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Online Resumes with "medicaid medicare"
Sr. Medical Billing Representative
Highly Skilled Accounts Receivable Representative with over 15 years’ of medical and business billing experience. Proven expertise working with patients to resolve Medicare / Medicaid denials and submit appeals. Skilled at medical coding, medical billing, processing medical claims, and performing insurance research.
Ideal Companies: Hospital
Tags for this Online Resume: Billing Coding, Medical Terminology, Collections, Office Administration, Data Entry, Medical Coding, HIPPA Standards
Administrator for Home Health Agency for 14 years. Have been Director of Quality improvement
I am a Registered Nurse with Administrative and Management skills over the past 24 years. I have extensive knowledge regarding Medicare/Medicaid and Medicare Advantage Plans. Have negotiated with Insurance Agencies for contracts and reimbursement. Have hired, oriented, and have been responsible for staff development and education. Was responsible for supervision of all disciplines in health care including RNs, LPN, Cert...
Ideal Companies: Blue Cross Blue Shield, United Health, Molina Health, Humana, Aetna, Home Health and Hospice Agencies, Case Manager Companies
Network Relations Consultant/Provider Relations Representative
Dedicated professional with years as a successful employee in the Healthcare Industry for the State of Texas with experiences in supervision, project management, provider relations, provider recruitment, contract negotiations, complaint and problem resolution, staff training, and territory management/networking for Medicaid/Medicare and Managed Care areas. Business focused and seeking to provide exceptional work in the are...
Tags for this Online Resume: network consultant, provider relations
Claims Director - 20 years Healthcare Experience - Los Angeles
I'm a Healthcare professional who has 20 years experience with Medicaid/Medicare/Duals claims management. Overseeing the day to day function, claims inventory control.
Tags for this Online Resume: claims managment, claims director
Senior Vice President Chief Financial Officer, Treasurer
Mission Statement I possess over 30 years of unique experience in Long Term Care and Real Estate operations, strategic planning, sales, information technology & financing for corporate and tax-exempt institutions. I am a seasoned senior executive with a lot of accomplishments, but, most importantly my accomplishments reflect 22 year of contributions and executive leadership at The Osborn transformed an antiquated 80 year...
Ideal Companies: Long term care facilities (health care), , Applewood Estates Freehold NJ http://www.applewood, estates.com, Arbors of Hop Brook Manchester CT http://www.arborsct., com, Asbury Atlantic, Inc. dba Springhill Senior Living Erie PA http://www.springhil, lerie.org, Asbury Methodist Village, Inc. Gaithersburg MD http://www.asburymet, hodistvillage.org, Asbury Solomons, Inc. dba Asbury Solomons Island Solomons MD http://www.asburysol, omons.org, Beaumont at Bryn Mawr Bryn Mawr PA http://www.beaumontr, etirement.com, Bethany Village Retirement Center Mechanicsburg PA http://www.bethanyvi, llage.org, Brittany Pointe Estates Lansdale PA http://www.ACTSretir, ement.com, Broadmead, Inc. Cockeysville MD http://www.broadmead, .org, Buckingham's Choice Adamstown MD http://www.buckingha, mschoice.org, Canterbury Woods Williamsville NY http://www.canterbur, ywoods.org, Carroll Lutheran Village Westminster MD http://www.clvillage, .org, Cathedral Village Philadelphia PA http://www.cathedral, village.com, Cokesbury Village Hockessin DE http://www.actsretir, ement.org, Collington, A Kendal Affiliate Mitchellville MD http://www.collingto, n.kendal.org, Concordia Lutheran Ministries Cabot PA http://www.concordia, lm.org, Crosslands Kennett Square PA http://www.kcc.kenda, l.org, Duncaster, Inc. Bloomfield CT http://www.duncaster, .org, Elim Park Baptist Home, Inc. Cheshire CT http://www.elimpark., org, Evergreen Woods North Branford CT http://www.evergreen, woods.com, Fairhaven, Inc. Sykesville MD http://www.fairhaven, ccrc.org, Fort Washington Estates Fort Washington PA http://www.ACTSretir, ement.com, Friendship Village of South Hills, a Lifespace Community Upper Saint Clair PA http://www.friendshi, pvillagepa.com, Ginger Cove Annapolis MD http://www.gingercov, e.com, Glen Meadows Retirement Community Glen Arm MD http://www.glenmeado, ws.org, Granite Farms Estates Media PA http://www.ACTSretir, ement.com, Green Ridge Village Newville PA http://www.greenridg, evillage.org, Gwynedd Estates Ambler PA http://www.ACTSretir, ement.com, Heron Point of Chestertown Chestertown MD http://www.actsretir, ement.org, Homestead Village, Inc. Lancaster PA http://www.homestead, village.org, Ingleside at King Farm Rockville MD http://www.ingleside, kingfarm.org, Jewish Senior Life Rochester NY http://www.jewishsen, iorlife.org, Kendal at Ithaca Ithaca NY http://www.kai.kenda, l.org, Kendal at Longwood Kennett Square PA http://www.kcc.kenda, l.org, Kendal on Hudson Sleepy Hollow NY http://www.kohud.ken, dal.org, Kirkland Village Bethlehem PA http://www.kirklandv, illage.org, Landis Homes Retirement Community Lititz PA http://www.landishom, es.org, Lima Estates Media PA http://www.ACTSretir, ement.com, Longwood at Oakmont Verona PA http://www.longwooda, toakmont.com, Masonicare at Ashlar Village Wallingford CT http://www.masonicar, e.org, McAuley Center, Inc. West Hartford