeals * Team Leadership * Auditing & Quality Control * Fraud Investigation * Due Diligence * Analysis & Problem-Solving * SAR Reporting * Anti-Money Laundering * Guidelines & Regulations * Workshops & Training Sessions
Tags for this Online Resume: Conventional Mortgage Loan Underwriter, Documentation, Mortgage Fraud Investigator, Experienced Team Lead, Equity, Research, Suspicious Activity Report, MI Underwriting, Quality Control, Capital markets
Admissions Director - 20 Years of Experience - Near 63122
SUMMARY I am an enthusiastic, self-motivated, highly trained healthcare management professional providing the highest quality of housekeeping and linen management services to the healthcare industry. I possess highly effective interpersonal skills, with a major emphasis in directing, managing and training housekeeping personnel. I'm experienced in integrating housekeeping services that included round-the-clock supervision b...
Tags for this Online Resume: SAFE (Slab Analysis by the Finite Element Method), Consulting, Nursing, Obstetrics, Surgery, Hazardous Waste, Housekeeping, Services, Quality, Benefits
Admissions Director - 14 Years of Experience - Near 76017
EXPERIENCE A manager who is goal-oriented DIRECTOR OF OPERATIONS * ACUITY REVENUE CYCLE MANAGEMENT * and understands/excels in JUNE 2016 - PRESENT revenue cycle management. With the ability to encourage Reported directly to CEO Responsible for operational activities Goal staff and promote company setting Planning and monitoring the day/day business Work accounts financial growth. when needed and resolved follow-up appeals ...
Tags for this Online Resume: Billing, Coding, Compliance, Health Insurance Portability And Accountability Act, HIPAA compliance, Insurance, Management, Microsoft Office, Microsoft Outlook, Surgery
Manager
Experienced with Health Maintenance Organization complaint, grievance and appeal processes. Implemented Workforce management technology for call center staffing. Developed and designed monthly reports that depicted key Customer Service and Mail Center Indicators for Senior Management and the Board of Directors at MDNY Healthcare. Worked with the IT department to design and develop an in-house system to track customer calls ...
Tags for this Online Resume: Purchasing, Quality, Quality Assurance, Staffing, Staffing & Recruitment, Strategic Planning, Test, TQM (Total Quality Management), Workforce Management, Written Communication Skills
Administrative Assistant
PROFILE More than 25 years of office management experience at architectural firms, non-profit and academic settings who is comfortable being the 'go to' person for anything related to the smooth running of an office. Excellent organizational, communicative and interpersonal skills utilized in coordinating office activities with a proactive and flexible approach to judging many different priorities. A creative individual who...
Tags for this Online Resume: Management, Database, Autocad, Autodesk AutoCAD, Surveying, Billing, Distribution, Logistics, Payroll, Public Relations
Lawyer - 10 Years of Experience - Near 07086
Tags for this Online Resume: NYC, New York, Customs, Trade, Litigation, Administrative Law, Copyright, Intellectual Property, Insurance, Business, Commercial, contracts, westlaw, lexis, appeals, litigation, courts, moot court, civil litigation, commercial litigation, due diligence, contract negotiation, licensing, public speaking, securities, medical malpractice, property and casualty, trials, litigation management, regulatory compliance, legal compliance, administrative law, litigation research, legal writing, legal research
Case Manager - 6 Years of Experience - Near 01033
To obtain a position that will showcase my skills and diverse background in the healthcare industry while allowing my continued professional growth and goal attainment within the company's vision. Background Qualifications: -Detailed oriented, with extensive experience in case management at the Ltach and SNF levels of care -Ability to work in high stress positions dealing with peers, patients, families, medical staff, and p...
Tags for this Online Resume: Dialysis, Management, Pulmonary, Utilization Management, Insurance, Medicare, Assessments, Documentation, Marketing Management, Referrals
Digital Strategist, Solution Architect, Marketing Technologist, Entrepreneur, Leader, Adviser, Investor
Highly skilled, hands-on technical marketing professional with passion for brand building and proven track record shaping corporate vision and direction. In-depth expertise taking conventional approaches into solutions that are measurable, scalable and aligned to organization's strategic vision for growth. Develop strategic approaches to strategies, create and implement integrated multi-channel marketing plans that are data...
Ideal Companies: IBM, Facebook, Google, Startups, Apple, Oracle
Tags for this Online Resume: Management, ROI, Marketing Management, Technical Marketing, Digital Stratgey, CRM, Salesforce, Reporting, Leadership, CMS, Social Media Marketing, SEO, SEM, Analytics, KPI
Quality Coordinator
To apply for a position in appeals, medical record review, or concurrent review
Tags for this Online Resume: Internal Auditor, Medical, Medical Records, Medicare, Medical appeals, utilization review, concurrent review
Lawyer - 19 Years of Experience - Near 28106
Areas of Expertise & Specialization * Administrative Law * ALTA Certified Spanish * Bankruptcies, Foreclosures, Liquidations & Collections * Civil, Commercial & Criminal Litigation * Catalyst E-Discovery Platform Contracts * Criminal Law * E-Discovery * EZ Filing & CIN Compass * Finance & Tax Legislation * Immigration Law * Legal & Legislative Procedure Legal Research * Legal & Legislative Procedure * Mediation & Negotiatio...
Tags for this Online Resume: Litigation, Legal, Bankruptcy, Banking Industry, Spanish, Contract, E discovery, Bilingual
