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Online Resumes with "appeals"
Medical or Health Services Manager - 20 Years of Experience - Near 32174
SUMMARY * 30 years in healthcare with thorough knowledge of ICD-10-CM, ICD-10-PCS and CPT coding for hospital and physician reimbursement, including Medicare and Medicaid regulations * Successful with hospital and physician coding and billing denials and appeals * Performed monthly MS DRG and APC audits and coding education internally * Successful appeals of MS DRG and APC denials from insurance companies * Successful devel...
Ideal Companies: Hospitals, colleges, university.
Tags for this Online Resume: Documentation, Management, Coding, Data Quality, Quality, Quality Assurance, Quality Management, CCS, Audit, Billing, coding, Health Information, Online Health Information Management Coding Jobs
Lawyer - 13 Years of Experience - Near 77008
Cases -Successfully appealed summary judgment granted against plaintiff-appellant's wrongful termination based on discrimination of National Origin-Hispanic Sabine Pilot and Whistleblower claims at Texas Ninth Court of Appeals.
Tags for this Online Resume: Litigation, BAR, Houston, Trial Attorney, Trial, Counsel, Fraud, SEC, Securities and Exchange Commission (SEC), Custody
Lawyer - 15 Years of Experience - Near 91789
HIGHLIGHTS OF QUALIFICATIONS * Experienced Attorney in litigation and transactional law, 33 successful trials, and 12 appeals * Extensive Judge Pro Tempore pro bono service presiding over trials, arraignments, and law & motion * City Council Member & Mayor with experience in public policy, leadership, collaborating with the public and other government officials to resolve issues * Community Volunteer serving in leadership p...
Tags for this Online Resume: Analytical Skills, Banking Industry, Bankruptcy, Documentation, Drafting, Fraud, Government, Insurance, Leadership, Litigation
Attorney with a heart
I am looking for a position where I can do good work for a good cause. I really enjoy working with people and bringing them to a better place.
Ideal Companies: Law firm that deals with people, not numbers; non-profit agency; in-house counsel position for company dealing with women, fitness, or fashion
Tags for this Online Resume: Associate Attormey, Legal Research and Writing, Witness Preparation, Interviewing, Document Control, Problem Resolution, Client Relationship Management, Leadership and Teambuilding, Litigation and Trial Strategy, Settlement Negotiation, Appeals Process
General Manager - 20 Years of Experience - Near 21015
Areas of Expertise Forward & Analytical Thinker Asset Management Financial Reporting & Analysis Yield Management Accounting Office Knowledge Strategic Planning & Operations Leadership & Engagement Balance Sheet Management Budget Forecasting Cash Management Talent Recognition Long Term Capital Planning Owner Relations Client Satisfaction & Retention Career Highlights & Qualifications Full-scale asset management and financial...
Tags for this Online Resume: Accounting, Assistant Controller, Analytical Thinker, Asset Management, Audit, Balance, Balance Sheet, Budgeting, Business Plan, Business Planning, management
Lawyer - 12 Years of Experience - Near 19125
SUMMARY Highly talented and accomplished attorney with over 15 years of civil and criminal litigation experience. Proven skills in research, legal writing, pre-trial motions, settlement negotiation, litigating cases, post trial motions, trial briefs and appeals. Experience prosecuting wide variety of cases, including civil forfeiture actions, sex crimes, narcotics, and many others. Background includes more than 5,000 prelim...
Tags for this Online Resume: Documentation, Insurance, Arbitration, ERISA, Litigation, Pharmaceutical, Product Liability, Benefits, Communication Skills, Consulting, mass tort, litigation, commercial litigation
Human Resource Labor Relationship Specialist - 20 Years of Experience - Near 48235
I am looking for a position where I can utilize 20+ years of experience in all aspects of Human Resources. The main areas of expertise is in Employee Relations, Workers' Compensation, Unemployment Compensation and employee record retention.
Tags for this Online Resume: Complaints, Employee Relations, Human Resources, Litigation, Payroll, Benefits, Policies and Procedures
Senior Manager, Claims and Contract - 20+ Years of Experience - Near 03051
Over 23 years of knowledge and expertise in Managed Care Medicare, Medicaid and Commercial with a concentration in claims, appeals and customer service.
Tags for this Online Resume: Inventory, Services, Support, Management, Risk Assessment, Benefits, Information Technology, Leadership, Managed Care, Medicare, healthcare
Admissions Registration Clerk - 15 Years of Experience - Near 93003
Profile Objective I am seeking a position within the Health Care industry.
Tags for this Online Resume: Scheduling, Documentation, Health Insurance Portability And Accountability Act, Packaging, Accounts Payable, Insurance, Management, Filing, Quality Assurance, Services, Administrative appeals
Executive Director - 20 Years of Experience - Near 98391
I am looking for a company to use me as an agent of change. I am a battle tested executive with fresh and creative ideas and know how to satisfy the voice of the customer and keep them coming back for more. I am astute as resolving and preventing future conflict. I have made a career of cleaning up after ill conceived ideas and am ready to take my knowledge and experience to forge my own path. I am a solid team player with ...
Tags for this Online Resume: Senior Leader, Cross-functional Orchestor, CxO interfacing, People Motivator, Analytics, Strategic Thinker, Business Acumen, Risk Manager, Support, Technical Support, Supply Chain, Systems Engineer, Troubleshooting, Firmware, NOC, ROI
Legal Secretaary/Paralegal - 20+ years Experience - Denver
Corporate Jacobs Chase Frick Kleinkopf & Kelley LLP media and aviation clients with large patent and trademark portfolios acquisition of airline companies corporate aircraft sales and leases appeals of FAA rules. Duties: Docketed U.S. and foreign patent fee deadlines prepared necessary documents to meet those deadlines created and maintained database/spreadsheets for clients' patent and trademark portfolios performed resear...
Tags for this Online Resume: Legal, Defense, Insurance Defense, Drafting, Email, Denver
Licensed Nurse
Tags for this Online Resume: Coding, Documentation, Health Care Industry, Patient Care, Treatment Goals, Voice, Medical, Networking, Staffing, Staffing & Recruitment, Appeals for claims, Prior authorization
