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Online Resumes with "hmo"
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
General Manager - 20 Years of Experience - Near 92108
SUMMARY OF QUALIFICATIONS: Founder and CEO Medical / BioInformatics startup in the area of diabetes management. Overall strategic development of the company while working with both vendors and potential customers. Positioning the product and company as a leader in the area of diabetes treatment and management. Prime in negotiating a license agreement with a major educational institution and developing a business plan around...
Tags for this Online Resume: Integrate, Satellite, System Integration, Telecommunications, Business Development, Medical, Predict, Predict (Data Dictionary), broadband, Distribution, management
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
Director - 20 Years of Experience - Near 60563
SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...
Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management
Programmer Analyst - 20 Years of Experience - Near 34609
Summary of Professional Experience Client Name Project Type Software Version Focus Area Role Price Waterhouse Coopers (Infosys) Implementation/Conversion Workday 26 - 28 HCM, Payroll, Benefits Integrations Consultant Sacramento City Unified School District Implementation Workday 22 - 25 HCM, Payroll, Benefits, Financials Integrations Consultant Grossmont-Cuyamaca Community College District Implementation Workday 22 - 25 HCM...
Tags for this Online Resume: Accounts Payable, Benefits, Business Analysis, Business Analyst, Cobra, Data Conversion, Data Warehouse, Diagnostics, Extensible Markup Language (XML), Financial, workday peoplesoft
Computer Programmer
SUMMARY Programmer Analyst with 15 years of software and hardware experience, excellent problem solving, organization, and communication skills. Bilingual (English/Spanish) Fields Health (HMO Medicare) Retail Finance (Bank Software Point of Sale) SEO Google Analytics Pay per Click Google Adsense-Adwords Marketing strategies Government Standard FBI Security Clearance Federal Government Criminal Justice Information Services (...
Tags for this Online Resume: Sales, Active Server Pages, Retail, Structured Query Language, Javascript, Microsoft VB.Net, Microsoft Visual Basic, DHTML, Microsoft ASP.Net, Cascading Style Sheets, Web developer, Sql programmer, sql, c++, Report writer
Customer Service Supervisor - 20 Years of Experience - Near 76114
Qualifications Extensive experience in nearly every aspect of the insurance industry, including managed care in a variety of settings from HMO's and TPA's to providers and workflow software vendors. Strong practical foundation in creating and improving processes and procedures to meet audit and regulatory requirements, as well as improve the work environment. Proven success in writing RFP's, bid proposals, project managemen...
Tags for this Online Resume: Insurance, Management, Documentation, Retention, Software, ACH, Billing, Customer Relationship Management, Product Development, Project Coordinator
Admissions Director - 20 Years of Experience - Near 60430
CAREER SUMMARY * * Over 30 years in healthcare and 25 years as an Inpatient and Outpatient Managed Care HMO. PPO, POS, Medicare, Medicaid Commercial, Worker comp and Veteran Administration Biller and Collector, I billed primary, secondary, tertiary Insurance carriers. Verified benefits and eligibility for inpatient, outpatient, physician and hospital claims, also worked as a Financial Counselor. Hardworking, dedicated, comm...
Tags for this Online Resume: Coding, Allergy, Benefits, Financial, Litigation, Managed Care, Medical, Medical Records, PEDIATRIC, Pediatric Care, physical therapist, healthcare, Medical Insurance Collector
Manager - 13 Years of Experience - Near 07006
PROFILE ? Pharmaceutical sales representative about 17 years experience in this field. Medical Billing/Collection professional with 12+ years experience offering excellent skills gained through years of 5 years being a billing manager.Talent for quickly mastering technology - recently completed Microsoft Office Suite certificate course. Diplomatic and tactful with professionals and non-professionals at all levels. Accustome...
Tags for this Online Resume: Billing, Insurance, Internet, Medical, Medical Billing, Sales, Coding, Accounting, Accounts Receivable, Arabic Language, healthcare, Medical billing manager
Medical Office Manager - 20 Years of Experience - Near 33411
PROFILE Twenty five years of results oriented experience in administration. Exceptional management and planning skills detail driven professional with common sense approach to problem solving. Adept at communicating effectively with management, clients and staff, motivating employees to perform to their maximum potential. (Consultant - Business Development, setting up three medical business offices from the ground up (Finan...
Tags for this Online Resume: Insurance, Inventory, Managed Care, Management, Medical, Medicare, Office Administrator, Oncology, Planning, Practice Administrator
Customer Service Representative - 10 Years of Experience - Near 71129
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. Experience with Microsoft Word and Power Point - Type 50 WPM. Well-organized manages time and priorities in multi-task environments. * Work as part of a team and maintain a...
Tags for this Online Resume: Customer Service, Policies and Procedures, Amazon Elastic MapReduce, Billing, Claim Processing, Cms, Coding, Compensation, EHR, EMR
Quality Assurance Director - 15 Years of Experience - Near 94585
SUMMARY OF QUALIFICATIONS: * 15 years of Operations Management experience in ambulatory, behavioral health, inpatient FQHC and Indian Health * 15 years of Management/Supervision of FTE experience (union/non-union) * 12 years of Quality (CQI)/Performance Improvement experience * 10 years of Compliance, Accreditation and Risk Management experience: (JCAHO, CMS, DHCS, Title 22, URAC, NCQA, AAAHC) * 8 years of Chronic Disease T...
Tags for this Online Resume: Compliance, Management, Medication Administration, Audit, Medical, Medical Records, Microsoft Access, Program Management, DSS, health services system, population based health administration
