CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "denials"

Admissions Director - 20 Years of Experience - Near 75707

PROFESSIONAL SUMMARY I have 30 years combine experience in the Healthcare Profession working as a Medical Office Manager, Licensed Workers Compensation Case Manager, Contract Negotiation, Contract Analysis, Billing, Collections and Denials Management Manager, Healthcare Consultant, Human Resource and Payroll function and Senior-Level Revenue Cycle Analyst for Hospital and Physician. I have successfully trained and mentored ...

Tags for this Online Resume: Coding, Payment Processing, Billing, Management, Medical, Audit, Compensation, Insurance, Managed Care, Chiropractic, healthcare

Claims Adjuster - 20 Years of Experience - Near 55422

SUMMARY OF QUALIFICATIONS * Investigated cause of loss and subrogation potential for hundreds of worker's compensation, liability and property losses. - Developed defense strategy for clients and carried it out through written discovery, depositions, motion practice, and employing proper experts. - Worked with numerous injured employees and employers, with assistance of outside experts, to find creative solutions for a back...

Tags for this Online Resume: Compensation, Insurance, Defense, Financial, Information Technology, Litigation, Management, Medical, Program in General Insurance, Risk Management, insurance, investigator

Registered Nurse - 20 Years of Experience - Near 78599

I have worked as a pediatric nurse both in the acute care setting and the home care setting. In the acue care setting I functioned as a charge nurse in the pediatric intensive care unit at McAllen Medical Center. Areas I rotated within the hospital included NICU PEDIATRICS ADULT ICU and ER. I have had certification for PICC line insertion thru MMC and MCH Services. I also had NALS and PALS certifications. In the home care s...

Tags for this Online Resume: Computer Aided Software Engineering, Home Health, PICU, PEDIATRIC, ICU, NICU, Nursing, Pediatrics, Coding, Documentation, nurse

Medical Office Manager - 20 Years of Experience - Near 34224

Managed all aspects of his practice including tripling his income/revenue within 3 years' time. Hired

Tags for this Online Resume: medical denials, ar manager, medical office manager, medical practice administrator, Billing, Medicare, Management, Meridian, POD, Settlements

Accountant - 6 Years of Experience - Near 80524

Qualifications Profile Accounting Professional with solid and progressive experience in all facets of accounting and Payroll. Skilled in collaborating with all members of the organization to achieve business and accounting objectives. Adept in streamlining accounting processes, enhancing cash flow reporting and introducing process improvements. Proficient in NetSuite, Compiere, M3 (Lawson) Quickbooks, * Prompt Month End Clo...

Tags for this Online Resume: Payables, Accounting, Cash Flow, Financial, Financial Statements, Balance, Balance Sheet, Journal Entries, Account Reconciliation, Accounts Payable, accounting, finance, tax, manufacturing, excel, gaap, accountant

Medical Office Manager - 10 Years of Experience - Near 30305

An accomplished Healthcare Practice Manager with a proven track record for building and leading teams that enabled revenue growth. A results oriented accomplished executive with a broad background in business healthcare and human services with operational and administrative expertise. Significant experience in single and multi-service practices urgent care and inpatient facilities. Broad knowledge of healthcare hospice util...

Tags for this Online Resume: Billing, Documentation, Medical, Medical Billing, Medical Records, Medicare, Receivables, 100% Travel, Accounts Payable, Accounts Receivable, healthcare, Trainer, EPIC Trained, Healthcare Management, Healthcare Revenue Cycle, Team Building, physical therapist

Lawyer - 18 Years of Experience - Near 92009

SUMMARY Performance driven attorney with extensive experience in military trial defense, legal assistance and administrative law. Operates own practice in all areas of family law, including divorce, child custody, and mediation. Over 15 years of experience developing sophisticated strategies to appeal security clearance denials. CORE ACCOMPLISHMENTS Operations Management * Developed and managed law firm with two offices ear...

Tags for this Online Resume: Management, Defense, Human Resources, Legal, Payroll, SAN (Storage Area Network), Wills, Family Law, Security, BAR

Medical or Health Services Manager - 20 Years of Experience - Near 10583

SUMMARY Skilled healthcare administration professional with a solid understanding of the interrelationships between systems and systems' impact on revenue operations and workflow. Strong analytical and problem solving skills including the ability to analyze operations for cost effectiveness and identify ways to optimize billing and increase reimbursement. Thorough, and highly organized able to perform with a high level of a...

Tags for this Online Resume: Scheduling, Billing, Documentation, Professional Services, Services, Ambulatory Services, Ad Hoc Reports, Assessments, Behavioral Health, Budgeting

Registered Nurse - 20 Years of Experience - Near 85298

Communicated Provided direct nursing care on evening shift on 12-bed adolescent and child in-patient psychiatric unit. Offered day shift position. with insurance companies obtaining admission and continued stay authorizations. Collaborated with internal departments regarding payer relations denials and completed quality assurance audits on medical staff. Supervised utilization review RN case managers. (6 months). Assisted i...

Tags for this Online Resume: Infection control, Management, Quality, Quality Assurance, Quality Control, Assessments, Dialysis, Outpatient Rehabilitation, Phlebotomy, Physical Therapy

Customer Service Supervisor - 8 Years of Experience - Near 94534

Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...

Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center

Quality Coordinator - 20 Years of Experience - Near 11590

Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...

Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills

Billing/Coding Specialist - 15 Years of Experience - Near 01571

Summary I would like to offer services for practices or facilities that are need of assistance. I would be willing to work remotely as I do not wish to leave my current practices. I am the Director of Billing for three multi-specialty medical groups for the past 11 years. These practices specialize in Internal Medicine, Infectious Disease, Sports Medicine and Gastroenterology. I've been a requested consultant for numerous s...

Tags for this Online Resume: Billing, Medical, Accounting, Accounting Functions, Amazon Elastic MapReduce, Attention to Detail, Balance, Coding, CT, Database