CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "appeals"

Claims Examiner

Summary To leverage my 15+ years of experience in the Healthcare Industry. Summary of Accomplishments Results oriented high-energy, hands-on professional with a successful record in the Healthcare field and Illinois Department of Human Services. For over 15 years as a contracted employee. In processing Medicaid applications & Medicare for patients who met eligibility criteria who did not have Medical Insurance as well as as...

Tags for this Online Resume: Applications, Payroll, Security, Bad Debt, Billing, Human Resources, Kronos, Kronos (Labor Mgmt Sys), Management, Benefits

Billing/Coding Specialist - 15 Years of Experience - Near 21209

Qualifications: I have more than18 years of comprehensive medical administration experience with patient registration, charge entry, medical billing and coding, claim follow up and appeals, and collections. I have billing and follow up experience in more than 12 medical specialties with the following Medical Billing Software: Xifin, Lancelot, Putty, Cirrus, IDX, Meditech, Softaid, Mestermed, Mysis, AS 400, Hamswin, e Clinic...

Tags for this Online Resume: Software, Management, Receivables, Payroll, Credit Card, Medicare, Messaging, Voice, Billing, Compensation

Mental Health Therapist

SUMMARY OF QUALIFICATIONS Developed innovative addiction treatment program over 2 years that really made a difference. Established and delivered intensive outpatient and outpatient therapy within comprehensive theoretical base that increased compliance and investment in treatment. Used mindfulness, art and music therapy, role playing, UTube and other current video content, psychoeducation from established addiction evidence...

Tags for this Online Resume: Treatment Goals, Documentation, Integrate, Program Manager, Therapy, Assessments, Compliance, Management, Benefits, Support, Art Therapist, Addiction Treatment, Management experience

Case Management Manager - 20 Years of Experience - Near 75207

Summary of Qualifications: I have worked in Managed Care in the business arena for twenty years. My objective is to have a position with an organization which will allow me to be in a position within the Health Plan industry and be responsible for supporting associates and an institution to increase the profitability. This would allow me to integrate my extensive background in clinical nursing, training, sales/ marketing pr...

Tags for this Online Resume: Training, Infrastructure, SAN (Storage Area Network), Scheduling, Documentation, Health Care Industry, Managed Care, Management, Services, Communication Skills

Public Relations Specialist - 2 Years of Experience - Near 84103

Highlights of Qualifications * Over thirty years of professional experience with the public. * Personable in communicating with customers from all cultures and economic levels. * Proven skills in persevering to solve customer problems. * Self-motivated and confident in making independent decisions. * Very well organized and able to meet deadlines. * Reliable, dependable, responsible, and always on time. Kept financial recor...

Tags for this Online Resume: Customer Service, Desktop Computer, Desktop Publishing, Inventory, Publishing, Retail, Services, Video, Voice, Event Planning/Public Affairs, "project management"

Web Developer

SUMMARY Experienced in using HTML, CSS3, and the ability to comprehend and apply Javascript, and PHP to create structured code that is easy to read and produces a UX/UI that appeals to the target audience, meets the client's needs, is responsive across devices, and is compatible across browsers and operating systems. Work well independently, but enjoy being part of a team environment with the opportunity to learn from and s...

Tags for this Online Resume: Services, Coding, Test, Web Applications, Billing, Management, Adobe, Adobe Illustrator, Adobe InDesign, Adobe Photoshop

Registered Nurse - 20 Years of Experience

Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...

Tags for this Online Resume: Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care

Registered Nurse

HIGHLIGHTS OF QUALIFICATIONS * Over 17 years as a Registered Nurse * 10 years' experience in floor nursing * Highly diversified * Able to adapt quickly in any work environment * Highly dependable and efficient * Supportive team worker committed and responsible * Work effectively under minimal supervision * Able to schedule workload and meet deadlines * Thrive in a high-energy environment * Excellent written and verbal commu...

Tags for this Online Resume: Quality, Quality Assurance, Surgical, Telemetry, Home Health, Management, MCS, Medical, Medical/Surgical, Medicare

Lawyer

SUMMARY OF Over 31 years extensive legal experience in criminal and QUALIFICATIONS: deportation defense, immigration law, personal injury, workers' compensation social security, special education, and entertainment law preparing and conducting bench and jury trials, pre-trial conferences, preliminary hearings, hearings, arbitrations, depositions, discovery and law motion, petitions, appeals, and preparing legal documents an...

Ideal Companies: Law firm

Tags for this Online Resume: Litigation, Defense, Legal, Compensation, Workers Compensation, Security, English Language, Entertainment, Insurance, SAN (Storage Area Network)

Billing/Coding Specialist - 20 Years of Experience - Near 10465

Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...

Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare

Billing/Coding Specialist - 15 Years of Experience - Near 75409

Summary: * Works closely with providers in an effort to optimize billing and production, while still upholding customer care. * Processed all incoming Appeals Work with providers in advising proper billing and coding of claims, to ensure proper claims processing and payment * Work with the Private Client to obtain correct/ verified information, so I can then verify Coding information * Verify claim details and all pertinent...

Tags for this Online Resume: Billing, Coding, Insurance, Benefits, Accounts Payable, Accounts Receivable, Accounting, Administrative Assistant, Bankruptcy, Distribution, healthcare, Collections

Legal Secretary - 24 Years of Experience

Professional Summary Highly qualified Legal Office Assistant and Legal Secretary bearing holistic expertise in law office procedures spanning 23 years', seeking employment in legal office, general office and data entry industries Core Qualifications * Legal Assistant, Legal Secretary * Criminal and Civil Forms * Transcriptions, Motions * Monthly Billing Statements * Pleadings, Appeals * MS Office Proficient, 10 Key

Tags for this Online Resume: Legal, Billing, Criminal Defense, Customer Service, Data Entry, Defense, Filing, Microsoft Office, Transportation, Inventory