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Online Resumes with "healthcare claims"



Business Analyst - 10 Years of Experience - Hartford/Springfield area

Over 12 years experience as a Business Analyst/Project Lead, I have been responsible for a variety of projects including Data Center Migration, Durable Tool Inventory, Manufacturing Control and EDI coordination for multiple HealthCare Claims Processing Systems. I identified business rules and defined detailed specifications for interfacing with external vendors and I am familiar with the ANSI X12 transaction sets.

Healthcare Claims Investigator - 20 Years of Experience - Near 84737

Featured Profile

Chief Information Officer - 25 Years of Experience - Governance, BI, Consulting Principal, BI, Healthcare, Engagement Manager, Project and Program Management

Desire for a position in a fast pace company where I can have an impact as an Executive or Delivery Consultant. I wish to leverage my background crosses multiple industries and ranging in size from VC start up to Fortune 10. I love to work with peers, managers and partners to develop solutions, technology, process nd people.

Ideal Companies: Ernst & Young, Dell Enterprise, Deloitte, GE Healthcare, Xerox, Fidelity

Tags for this Online Resume: CIO, RCM, Consulting, BI and Analytics, Application Development, GE Healthcare, Healthcare Technology, Business Intelligence, Practice Management Systems (PMS), EMRs, Enterprise Governance, Data Governance, CMMi, SAS-70, SSAE-19, ASP, Call Center, Accountable Care Organization, Executive Presentations, Software Development, Business Process Outsourcing, ITO, Outsourcing, Strategy, Process Engineering, Technology Management, Project Management, Program Management, Data Quality, Data Security, BI Management, Systems Integration, Healthcare Analytics, Claims Adjudication, Insurance Industry, Property and Casaulty, Life and Health, Healthcare Systems, CTI, Service Management, Engagement Management, Budget > $100M, Technology Standards

Customer Service Representative - 20 Years of Experience - Near 10962

Quality focused problem solver who provides the strategic vision and leadership to optimize productivity. Received numerous accolades for exceeding customer expectations. Worked in target-driven and high-pressure situations; overachieved revenue targets. Skilled implementing quality assurance programs on a matrix basis measured by customer approval and quality. Successful track record handling complicated assignments. V...

Tags for this Online Resume: Customer Service, Work-From-Home, Healthcare, conflict resolution, Call Center Experience, Medical Terminology, type 70 wpm, Problem-solver

Business Analyst - 2 Years of Experience - Near 30096

SUMMARY: Professional analyst with extensive experience in the Healthcare Insurance Industry for members and providers. Recent experience and education in business analysis with a focus on SQL and Scrum Agile Methodologies. Effective working directly with providers to elicit business requirements. Successful analyzing and testing denied healthcare claims to ensure proper posting, payment and maximum dollars returned to the ...

Tags for this Online Resume: Billing, Medical Billing, Business Analysis, Business Analyst, Account Manager, Business Requirements, Health Care Industry, Management, Visio, OracleSQL, SharePoint, SalesForce, Excel, Java

Nursing Aide

Customer service oriented professional with strong leadership skills facilitates efficient workflows and communicates effectively with co-workers patients and staff. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Experienced with Microsoft Word and Office Suite Types 45 WPM. * Follows HIPAA regulations and uses medical terminology effective...

Tags for this Online Resume: Billing, Emergency Room, ER, Insurance, Accounting, Attention to Detail, Banking Industry, Banking Systems, Claim Processing, Coding

Billing, Posting or Calculating Machine Operator - 4 Years of Experience - Near 23320

Results oriented professional backed by cross-functional medical billing healthcare claims and accounts receivable experience. Ensures data integrity for optimal and correct reimbursement. Proficient with Microsoft Word Excel Medical Manager Greenway Realmed. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * HCPCS * CPT * ICD-10-CM * Medical Terminology Electronic Health Records (EHR) * Electronic Medical Rec...

Ideal Companies: Wake Forest Baptist Health, BCBS

Tags for this Online Resume: Insurance, Benefits, Credit Card, Medical, Medical Billing, Billing, Medical Records, Medical Terminology, Medicare, Microsoft

Clinical Research - 5 Years of Experience - Near 27571

Customer service oriented professional with strong leadership skills facilitates efficient workflows and communicates effectively with co-workers patients and staff. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. KEY QUALIFICATIONS Analytical * Leadership & Management * Medical Terminology Interpersonal Professional Communications * Busines...

Tags for this Online Resume: Documentation, Management, Compliance, Filing, Data Entry, Data Management, Good Laboratory Practices, Quality, Quality Assurance, Good Clinical Practices

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

Medical Office Manager - 6 Years of Experience - Near 62690

Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Familiar with Microsoft Word Excel and PowerPoint Typing Speed: 34 words per minute. Manages time and prioritizes duties in fast-paced multi-task environments. Leads by exa...

Tags for this Online Resume: Customer Service, Payroll, Management, Medical, Medical Billing, Medical Records, Medical Terminology, Medicare, Accounts Receivable, Amazon Elastic MapReduce

Business Analyst - 6 Years of Experience - Near 02724

Professional Summary Dedicated Business Analyst with 5 years industry experience and over 20 years of Insurance background including Home and Auto, Disability and Healthcare. SUMMARY OF QUALIFICATIONS * Strong organizational and analysis skills. * Personable and friendly extrovert. * Successful in working both independently and in a team environment. * Software Development Life Cycle (SDLC) phases including Planning, Analys...

Tags for this Online Resume: Benefits, Health Care Industry, Insurance, Business Analysis, Business Analyst, Business Requirements, Control M (Scheduling Pkg), sql, agile, software, it jobs

Medical or Health Services Manager - 20 Years of Experience - Near 62703

Customer service oriented professional with strong skills facilitates efficient workflows and communicates effectively with co-workers patients and staff. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. KEY QUALIFICATIONS Practice Structure * Leadership & Management * Medical Terminology Business Office Operations * Medical Office Procedures...

Tags for this Online Resume: Advertising, Entertainment, Financial, Financial Statements, Inventory, Management, Networking, Drafting, Filing, Planning