CT, Methodist Country House Wilmington DE http://www.actsretir, ement.org, Methodist Manor House Seaford DE http://www.actsretir, ement.org, Monroe Village, a Springpoint Community Monroe Township NJ http://www.monroevil, lageonline.org, Morningstar Senior Living, Inc. Nazareth PA http://www.moravian., com, Normandy Farms Estates Blue Bell PA http://www.ACTSretir, ement.com, Peconic Landing at Southold, Inc. Greenport NY http://www.peconicla, nding.com, Pennswood Village Newtown PA http://www.pennswood, .org, Presbyterian Village of Hollidaysburg Hollidaysburg PA http://www.hollidays, burgretirement.org, Redstone Highlands Greensburg PA http://www.redstoneh, ighlands.org, Roland Park Place Baltimore MD http://www.rolandpar, kplace.org, Seabury Community Bloomfield CT http://www.seaburyli, fe.org, Sherwood Oaks Retirement Community Cranberry Township PA http://www.sherwood-, oaks.com, Southampton Estates Southampton PA http://www.ACTSretir, ement.com, Spring House Estates Lower Gwynedd PA http://www.ACTSretir, ement.com, Springpoint at Crestwood, Inc. Whiting NJ http://www.crestwood, manoronline.org, Springpoint at The Atrium Red Bank NJ http://www.atriumatn, avesink.org, Springpoint Senior Living at Meadow Lakes, Inc. East Windsor NJ http://www.meadowlak, esonline.org, St. Andrew's Village Indiana PA http://www.standrews, village.org, Stonebridge at Montgomery, a Springpoint Community Skillman NJ http://www.stonebrid, geatmontgomery.org, Tel Hai Retirement Community Honey Brook PA http://www.telhai.or, g, The Estaugh T/A Medford Leas Medford NJ http://www.medfordle, as.org, The Evergreens Moorestown NJ http://www.evergreen, s.org, The Highlands at Pittsford Pittsford NY http://www.highlands, atpittsford.org, The Lutheran Home at Hickory Commons at Hollidaysburg Hollidaysburg PA, The Lutheran Home at Johnstown Johnstown PA, The Oaks at Pleasant Gap Pleasant Gap PA, The Osborn Rye NY http://www.theosborn, .org, Ware Presbyterian Village Oxford PA http://www.warepresb, yterian.org, Waverly Heights, Ltd. Gladwyne PA http://www.waverlyhe, ightsltd.org, Westminster Village - Allentown Allentown PA http://www.wmvallent, own.org, Westminster Village - Dover Dover DE http://www.wmvdover., org, Westminster Woods - Huntingdon Huntingdon PA http://www.westminst, erretirement.org/, White Horse Village, Inc. Newtown Square PA http://www.whitehors, evillage.org, Whitney Center, Inc. Hamden CT http://www.whitneyce, nter.com, William Hill Manor Easton MD http://www.williamhi, llmanor.org, Winchester Gardens at Ward Homestead Maplewood NJ http://www.wincheste, rgardens.com, Windy Hill Village Philipsburg PA http://www.windyhill, village.org
Tags for this Online Resume: Outlook Exchange, REPS, Navision, Helthmedix, word, excel, Soneto, PowerPoint, Accounting, Public Accounting
Remote IT Project Manager
My background is very versatile from being a Notary and over 20+ years working with various companies in assortment of office roles ranging from sales, write up contracts, Medicaid/Medicare consultant, diverse aspects of marketing, fast food management, office management, project management, pm assistant (Construction/Production/IT), coordinator, training and other executive responsibilities with companies that may or may n...
RN Case Manager/Utilization-14 years experience
I am Registered Nurse with over 30 years experience and 19 years experience in case management in the hospital area as well as the managed care insurance area, utilization review, precertification, concurrent and retrospective reviews, knowledge of Medicaid and Medicare guidelines, InterQual and Millman's criteria, discharge planning.
Registered Nurse/Care Coordinator
I'm Registered Professional Nurse who has been fortunate to work with diverse populations with both medical and psychiatric needs in a variety of settings. I am a strong advocate and work toward empowering individuals and their families. I develop Care Plans and provided education to families and staff members in areas that include preventative health, chronic disease, safety, medications, and substance abuse, and provide ...
Director of Provider Relations, Physiscian credentialing, contract negotiations
Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.
Tags for this Online Resume: Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer
Admissions Nurse,Memphis,Tn.--Mental Health nurse-Hospice care manager-Dialysis case manager
I strive to be the best in my field of nursing-I enjoy meeting new people, an ,I am a positive person an enjoy team-work with my fellow employee's.
Tags for this Online Resume: Mental Health, Hospice, Dialysis, Medicaid an Medicare, Nursing Homes, Wound Care Nurse
Registered Nurse - 19 Years of Experience - Near 39201
Tags for this Online Resume: Quality Assurance, Quality Improvement, Jackson, Nurse Administrator, collaborative care, coordinated care, Medicaid/Medicare, fraud/abuse research
Senior Sales Manager
I'm a Sales Professional with over 24 years of experience assisting the general public with various health insurance programs that meet their needs and reduce the cost of Healthcare. I've worked as medical biller, provider relations representative, Medicaid and Medicare Sale Representative, Outreach and Education and more to name a few. I have also held positions in communications and Information and Technology. Managerial ...
Tags for this Online Resume: Billing and Coding, Collections, Outreach and Education, Retention Officer, Customer Service, Insurance Broker
