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Online Resumes with "appeals"
Claims Investigator - 2 Years of Experience - Near 08618
To utilize my experience in a challenging position and to grow as an individual contributor in a successful organization. 2016-11 - 2018-03
Tags for this Online Resume: Customer Service, Insurance, Audit, Benefits, Complaints, Documentation, Drafting, Health Insurance Portability And Accountability Act, Management, Medicare, Appeals
Lawyer - 13 Years of Experience - Near 78733
Experience attorney looking for new and challenging opportunity to further grow and develop my skills and advance my career.
Tags for this Online Resume: Fraud, Insurance, Real Estate, Construction, Infrastructure, Licensing, Reliability, Statutory, Telecommunications, Utilities, austin, litigation, appeals
Human Resource Labor Relationship Specialist - 20 Years of Experience - Near 08054
Qualifications for Employee Relations/EEO Officer Investigated discrimination claims and directed remedial action for 16 years in preparation for trial. Lead the settlement of disputed claims of discrimination for less than 50% of their initial assessed risk value. While representing management and employees in employment law case in litigation achieved a 93% success rate. I am looking for a non-litigation position where I ...
Tags for this Online Resume: ADA, Ada Programming Language, Benefits, Complaints, Computer Aided Software Engineering, Employee Relations, LESS, Litigation, Management, employee relations, human resources, recruiter
Home Health Care Administrator at Medicare Certified Agencies with Managed Care xperience -20 years
SUMMARY Home health experience encompassing single and multi-site operations, clinical practice, quality improvement, compliance and education in multi-site and multi-state locations. Experience with profit and not-for-profit agencies, hospital/facility based and free standing agencies. Experience with business and clinical operations and development. Expertise in: Agency turnarounds, audit functions, accreditation surveys,...
Tags for this Online Resume: Medicare, Compliance, Quality, Quality Assurance, Surveys, Consulting, Management, Quality Management, rn, care, registered nurse, nurse, healthcare, operations, administrator, director, managed care
Admissions Director - 9 Years of Experience - Near 91387
Summary of Qualifications: Over 10 years of Director experience in claims, regulatory and compliance, appeals and provider dispute resolution, recoveries and cost containment. Employee with excellent customer service, interpersonal, organizations and analytical faculties, a highly dedicated and capable employee, who works well both independently and as a component of a team.
Tags for this Online Resume: Audit, Policies and Procedures, FACETS, Outsourcing, Cms, Coding, Management, Medicare, Quality, Quality Assurance
Commercial Appraiser - 20 Years of Experience - Near 38125
Professional Summary Driven and energetic Commercial Appraiser with 31 years of experience in real estate. Highly adept at building excellent working relationships with real estate agents, lenders, appraisers, title companies, surveyors and attorneys. Accomplished in contractually representing clients in all manners of purchasing, selling, procurement, leasing residential and commercial real estate properties. Certified Gov...
Tags for this Online Resume: Commercial Construction, Construction, Appraisals, Inventory, Quality, Property Appraisals, Property Tax, Reviews, Sales, Applications, Inventory Control, Negotiator
Registered Nurse - 20 Years of Experience - Near 95670
Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...
Tags for this Online Resume: Compliance, Management, Quality Management, Assessments, Medical, Medicare, registered nurse, healthcare, Managed Care, Utilization Management
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
Lawyer - 20 Years of Experience - Near 90064
Summary I am a Tax Attorney at Brager Tax Law Group, a P.C. I handle civil and criminal tax controversy administrative practice and litigation, including audit defense, criminal defense, and collection matters. I represent business entities and individuals before federal and state taxing authorities, including the IRS, Department of Justice, United States Attorney's Office, California State Board of Equalization, California...
Tags for this Online Resume: Litigation, Defense, Bankruptcy, Collection, Complaints, Federal Tax, Audit, BAR, Criminal Defense, Insurance
Paralegal - 20 Years of Experience - Near 84107
Experienced with prioritizing meeting requests and related logistics, coordinate travel arrangements and process expense reports. * Strong analytical capabilities and judgment * Compose, edit, copy, and distribute a variety of internal and external written communications, reports, visual aids, and presentations to opposing counsel, clients, witnesses, etc. * Draft legal documents including pleadings, interrogatories, jury i...
Tags for this Online Resume: Filing, Administrative Assistant, Litigation, Bankruptcy, Computer Aided Software Engineering, Entertainment, Research, Wills, Criminal Defense, Legal
Lawyer - 13 Years of Experience - Near 78733
Areas of Expertise Administrative Appeals ( Utility and Energy Law ( Environmental Enforcement Matters ( Construction Law ( Commercial Litigation ( Insurance Coverage Defense
Tags for this Online Resume: Fraud, Insurance, Real Estate, Construction, Infrastructure, Licensing, Reliability, Statutory, Telecommunications, Utilities
Application Support - 10 Years of Experience - Near 76065
SUMMARY Hardworking, determined and appealing pioneer professional with over 11-years of technical experience seeking a mid or senior level System Support / Information Technology position within an organization where intelligence, dedication, long-term commitment, desire to learn, and a passion for the occupation would be required.
Tags for this Online Resume: Software, Troubleshooting, AT&T, Support, Technical Support, Servers, System Testing, Wireless, java, SDLC, Office 365, Microsoft Admin Center, Active Directory, Voip, Exchange Server, TCP/IP
