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Online Resumes with "hmo"
Business Analyst
Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...
Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro
Sales executive who knows how to build, manage and successfully drive business development and sales organizations - 15 Years of Experience - Near 97229
Business development expert seeking an opportunity to build out new and existing markets with companies that bring unique value to the market. Ideally it is an opportunity that will allow me to leverage my extensive experience in creating successful go-to-market strategies focused on building sales channels that include B2B, B2C and VARS. The organizational desire to build a strong, positive and dynamic culture focused on d...
Ideal Companies: Cambia, United Health Care, Optum, Nike, CBRE, Amazon, Lockton, HUB, BambooHR, LimeAde, Socrates, HealthWise, Agrium, WebMD, Propeller, REI, Orvis,
Tags for this Online Resume: National account sales, Employee benefits and insurance, New business development, Profitability Improvement, Acquisitions, Go-to-market strategy, Sales support, Healthcare, Performance optimization, Joint venture and alliances, Consensus building & teaming, Multi-site operations, Crisis management, Budgeting & finance, Decision-making, Forecasting, Go to market strategy, National accounts, Product marketing, Joint ventures and alliances, Negotiation and diplomacy, Marketing, Consensus building and team building, Leadership, Sales coaching, Sales, Process, Analytical ability, Initiative, Client engagement, Compensation planning
Accountant - 15 Years of Experience - Near 48076
Summary I AM AN EXPERIENCED ACCOUNTING AND FINANCE PROFESSIONAL WITH OVER 15 YEARS OF EXPERIENCE, SPECIFICALLY IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND HEALTH MAINTENANCE ORGANIZATIONS (HMO) IN THE HEALTH CARE ENVIRONMENT. I ENJOY MEANINGFUL WORK THAT ADDS VALUE TO THE ORGANIZATION'S BOTTOM LINE, AND CAN HELP PROMOTE A COHESIVE WORK ENVIRONMENT WHERE EMPLOYEES FEEL VALUED AND ARE TREATED FAIRLY. I LIKE WORKING IN A ...
Tags for this Online Resume: Financial Reporting, Financial Services, Services, Finance/Accounting, Accounting Principles, Michigan - Metro Detroit, Communication, Documentation, External Reporting, Marketing, Team Player
Medical Sales Representative - 20 Years of Experience - Near 33062
QUALIFICATIONS: * successful in increasing census by 30% and maintained occupancy in snf @ 95- 100%. familiar with medicare, hmo's, ppo's, va, tricare, medicaid. * extensive experience in sales/marketing in healthcare (hospitals, snf/rehab, home health, alf, Physician offices) * Eighteen years of managing and coordinating patient care/cases. * LPn in hospital and home health setting for 15 years. provided Patient care in pr...
Tags for this Online Resume: Home Health, Business Development, Referrals, Patient Care, Account Manager, Insurance, Patient Education, Medical, Nursing, Surgical
Administrative Assistant - 20 Years of Experience - Near 34653
HMO's with Linda at 5 locations. * Palm Beach Institute of Sports Medicine: 3848 FAU Blvd, Suite 105 Boca Raton, FL 33431 -561-997-5210. Supervisor: Brad Van Pelt Workers compensation etc. Assist in the development of a Policy and Procedure Manual OSHA Compliance assisting in the business office with verifying insurance limitations obtaining authorizations collections reviewing charges and notes making payment arrangements ...
Tags for this Online Resume: Computer Aided Software Engineering, Scheduling, Managed Care, Front Office, Medical, Medical Records, Insurance, Sports, Sports Medicine, Benefits
Bookkeeper - 10 Years of Experience - Near 92126
COVER LETTER: To Whom It May Concern: I would like to be considered for a Management or comparable position in either the medical or accounting field. I have worked with Quickbooks for well over 10 years. I have done medical billing as well as AR/AP for 8 plus years. My knowledge in customer service, as well as my organizational skills as an Administrative Assistant has enabled me to handle a wide variety of situations a...
