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Online Resumes with "billing audits"
Case Manager/ Utilization Coordinator - 20 Years of Experience - Near 08872
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Insurance, Medicare, Microsoft SMS, nurse, healthcare, care, rn
Clinical Research Professional
I am looking for a career opportunity in research or any science related field.
Ideal Companies: Any research company, FBI, CIA
Tags for this Online Resume: clinical, research, project management, biology, medical , science, monitoring, clinical trials, regulatory, quality assurance, laboratory
Team Leader - 15 Years of Experience - Near 91320
PROFILE * 15+ years of IT industry experience with wide range of skills, roles & responsibilities * Worked on all-phases of Software & Project Development Life Cycles (SDLC/PDLC) with process-oriented best practices for various software products, application software packages, service-oriented, cloud-based, web-based projects & software components * Completed/executed/managed various projects within the dead-lines, budget a...
Tags for this Online Resume: Structured Query Language, IBM, Management, Software, Web, Web Technologies, Oracle, Services, Agile, Java 2 Enterprise Edition (J2EE), maximo, sccd, itil
Registered Nurse - 12 Years of Experience - Near 76114
Areas of Expertise * Medical Coding, DRG * Diagnosis Code Abstracting * Medical Bill Reviewing * Risk Adjustment * Medical Bill Auditing * Spanish Fluency (Native)
Tags for this Online Resume: Critical Care, Nursing, Telemetry, Trauma, Cms, Coding, Medical, Medical Records, Dialysis, 3M
Senior Financial Analyst - New York
Senior Financial Analyst experienced in reporting, forecasting, budget planning and analysis. Detail oriented with demonstrated ability for accurate and on time delivery of division and corporate objectives. Communication, organization and collaboration skills used to work effectively across organizations. Proficient in MS Office and working in a fast paced work environment, ensuring challenging deliverables are achieved.
Tags for this Online Resume: Financial Analysis, Forecasting, Financial Reporting, Reconciliation, Bill Auditing, Database skills
Credit Analyst - 20 Years of Experience - Near 17740
A diligent and detailed-oriented professional with more than 20+ years' experience in collections, manager, A/R, billing, audit, account reconciliation, customer service support, corporate account support, and conflict resolution to name a few. Possess excellent oral, written and interpersonal communication skills. I am a proven leader who effectively multi-tasks to complete projects in a timely manner. I am flexible, a tea...
Tags for this Online Resume: Structured Query Language, Crystal Reports, Financial, Inventory, Microsoft SQL Server, MIS, Administrative Assistant, Commissions, Payroll, Training
Customer Service Manager - 20 Years of Experience - Near 27215
Grew unit to produce $245 million over 10 years at 10% expense ratio developing a true shared services profit center. Worked with agents to collect 73% of $245 million at normal agency commission. Led group of direct collection staff to collect 27% of billed audits for direct collections from policyholders. Accepted $66 million of audits for direct collections collected $38 million in cash and wrote off $16 million a 7% bil...
Tags for this Online Resume: Compensation, Receivables, Audit, Billing, Services, Shared Services, Underwriting, Accounts Receivable, Light Emitting Diode
Sales Representative - 20 Years of Experience
and Oklahoma * Developed long term (1 - 6 year) contractual relationships * Created Savings Analysis reports and tracked market movements for hedging opportunities based on customer budgeting needs * Retained 96% of customer base year to year * Served as liaison between the LDC's in the region and my customers Trained new Sales Representatives and, Margasco, Mountain Iron (Kansas City) Worked from Satellite Office in Wichit...
Tags for this Online Resume: Marketing Management, Sales, Software AG Natural, Satellite, Budgeting
Medical or Health Services Manager
Find a position within the health care field that will utilize all my skills as a claims/reimbursement specialist supervisor. Specializing in collections, Private pay insurances, and government appeals for review. Utilizing and enhancing my medical terminology and clinical skill set for a long term position with your company. Experience with audits, hospice billings coding and reviews. Complete knowledge of Facility/UB bill...
Tags for this Online Resume: Audit, Inventory, Inventory management, Management, Project Management, Cms, Pricing, Billing, Compensation, Desktop Computer
Adjudicator
Tags for this Online Resume: medical records review, time lines, medical, medical fraud, insurance defense audits, reports, osha compliance, HEDIS Reviews, CARA reviews, Diagnose coding, electronic medical records, research, billing audits, investigate cps cases, special investigations, Define applicable standars of care
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse
Auditor - 0 Years of Experience
(1) Maintain knowledge of HIPAA (2) Lead HIPAA Privacy Program (3) Coordinate with GAP analysis (4) Development of policies (5) Perform monitoring (6) Ensure all necessary forms are developed, available, used and controlled (7) Ensure business associate contract compliance (8) Privacy training (9) Take action on complaints (10) Report on activities (11) JCAHO coordination. * 1996 - 1998: Senior Internal Auditor/Accountant:...
Tags for this Online Resume: Audit, Auditing Procedures, Scheduling, Security, Health Insurance Portability And Accountability Act, Monitoring, Compliance, Strategic Initiatives, Internal audit, Policies and Procedures
