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Online Resumes with "appeals"



Project Manager - 20 Years of Experience - Near 78052

Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...

Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager

Quality Coordinator - 20 Years of Experience - Near 11590

Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...

Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills

Billing/Coding Specialist - 15 Years of Experience - Near 01571

Summary I would like to offer services for practices or facilities that are need of assistance. I would be willing to work remotely as I do not wish to leave my current practices. I am the Director of Billing for three multi-specialty medical groups for the past 11 years. These practices specialize in Internal Medicine, Infectious Disease, Sports Medicine and Gastroenterology. I've been a requested consultant for numerous s...

Tags for this Online Resume: Billing, Medical, Accounting, Accounting Functions, Amazon Elastic MapReduce, Attention to Detail, Balance, Coding, CT, Database

Claims Examiner - Medicare Appeals&Grievance SME - Near 85249

Tags for this Online Resume: group health benefits, investigator, insurance

Billing/Coding Specialist - 7 Years of Experience - Near 10001

I am immensely qualified to perform the job duties expected of this role. I have over nine years of experience working in the healthcare industry. I've worked on both sides of the aisle, from advocating for international patients, to representing hospitals and reducing their aging accounts. I have experience with managed care appeals, as well as working with clinicians to get clinical appeals overturned, or paid at a lower ...

Tags for this Online Resume: Complaints, Cms, Compensation, Documentation, Insurance, Audit, CERNER, CFO, Coding, ICD-9

Food Preparation Worker - 8 Years of Experience - Near 37013

Experience Summary Over twenty years of restaurant and food & beverage related industry experience - culinary creations as well as service and staff development, concept definition and formation, E-commerce food and beverage sales.Expertise in the capacity of restaurant general manager, food and beverage manager, director of outlets, service and development manager, culinary manager, owner and executive chef. Fresh Chefs Na...

Tags for this Online Resume: Chef, Budgeting, Business Plan, CMA, Consulting, Cost Control, e-Commerce, FACETS, Forecasting, Inventory, district manager, director of oprations

Navy - 20 Years of Experience - Near 92675

SUMMARY A transitioning senior Navy officer who combines extensive leadership experience with a multi-domain (SAP/SCI/Collateral) program security background. Eager to leverage my background and skills in a challenging program security environment. SECURITY MANAGEMENT EXPERIENCE Uniformed Member, Secretary of the Navy's Personnel Security Appeals Board, Sep 2014 - Jul 2017 * One of three members of the Department of the Nav...

Tags for this Online Resume: Dec, Leadership, Management, Physical Security, Planning, Research, Research and Development, SAP, Security, SSO

Property Site Manager - 10 Years of Experience - Near 21209

Summary of Qualifications Results-driven, dedicated, and highly qualified Property Manager with 10+ years related professional experience. Solid analytical, communication, interpersonal, and leadership skills. Adept at managing daily property operations, maintaining high levels of customer satisfaction, and devising methods to improve curb appeal and optimize property exposure. Currently seeking a position which will effect...

Tags for this Online Resume: Accounting, Collection, Collection Procedures, Generate Reports, Leadership, Management, Property Management, Real Estate, Rehabilitation, Retail, grounds, building maintenance, real estate, hvac, appliance repair, maintenance, epa, Supervisor

Human Resources Administrator - 11 Years of Experience - Near 33612

Summary A dedicated and forward-thinking human resources leader with a demonstrated track record of experience in employee relations, recruiting and hiring, performance management, on-boarding/off-boarding, job postings, and continuous improvement. Monitors all applicable local, state, and federal laws and ensures compliance. Proven aptitude for maintaining strict confidentiality while implementing effective solutions to dr...

Ideal Companies: FL - Tampa/St. Petersburg

Tags for this Online Resume: Applications, Benefits, Cobra, Complaints, Compliance, Employee Relations, Human Resources, Management, Policies and Procedures

Billing/Coding Specialist - 20 Years of Experience - Near 80205

Professional Summary: Healthcare Professional seeking a challenging and rewarding position that will utilize my knowledge and experience, as well as offer opportunies for growth and advancement. Summary of Qualifications: * Over 10 years Healthcare/Revenue Cycle Management * Over 20 years experience in Healthcare Administration * Management PPO and PIP Claims Department Call Center * Extensive Provider Relations and Custome...

Tags for this Online Resume: Customer Service, Call Center, EDI, Electronic Data Interchange, Insurance, Inventory, Policies and Procedures, Coding, Data Entry, Distribution

agency owner, B&B owner - Dallas/Ft. Worth - national clients, Salado, TX

COVER LETTER: Marketing and Publication Thoughts I view this job as a challenge - I think of a tiny acorn. It may become a mighty oak or not. In the process of development each minute, hour, day, drought, rain cloud or severe storm could affect the life of that sprout as it roots and grows. Countless things had to happen for every branching tree and living thing to grow successfully - whether by publishing or some other peo...

Tags for this Online Resume: Video, Advertising, Publications, University Relations, Public Relations, Management, Publishing, Scheduling, Tourism

Medical or Health Services Manager - 20 Years of Experience - Near 85303

Find a position within the health care field that will utilize all my skills as a claims/reimbursement specialist supervisor. Specializing in collections, and Private and government appeals for review. Utilizing and enhancing my medical terminology and clinical skill set for a long term position with your company. Also towork with audits hospice billing coding and reviews. Thorough knowledge of Facility/UB billing as well. ...

Tags for this Online Resume: Audit, Inventory, Inventory management, Management, Project Management, Cms, Pricing, Billing, Desktop Computer, Fraud, physical therapist, care, physical therapy