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Online Resumes with "claim processing"



Featured Profile

Manager

Tags for this Online Resume: Senior Information Officer, Strategic Planning, Financial Systems, Underwriting Systems, Claims Processing Systems, Pharmaceutical Systems

Director, Service Operations

My goal is to add value in an Operations position, using my extensive background in Customer Service, specifically directing strategic planning, contract negotiations, claim processing, inquiry resolution and directing call centers.

Featured Profile

Joy Johnson- A Joy to Work With

Har working, honest, loyal, very reliable, people person, easy to work with, quick learner, always willing to help other's, always willing to go the extra mile to get the job done correctly

Ideal Companies: Emory Uniersity Hospital, Cigna, BlueCross BlueShield of Georgia- State Department, The State of Georgia, Northside Hospital, Def Jam

Tags for this Online Resume: administrative/clerical, entry level, insurance- claims processing, receptionist

High Achieving Claims Processor

High performance numbers when it comes to processing Health insurance claims. Very creative and loyal.

Ideal Companies: Healthcare Insurance companies

Tags for this Online Resume: Claims Processor

Several years of experience

A detail oriented professional with exceptional knowledge in medical and dental claim processing and strong customer service experience.

Ideal Companies: Capitol records, Aetna, Scan, Physicans, Dentists, Hospitals.

Systems Analyst / Information Architect

Senior Business Systems Analyst with experience across a broad array of industries. Experienced in identifying business needs and designing new IT solutions to improve business productivity and efficiency. Effective at bridging the communication gap between business leaders and IT. Particularly interested in enterprise analysis, requirements analysis, and software development.

Ideal Companies: None

Tags for this Online Resume: Application Development, Technical Support, Infrastructure, Systems Integration, Application Integration

Auditor

 Audit Medical Claims, including errors from claims pricing, adjudication, adjustments, and bill issues. Conduct periodic post audit of claims to alleviate any incorrect decisions. Maintain a record of audit results Submit errors back to the proper source. Review, research, and resolve complex claims processing issues. Conduct audits of high dollar claims, staff, auditors, regulatory compliance audits, PDR audits and sp...

Tags for this Online Resume: IDX/MACESS, CODE AUDIT/TOUCH WORK, IBM AS/400, OAOHS,MC400, EZ/CAP, EPIC, EDI, Office Ally

Health Insurance Professional

I am looking for a position in a health insurance company, brokerage, clinic or hospital where I can use my skills and experience to help the company and its employees, customers.

Ideal Companies: Blue Cross Blue Shield, Partners Health, health insurance companies, brokerages, hospitals, clinics

Tags for this Online Resume: manage, direct, motivate, coach, counsel, budget, customer service, claims processing

Counselor, Administrator, Supervisor

I have always worked in the human service field in one way or another. Working with people is my passion and find it very rewarding.

Ideal Companies: Any company that is interested in helping people reach their full potential

Tags for this Online Resume: Human Service, Counselor, supervisor

Business Analyst

Tags for this Online Resume: EDI, Electronic Claims Processing, User Documentation, Technical Documention, Healthcare