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Online Resumes with "denials"
Personal Financial Coach
competent, loyal, tend to be a perfectionist, hard worker, punctual
Manager Medical Billing
Manager, Medical Billing • Manage team of eight responsible for over $30million in revenue from services provided the multiple Health Clinics within the County. • Prepare and address issues for audit of Medical Billing Team resulting in acceptance of Health Department financial reports. • Collaborate with Central Accounting to clarify Billing process for FQHC’s. • Streamline process for getting information on denials ba...
Registered Nurse - 10 Years of Experience - Near 85132
I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...
Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid
Registered Nurse - 20 Years of Experience - Near 85281
As a Certified HealthCare professional with MBA background applied to areas of Quality/Case/Utilization Management, I am confident I can provide services to assist a client with a program to support documentation needs to optimize reimbursement but maintain delivery of quality patient services as a patient/family advocate to meet individualized needs identified across the continuum.
Tags for this Online Resume: Quality Management, Case Management, Utilization Mngmnt/Managed Care, Denial Management, Qiuality Improvement, Risk Management, Chronic Dz Mngmnt, Hospice/Palliat Med
Billing/Coding Specialist - 12 Years of Experience - Near 21061
20+ years experience in insurance sales and customer service. 2 1/2 years in the medical billing field. Extensive Knowlege of ICD-9 and CPT codes Ability to work independently as well as being a team player Strong focus and organizational skills Good Telephone, Computer and Calculator Skills
Ideal Companies: Blue Cross Blue Shield, John Hopkins Hospital, Upper Chesapeake Hospital, Franklin Square Hospital, St. Joseph's Hospital, Aetna, United Health Care
Tags for this Online Resume: Medical Billing, Insurance Claims, Claim Appeals, Claim Denials, Claim Rejections, ICD9 codes, Medical terminology, CPT codes
Billing/Coding Specialist - 17 Years of Experience - Near 29588
Coding Supervisor with over 17 years of experience providing strategic vision for Compliant Coding to capture maximum Revenue for both Hospital and Physician practices. Attributes, contributing to success include honesty, integrity, intelligence, creative problem solving, persistence, skill for learning and ability to articulate and implement complex material. Strong competencies for teaching and mentoring other coders wi...
Tags for this Online Resume: Myrtle Beach, CPC-H, InPatient Coding, Supervisor, Compliance Officer, Trainer, EPIC, Next Gen, McKesson, 3M, Craneware
Billing/Coding Specialist - 20 Years of Experience - Near 28227
Tags for this Online Resume: auditor, medical, revenue cycle, denial management, medical billing, compliance
Experienced Registered Nurse -EHR/ICD-9, HEDIS documentation expert
My career uniquely combines a solid understanding of medical health care practice and business management and my goal is to continue as a hospital provider advocate within the medical auditing and clinical documentation career path.
Tags for this Online Resume: Registered Nurse, Medical/Surgical, Home Health, Infusion Therapy, Director of Nurses, CCU/ICU/Telemetry, Documentation Review EHR, Quality Assurance, Telecommute, Medicare Recovery Auditor, IternQual, ICD--9 ICDCCU/ICU/Telemetry, Integrated Case Manager, Quality Assurance/HIM; Healthcare Information & Documentation Manager, Medicare Denials appeal and Managed Care Risk/ medical necessity auditor, InterQual/ICD-9/MCG;Millliman/DRGs/Lean/CMS Guidelines MS Office, telephonic/remote, CCU/ICU/Telemetry/evidence based best practice provider and physican advocate, HEDIS abstractor, internal risk auditor, EHR quality assurance, ICD-9, Interqual/Milliman, clinical coordinator
Accountant - 20 Years of Experience - Near 80601
Financial Specialist with more than 15 years accounting, payroll, finance and administrative experience within a range of business sizes. Hands-on, detail-oriented thinker with excellent written and oral communication skills. Keen eye for research with the ability to identify operational problems and implement workable solutions. Meets deadlines, and utilizes outstanding customer service skills with a calm demeanor.
Ideal Companies: Namaste Solar, Lockheed Martin, Oracle, United Power, Health One, Vestas, Halliburton, Trans West Trucks, Wells Fargo Bank, City of Brighton, Jenus Shamrock Foods, Anadarko Petroleum Corporation, City of Arvada, DaVita HealthCare Partners, Inc, GE Johnson Construction Company, Mortenson Construction, Netsuite Inc., Whole Foods Market, Lennar, Schlumberger, Baker Hughes, Frontier Airlines, Southwest Airlines, Renewable Energy Systems, St Anthony North Hospital, Platte Valley Hospital, Encana, Martin Marietta, Good Samaritan Hospital, SCL Health, Public Services of Colorado, Solar City, Denver Public Schools
Tags for this Online Resume: Denver, CO, Sarbanes-Oxley, Accounts Payable, Microsoft Excel, Reconciliations, Analysis, Payroll, Taxes, ADP, Accruals, Process Improvement, ad-hoc reports, Research, procedures, financial statements, journal entries, purchase orders, Construction, Manufacturing, Kronos, PeopleSoft, budgets, variance analysis, operations, auditing, Month-end closing, Union, liability accounts
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Billing/Coding Specialist - 15 Years of Experience - Near 60515
Professional Summary * Successfully demonstrated 15 plus combined years of leading operations in a central billing office for multiple hospital-based physician groups and practices hospitals and skilled nursing facilities, maximizing revenue by a profitable margin within an abbreviate time frame, reduced denials in 15 days by identifying impacts and opportunities for growth performed gap analysis and optimized processes * E...
Tags for this Online Resume: Bad Debt, Bank Deposits, Collection, Deposits, Integrate, Training, EDI, Electronic Data Interchange, Medicare, MediTech
Sr. IT Business Analyst
Innovative, Senior Business Systems Analyst accomplished at influencing multiple decision makers to reach consensus. Adept at ensuring deliverables are produced on time and within budget. Skilled in all phases of systems program/project management life cycle from conception through implementation.
Ideal Companies: Citi Group, Bank of America, Google, Amazon, Discover, JP Morgan Chase, AT&T, Verizon
Tags for this Online Resume: Business Objects, Akamai, Process Improvement, Systems Integration, Blueprint, Amazon Web Service, Agile, FFIEC, Security, Tealeaf, Trusteer, CMDB, ITIL, Crystal Reports, SDLC