Tags for this Online Resume: Medicare/edicaid PP, HMO, Tri-Care, ICD-9. CPT Codes, Quickbooks, AR/AP. payroll, Payroll/quarterly taxes, Medical billing specialist, Hiring , Hippa compliance, Administrative Assistant, Microsoft Outlook, Microsoft Outlook Express, QuickBooks
Talented Executive with a Broad Range of Operation and Technology Expereince
SUMMARY of QUALIFICATIONS PROVEN LEADER - EXECUTIVE PRESENCE - RELATIONSHIP MANAGEMENT BUSINESS DEVELOPMENT - OPERATIONAL EXCELLENCE - REGULATORY COMPLIANCE CUSTOMER SATISFACTION - EMPLOYEE DEVELOPMENT & SATISFACTION PROBLEM RESOLUTION - STRATEGIC PLANNING - FINANCIAL PLANNING AND MANAGEMENT LARGE SCALE INITIATIVE LEADERSHIP - BUSINESS TURNAROUND - COMMUNICATIONS RISK AND COMPLIANCE MANAGEMENT - CULTURE CHANGE AGENT - QUALI...
Tags for this Online Resume: Planning, Strategic Planning, Disaster Recovery, Audit, Legacy, Management, Risk Management, Business Planning, CFO, Information Security
Medical Records Assistant - 2 Years of Experience - Near 71640
Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies guidelines and procedures to assure consistent quality. Experienced with Microsoft Word, PowerPoint, Excel, and Outlook Types 36 WPM. Willing to learn new skills and take on new challenges. KEY ...
Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Customer Service, EHR, EMR
Medical or Health Services Manager - 20 Years of Experience - Near 33534
SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...
Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer
Human Resources Administrator - 4 Years of Experience - Near 234
SUMMARY OF COMPETENCIES/TRAITS * Excellent Communication & Business Writing skills * Presentation and people management skills * Excellent phone etiquette * Overall IELTS score of band 8 * Budgeting, Reporting and Record management SUMMARY OF EXPERIENCE BOCH SYSTEMS COMPANY LIMITED - Information Availability, Cybersecurity solutions HR Manager (Jan 2017 - Date) I was recruited basically to help Boch systems maximize return ...
Tags for this Online Resume: Benefits, Budgeting, Compensation, Consulting, Cyber Security, Drafting, Filing, HR, Human Resources, Janitor
Chief Financial Officer - 15 Years of Experience - Near 95358
SUMMARY OF QUALIFICATIONS * CFO/Director of Finance/Corporate Controller with experience reporting for multiple division companies and matrix organizations. Proven organizer, good communicator, people motivator, and team player. * Ability to implement effective strategic planning, organizing, management, and controlling of all fiscal aspects of various industry companies. * Expertise in healthcare financial accounting with ...
Tags for this Online Resume: Management, Audit, Financial, Financial Management, Surgical, Radiology, SAN (Storage Area Network), Financial Reporting, Accounting, Budgeting, Controller, Finance Manager, Chief Financial Officer, Cash Management
Medical Office Manager - 20 Years of Experience - Near 34476
Areas of Expertise * Quality Improvement * Medical Billing & Coding * Account Receivables * Medicare & Medicaid Billing * MCR/MCD Dual Plans * MCR/MCD HMO Plans * ICD-9 CM & ICD-10 CM * Account Reconciliation * EHR/Practice Management Systems * Customer Service * Innovative Goal Setting * Compliance Plans & Programs * Policy & Procedure Writing * CMS-1500 & UB - 04 * Project Management * Team Leadership * Setting Fees * CDI...
Tags for this Online Resume: Audit, Training, Coding, Customer Service, Policies and Procedures, Necessary Adjustments, Medicare, Reviews, Evaluate, Leadership, Billing Manager, Revenue Integrity Manager, Revenue Cycle Manager, Reimbursement Manager, Medical Billing Manager, Accounts Receivables Manager