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Online Resumes with "hmo"
Billing/Coding Specialist - 14 Years of Experience - Near 90620
Summary of Qualifications 21 years in medical field 5 years in leadership role Strong knowledge of anatomy and physiology Strong communication skills Knowledge of computers and electronic health record Basic and advanced life support training Understanding of ICD-9, ICD-10, CPT, HCPCS codes Understanding of billing process HIPAA Knowledge of Medicare and Medicaid Knowledge of HMO, PPO, POS, CDHC 21 years in medical field 5 ...
Tags for this Online Resume: Trauma, Medical, Critical Care - Respiratory, Patient Care, Billing, Coding, Communication Skills, Health Insurance Portability And Accountability Act, ICD 10, ICD-9
Medical or Health Services Manager - 10 Years of Experience - Near 43229
Results-oriented Director of Healthcare Administration with 10 years of proven experience optimizing patient care, operational performance, and financial efficiency. Exceptional communicator well-versed in conducting interviews, staff training, and patient interactions Advanced understanding of Medicare, Medicaid, HMO, PPO, and Managed Care products Proficiency in management information systems, as well as knowledge of ICD....
Tags for this Online Resume: Medicaid, Healthcare , Compliance/Auditing, Strategic Planning, Crendentailing, Budget Management , Process Improvment, Data Management, Billing, Compliance
Employee Benefits Account Manager - 20 Years of Experience - Near 19090
Profile Over thirty years in various insurance industry settings. Well versed in self-insured plan administration and funding, COB, Medicare, Major Medical, Basic, HMO, PPO, Dental, Workers' Compensation, and Disability Claim Processing. Fully trained in Medical Terminology, ICD-9 and CPT Coding. Excellent at handling customer service direct and or through insureds, group representatives, brokers, and various third party co...
Tags for this Online Resume: Cobra, Audit, Billing, Documentation, Benefits, Medical, Account Manager, Assessments, employee benefits, group benefits associate, group health benefits, benefits consultant, health benefits broker
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
Registered Nurse - 15 Years of Experience - Near 07040
Phone: * Prepare program for re-accreditation and ensure that program is in compliance with federal, state and accreditation standards * Manage curriculum design, evaluations and security of curriculum resources * Coordinate instructional technologies, clinical placements and ensure all program operations meet training, certification requirements and regulation standards. * Serve as College Liaison to the New Jersey Board o...
Tags for this Online Resume: Medicare, Public Health, Security, Pharmacology, Quality Assurance, Test, Nursing, Insurance, Leadership, Assessments, Management / Educator
Administrative Assistant - 17 Years of Experience - Near 21017
Summary of Qualifications Twenty plus years experience in dental field from front desk to office management Extensive knowledge of insurance plans (traditional PPO and hmo plans) Implement bonus incentives with marked results Excellent customer service, organizational and interpersonal skills Team motivator as well as a team player Managed dental practice with as many as seven providers and ten staff members Interviewed hir...
Tags for this Online Resume: Front Desk Receptionist, Account Reconciliation, Accounts Receivable, Benefits, Compaq Alpha, Customer Service, Deposits, Insurance, Insurance Claims, Management, administrative, customer service, clerical, administrative assistant, receptionist
Chief Financial Officer - 12 Years of Experience - Near 95358
SUMMARY OF QUALIFICATIONS * Controller and practice manager for insurance plans, hospital systems, medical groups, and IPAs. Also, CEO/CFO/Director of Finance/Corporate Controller with experience in contracting and network development of medical providers. * Ability to implement effective strategic planning, organizing, management, and controlling of all fiscal aspects of various healthcare facilities. * Expertise in health...
Tags for this Online Resume: Management, Audit, Financial, Financial Management, Surgical, Radiology, SAN (Storage Area Network), Financial Reporting, Medical, Accounting
Human Resources Manager - 10 Years of Experience - Near 08034
Skills Summary: Leadership, Critical Thinking, Strategic Planning, Training Facilitator, Contract Management, Labor Relations / Employee Relations, ADP, MS Office, ADA, FMLA, HIPAA, basic German ACCOMPLISHMENTS: Human Resources Benefits: Redesigned two HMO medical plans, generating savings of over $1 million annually by thinking outside the box. Renegotiated a group life insurance contract and a long-term disability contrac...
Tags for this Online Resume: Behavioral Health, Benefits, Health and Welfare, Health Insurance Portability And Accountability Act, Program Manager, Retirement planning, Welfare Benefits, HR, employee relations, benefits, strategic planner , leader, negotiator
Case Manager - 20 Years of Experience - Near 34698
ACCOMPLISHMENTS Quality Improvement/Care Management * Developed criteria for specifications to analyze group specific data, both demographic and claims, quantifying and stratifying to determine areas of savings opportunities and health enhancements for specific accounts. * Audited patient charts for NCQA/HEDIS and Joint Commission, helping clients to achieve respective accreditation. * Abstracted charts to boost OASIS compl...
Tags for this Online Resume: Business Development, Quality, Compliance, Credentialed, Disease Management, HEDIS, Abstractor, care management, case management, RN
Payroll Administrator - 10 Years of Experience - Near 92807
Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...
Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting
Sales Manager - 16 Years of Experience - Near 91340
COVER LETTER: : John Dimon's proven history of Business Development, * 1993 (Retail Chain Explosion), Disney stores planned on opening 200 new locations, Disney's goal was to create 40% new products, and packaging exclusive for its stores. Disney Store's Creative Director, had no internal budget to hire the staff he needed. At that time Euro Disney was still in the red. He could not use the Disney tower (artists), these art...
Tags for this Online Resume: Advertising, SAN (Storage Area Network), Marketing Management, Sales, Business Development
Medical & Health Services Manager - 20 Years of Experience - Near 33437
Profile Sales Team Development Quality Control New Venture Start-Ups Process Systems/Controls Utilization Review Executive Management HMO & ACHA Compliance Provider Relations Account Management Operations Management Business Expansion Centers of Excellence
Tags for this Online Resume: Dos, ICD-9, Microsoft DOS, Statistics, Management, Assessments, Microsoft, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, management, PRACTICE MEDICAL MANAGEMENT AND CONSULTANT
