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Online Resumes with "claims adjudication"
Admissions Director
Summary of Qualifications * Possess expertise in managing daily operations of Hospital Admissions and Information departments, Emergency Room Registration, medical office records and operating expenses. * Experienced in performing annual performance evaluations for department personnel and supervisory staff. * Successfully prepared hospital departments for audits and reviews, which resulted in 100% passing rates. * In depth...
Tags for this Online Resume: College Educator: Bio Sci, Medical record documentation, Analytical, Practitioner/Practice management, Emergency Room Regristration, Medical Claims Adjudication, Director of Admissions, Diagnostic & Treatment Coding, Washington DC - Metro area, Managed Care
Business Analyst - 6 Years of Experience
Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into d...
Tags for this Online Resume: Management, System design, Test, Test Plan, Coding, Monitoring, Project Management, Scheduler, Stored Procedures, Structured Query Language
Business Analyst - 7 Years of Experience - Near 37209
Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...
Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing
Regional Sales Manager
High energy, driven sales professional, exceptional teaching and communication skills.
Ideal Companies: Aetna, Cigna, Delotte, Ernst& Young, WellPoint, MetLife
Tags for this Online Resume: marketing, business development, account management, pricing
Manager - 20 Years of Experience - Near 11743
Areas of Expertise * Lean Six Sigma BPM business analysis for technical and business solutions evaluate/implement business process through Six Sigma methodology by identifying and mapping technology with business needs. * My corporate Vision includes driving efficiency of operations, increasing quality of service by partnering with business units and achieve strong bottom-line performance applying Lean Six Sigma methodology...
Tags for this Online Resume: Support, Technical Support, Customer Relationship Management, Disaster Recovery, Fixed Assets, Inventory, Network Support, network, vm, azure, was, client services, vendor management, data center
Quality Assurance Specialist - 7 Years of Experience - Near 43230
career as Associate Trainee in Cognizant technology Solutions. * Developed Keyword driven framework for mainframes in a team of 2. * Have worked on various frameworks like DataDriven Modular and Hybrid Driven frameworks. Experience in Test Requirements gathering requirements analysis and test strategy/plan preparation. Developed numerous tools with Excel macro to interact with QC/ALM. * A self-motivated person with strong c...
Tags for this Online Resume: Automation, Test, Test Cases, Regression Testing, Functional Testing, HP QuickTest Professional, sql, agile, selenium webdriver, TESTNG, UFT, framework
Quality Assurance Specialist - 5 Years of Experience - Near 80126
PROFESSIONAL SUMMARY I have 12+ years of experience in Quality Assurance, Systems Integration, Lab Design and Operation, Java Application Development, Distributed Application Development, Object Oriented Programming, Internet/Intranet-based database applications development, testing and implementation using Java/J2EE (Servlets, JSP, EJB). My roles have included all phases of the software development life cycle (SDLC), but e...
Tags for this Online Resume: Test, Management, Applications, Services, Billing, Linux, Agile, Automation, Call Center, Configure
Business Analyst - 5 Years of Experience - Near 60466
Familiarity with source control concepts (checking in code, branching, checking out) * Experience writing scripts for automation processes. * Experience with mainframe applications * Experience with IBM technology suites * Experience with SQL, JAVA, Phython and C# programming languages. * Successfully implemented and deployed (systems upgrades, code changes, claim adjudication, application changes) releases across all 5 (IL...
Tags for this Online Resume: Management, Support, Quality, Services, Training, Analytical Skills, Customer Service, Research, PeopleSoft, Computer Aided Software Engineering