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Online Resumes with "health claims"
CERTIFIED HEALTH CLAIM ADJUSTER 23 YEARS EXPERIENCE
Health Claims Specialist
At this time I am at entry level, but what I lack in experience, I can and will make up in dedication and reliability. I learn quickly
Medical & Health Services Manager - 20 Years of Experience - Near 33616
I am a highly effective management professional with over twenty-five years of service and experience in the health care industry and am proficient with processes within commercial and government health claims, customer service operations, and process improvement. I have excellent interpersonal skills and am a proven leader of strong teams who support clients, members, and providers. Strong in analytic and presentations s...
Tags for this Online Resume: Managed Care, Senior Consultant, Entrepreneur, Leadership, Account Management, Technical Training, Strategic Plannng, Provider Relations
Management
Managing Claims Operation, adjudication and payment functions of physical health claim submissions. This includes interfacing with clients on issues such as claims processing and adjudication, data collection/retention, regulatory compliance, financial analysis, and other duties as assigned by the Director.
VP Operations - 20 Years of Experience - Near 75234
in the Group Health Insurance industry. HIGHLIGHTS AND QUALIFICATIONS * Over 7 years as Vice President providing leadership and direction for consistent growth in production and operations. * Over 20 years in practical, broad based management experience with a realistic understanding of operations in the industry for group health insurance.
Tags for this Online Resume: Managing, group health claims, operations, health insurance, Claims examiner, Auditor, production
Project Manager - Applications Management
Tags for this Online Resume: Program Manager, Agile, Waterfall, Healthcare 2014, Health Claims Management, CRM
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
Senior Medical Claims Examiner - 15 Years of Experience - Near 33173
I strongly believe my record as Senior Medical Claims Examiner as well as my Certificate in Medical Billing could be suitable for any position you have related to those skills above mentioned. I have 15 plus years of experience in Health Claim Field for a Medical Insurance T.P.A (Third Party Administrator) in Miami, Florida and, as my enclosed resume illustrates. My line of work in my present job is not only the analysis ...
Tags for this Online Resume: Billing, Coding, Data Processing, Hudson, Medical, Medical Billing, Medical Claims Examiner, Benefits, COB, Medicare
Seeking a position as a billing/coding specialist
Highly motivated professional with training within the health claims field looking to obtain a position as a billing/coding specialist.
Director - 15 Years of Experience - Near 84093
Tags for this Online Resume: Assessments, Benefits, Training, Analytical Skills, Communication Skills, Health Insurance Portability And Accountability Act, Management, Benefits Insurance, Sales and Marketing, Health and Wellness, Project Management, Senior Management
Information Technology Manager - 19 Years of Experience - Near 97207
Summary of Experience: * Recently, as a Director in the IT Strategy Practice at an international management consulting firm (ISG), managed engagements that focused on digital transformation and business intelligence. * As a Management Consultant at Kaiser Permanente, managed the renegotiation of a $53 million, offshore IT managed services contract with Accenture for application development and infrastructure services that r...
Tags for this Online Resume: Infrastructure, Cisco, Customer Relationship Management, Data Warehouse, Enterprise Data Warehouse, Enterprise Software, Licensing, Management, Messaging, Microsoft
Programmer Analyst - 8 Years of Experience - Near 22042
PROFESSIONAL SUMMARY * Over 8 years of experience in Information Technology field with strong emphasis in SAS Application Analyst/ Programmer with 3+ years of hands on experience and professional experience in Clinical Trial projects and also worked as Application Analyst in the CROs, Healthcare and Pharmaceutical industries. * Experience in analyzing and coordinating clinical data, generating detail summary reports and dat...
Tags for this Online Resume: Management, Oracle, Oracle 9i, Information Technology, Process Improvements, Coding, Health Care Industry, HyperText Markup Language, Manufacturing, sql, SAS analyst
