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Online Resumes with "hmo"



Database Administrator - 19 Years of Experience - Near 85742

Highly experienced SQL Server database administrator with experience leading teams.

Tags for this Online Resume: SQL Server, Database Administration, Management, Structured Query Language, Microsoft SQL Server, Database, Disaster Recovery, Project Management, Servers, Database Architecture, Virtual Team Management, Remote, SQL Server Reporting Services, SQL Server Analysis Services, SSIS, SharePoint, Office 365

Case Management Manager - 20 Years of Experience - Near 24014

Thorough, determined, and perserving in client representation

Ideal Companies: Kaiser-Permanente HMO

Tags for this Online Resume: Legal

Occupational Therapist - 10 Years of Experience - Near 19446

Director of Rehabilitation / Occupational Therapist with 10 years of management experience specializing in medically complex geriatric clients in a critical access hospital, skilled nursing facility, out-patient and home health care. As a dedicated leader, I have significant expertise in teaching, training and mentoring of new graduates, staff therapists and students to improve their clinical skills and program development....

Tags for this Online Resume: Pittsburgh, PA, Case Mixed Minutes, Medicare, RUGs, dynamic, Rehab Optima, Leader

Insurance Underwriter - 15 Years of Experience - Near 07206

My objective is to bring my skills as benefit /claim customer service rep to the healthcare/insurance industry I am knowledgeable of Billing/ enrollment benefits claims underwriting guidelines computers word access powerpoint excel including hippa cobra medigap medicare medicade hmo ppo pos plans

Tags for this Online Resume: Healthcare customer services, benefits coordinator, Receptionist, collections, Data entry, sales person

Manager - 15 Years of Experience - Near 33897

As a Health Care Business Administrator I have over 15 years and a successful track record in health management operation related to the health services organization and community multi specialties practices, and health plan/ insurance industry HMO, MAO, MCO, PPO, TPA, including billing cycle for Medicare, Medicaid, Commercial for Hospital, ASC, MOS, PPO/Multi Specialty primary function; I have well rounded skills set acqui...

Vice President - 20 Years of Experience - Near 60422

As a senior general management, operations and IT leader, I have an outstanding record driving improvements across all key performance metrics for firms in healthcare, managed care, pharmaceuticals and financial services. Versatile, highly adaptable and capable of wearing multiple hats while juggling concurrent assignments, I have a demonstrated history of success as a change management leader. At organizations such as the ...

Claims Examiner - 16 Years of Experience - Near 43019

My sixteen years of experience have resulted in a strong understanding of the health insurance industry. My skill-set is extensive ad well balance. In addition, I am proficient in Microsoft products such as: Excel, Work, Outlook, Lync and PowerPoint. My enthusiasm and commitment to excellence have served me well. I have extensive experience with the different type of health insurance products (HMO, PPO, POS, EPO, HSA, HRA a...

Tags for this Online Resume: columbus, ohio, Ms Excel, MsWord, MBA, Human Resource Master, Health Insurance, Complaints, Inventory, Inventory Control, Management, Quality, Quality Assurance, Audit, Customer Service

Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst

Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...

Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest

Billing/Coding Specialist - 20 Years of Experience - Near 05401

SUMMARY OF QUALIFICATIONS * Knowledgeable and experienced in administrative management * Front/Back Office Manager - Medical Records - ICD-9/10 * CPT Coding * Receptionist/Transcriptionist - Medical Document * Business Machines Business/Medical Law - Title 22 * Insurance Billing/CMA & UB94 - Insurance Follow-Up & Verification/Pre-Certification * Word Processing - Medicare, Medicaid, HMO. PPO, Champus, IPA * HIPAA Rules/Regu...

Tags for this Online Resume: Coding, Billing, Insurance, Medicare, Attention to Detail, Automation, Back Office, Centricity, Medical, Administrative Assistant, Documentation, Medical Billing, Medical Records, Medical Administration

Admissions Director

Tags for this Online Resume: Medcaid advocate, Hospital Billing , HMO Enrollment

General Office Helper

Work as Office Support Clerk

Ideal Companies: Kaiser Permanente, Formers Insurance Group, Medical Hospital

Tags for this Online Resume: General Clerk, Office Clerk, Receptionist, Hospital Registration Clerk

Experienced Benefits Professional

Dedicated knowledgable benefits leader with exceptional people skills

Ideal Companies: Zales, Flour, Nokia

Tags for this Online Resume: Benefits Manager