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Online Resumes with "hmo"
Nursing Administrator
To ensure, in collaboration with the Team Leader, that each Neighborhood provide safe, appropriate and goal-directed care and to provide support, supervision and guidance to direct nursing staff. To ensure communication regarding communication of resident status is consistent, objective and current. To assess resident care issues and collaborate with physicians in emergent and acute circumstances. To effectively maintain re...
Tags for this Online Resume: Reliable, competent, smart, effecient, organized, thorough, attention to detail, meticulous, promot, prompt
Admissions Director
Tags for this Online Resume: Assistant Director Of Finance, Hospital billing and appeals, Claims collection for commercial insurance, Medicare/Medicaid HMO and third party insurance, Patient financial service, Hospital Denials and appeals, Underpayment, Auditt review
medical claims recovery, adjustment and auditor
15 Plus Years: As a short- term traveling contractor, I have experience with HMO’s, as well as, PPO Insurance companies. Job descriptions are as follows: Experience in claims processing of Medicaid, Commercial, Professional, PPO, HMO, Third Party, Subrogation And Medicare claims Team Lead for high dollar and complex claims issues as well as customer service responses. Provider Relations Liaison, as well as, being a train...
REGISTERED NURSE, INTAKE RN HOME CARE INDUSTRY - 8 YEARS EXPERIENCE- MCR, MCD, HMO. ICD-9 CODDING, OASIS, SAAM
I AM LOOKING TO FIND AN INTAKE/CASE MANAGER/COC OR ENROLLMENT NURSE POSITION IN HOME CARE SETTING TO UTILIZE MY STRONG KNOWLEDGE ABOUT ELIGIBILITY FOR HOME CARE SERVICES TO PATIENTS WITH MCR/MCD/HMO
Marketing Health Information Occupational Medicine/ Boston/20+
I am a seasoned Health Care Executive in the West and East Coast. Expertise include Provider/Hospital systems, training development,and maintaining client base.
Tags for this Online Resume: Boston, Management, Marketing Executive, Team Leader, HMO/Medical , Sales Specialist
Claims Specialist
Experienced Customer Service Representative - call center, Claims Processor, Claims Auditor, Benefits Eligibility Specialist. Extremely analytical individual with excellent written and verbal communication skills. Possesses a thorough knowledge of CPT-4, ICD-9 and HCPC coding. Has an extensive knowledge of insurance products including PPO, POS, HMO, HSA, HRA, Managed Care, Indemnity, and Medicare. Known for identifying er...
Tags for this Online Resume: Claims, Insurance, Claims adjustments, customer service , benefits, Claims processor, Claims specialist, Claims Auditor
MDS Coordinator
To work for a progressive company and learn new things to advance and enhance my career while doing my best for excellent continuity of care for patients.
Tags for this Online Resume: clinical reimbursement, mds coordinator, quality assurance , skilled nursing, medicare medicaid hmo, seattle
Marketing/VP (Board member) for Medicare/Medicaid HMO HealthcareCo./ with ownership by Hospital
Work in management. with major Healthcare org( non/profit or Public,etc. ) involvement as Physican Network rep( benefits, reinbursements,EMR compliance, etc.),product design; or rep serving non/profit with fund raising and public relations/ also.Insurance and Financial background
Registered Nurse Case Management, Clinical Educator-12 + years experience - Epic- Acuity
I'm a RN Clinical Trainer with 12 + years in Medical Management with HMO commercial, Medicare & Medicaid Health Plans. Expertise in the use of Epic, TCS Acuity, Cerecons, IDX, MS Outlook, Siebel, MCG (Milliman). Effective training in formal presentation settings: one-on-one, small and large groups, with peers, and bosses; both inside and outside of the organization, on both cool data and hot and controversial topics; the ...
Tags for this Online Resume: Tulsa, Educator, Trainer, Case Management, Medical Management
Medical Office Management Specialist,Cardiology-10 yrs exp.,Medical Biller Office/Hospital,Contracting
Office Management, ability to work under highly stressed situations. Directly assisting Doctors,administrative needs and clinical needs. Medical Billing and Contracting experience,knowledgeable of Medicare, HMO,PPO's, Managed Care claims, Hospital Billing and coding. Medicaid knowledgeable. EMT.Physician licensing and permits renewal experience.
Tags for this Online Resume: Medical Office Manager, Medical Biller, Hospital Billing, Bilingual strong collections, Cardiac clinical experience, EHR office knowledge and support
Health Management Organization, Health, Wellness and Quality Program Director
To flourish in a health care organization using my education and health, wellness and quality experience from a large integrated health care and finance system.
Tags for this Online Resume: HEDIS, Quality, HMO, Project Management, CAHPS, Team Player, Integrated health and finance system, Health and Wellness, Program Director
Fundraiser - 17 Years of Experience - Near 92780
Resume: Ronald Carlton Alsop 17282 Roseleaf Avenue, Tustin CA 92780 ronaldcalsop@gmail.com Brief bio on Linkedin cell 714-788-0176 ...
Tags for this Online Resume: development , stewardship, Planned Giving, Philanthropy, major gifts, gift annuities, sales professional, estate planning
