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Online Resumes with "benefits eligibility "
Chief Information Officer - 20 Years of Experience - Near 98661
Innovative accomplished business leader with extensive experience in both start-up and corporate organizations in the healthcare field. A leader, who excels at empowering leading and enrolling teams in ideas and processes that facilitate peak performance and ownership. Also proficient and skillful in harnessing team creativity, expertise and building human capital through mentoring. Shapes and institutionalizes a continuous...
Ideal Companies: Cambia, or any health insurance organization.
Tags for this Online Resume: CIO, project management, Team Building, Data Analytics, Operations, Customer Service, Budgets, Creatiive Thinker, Leadership, Process Improvement, Organized, Detail Oriented, Product Development
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
General
Accomplished professional Trainer with significant experience across several industry verticals. Successful in educating and developing employees on technology customer service and various insurance products and delivering high-impact solutions that help organizations significantly improve operational performance. Consistently achieve exceptional high performance rankings. Strong technology competencies. Outstanding present...
Tags for this Online Resume: Insurance, Customer Service, Business Process Management, Corporate Training, Human Resources, CRM, Training and Development, Skype for Business, Learning Management Systems, BlackBoard, Articulate
Business Analyst
Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...
Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro
Federal Government - 20 Years of Experience - Near 02301
Tags for this Online Resume: Boston, experienced, fast learner, human resources, self starter, specialist, adaptable, assistant, goal oriented, team player, motivated, benefits eligibility , Brockton, MA, Supervisor
Registered Nurse
I am a Registered Nurse with thirty years of experience ranging from direct patient care in a hospital setting and as a school nurse in an elementary school clinic. I also have experience as a Telephonic Triage Registered Nurse including the triage of adults children and infants. In addition I have other experience listed below. Experienced with chronic diseases, such as Diabetes and COPD. * Created and/or modified a plan o...
Tags for this Online Resume: Insurance Registered Nurse, Telephonic triage Registered Nurse, Telephonic Health Nurse, Bilingual
Admissions Director - 20 Years of Experience - Near 60430
CAREER SUMMARY * * Over 30 years in healthcare and 25 years as an Inpatient and Outpatient Managed Care HMO. PPO, POS, Medicare, Medicaid Commercial, Worker comp and Veteran Administration Biller and Collector, I billed primary, secondary, tertiary Insurance carriers. Verified benefits and eligibility for inpatient, outpatient, physician and hospital claims, also worked as a Financial Counselor. Hardworking, dedicated, comm...
Tags for this Online Resume: Coding, Allergy, Benefits, Financial, Litigation, Managed Care, Medical, Medical Records, PEDIATRIC, Pediatric Care, physical therapist, healthcare, Medical Insurance Collector
Insurance Sales Representative
To secure a position with a well-established organization with a stable environment that will lead to a lasting relationship in the business field. ACHIEVEMENT: Manage an assigned book of business directly related to four producers, three account managers, and more than 125 clients ranging from 35-500 benefits eligible lives.
Tags for this Online Resume: General Ledger, Insurance, Life Insurance, Payroll, Planning, Receivables, Strategic Planning, Account Manager, Cobra, Benefits
Insurance Sales Representative
To secure a position with a well-established organization with a stable environment that will lead to a lasting relationship in the business field. ACHIEVEMENT: Manage an assigned book of business directly related to four producers, three account managers, and more than 125 clients ranging from 35-500 benefits eligible lives.
Tags for this Online Resume: General Ledger, Insurance, Life Insurance, Payroll, Planning, Receivables, Strategic Planning, Account Manager, Cobra, Benefits
Software Engineer
Qualification Summary * Around 19 years of IT experience in various phases of System Development Life Cycle including System Analysis, Design, Development, Testing, Maintenance and Project management. * Expertise in Analysis, Design and Development of web based Object Oriented solutions with Java, J2EE, JDBC, RMI, JNDI, Threads, JavaBeans, JSP, Servlets, Struts, Hibernate, Spring, EJB, UML, XML, JAXB, DOM, SAX, LDAP * Exper...
Tags for this Online Resume: Extensible Markup Language (XML), Integrate, Java Programming Language, Servlets, Test, Cascading Style Sheets, Clearcase, CSS, HyperText Markup Language, Triggers
Director of Human Resources
SUMMARY Over 33% reduction in open requisitions - 300% increase in retirement plan participation due to replacing 403 (b) Plan - 50% reduction in time to hire including enhanced screenings - Over 15% reduction in advertising costs - Negotiated on management side with 1199 Union and prepared detailed data to maximize leverage - Engaged with employees to prevent establishment of collective bargaining unit with 1707 Union with...
Tags for this Online Resume: Benefits, Services, HR, Human Resources, Management, Recruiting, Talent Acquisition, Advertising, Audit, Bridges
Human Resources Manager
Summary of Qualifications Highly organized and detail-focused Human Resource Representative with an exceptional track record of accurately handling financial reporting in deadline-oriented environments. * Skilled in all aspects of recording, posting payroll changes in data entry, reconciling 401K and HSA accounts, and ensuring accuracy and completeness of data. * Expertise in developing and delivering financial information ...
Ideal Companies: Apple Computers, Amazon
Tags for this Online Resume: ACH, HR, Human Resources, Payroll, Accounts Payable, Benefits, Deductions, Deposits, Financial, Management
