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Online Resumes with "medicaid"
Communications - 4 Years of Experience - Near 91601
Professional Summary Available for remote employee and 1099 Consulting Assignments
Tags for this Online Resume: Managed Care, Management, Marketing Management, Pharmacy Management, POS, Behavioral Health, Marketing Communications, Medicare, Advertising, Benefits, Medicaid, Proposal Development
Loan Officer - 4 Years of Experience - Near 97138
Established customer pipeline took 1003 applications for conventional residential and commercial loans pulled and evaluated credit report submitted loan to lender ensuring proper financial analysis of potential new and existing borrowers throughout processing to funding. * Drove by properties with NOD filed with the County. Distributed promotional flyers personal contact with mortgagor and/or tenant. Probed for disposition ...
Tags for this Online Resume: SysPro, Compliance, Access, Database, Escrow Analysis, Tax Specialist, Insurance, Legal Research, Administrative Assistant, Engineering
Billing, Posting or Calculating Machine Operator - 4 Years of Experience - Near 23320
Results oriented professional backed by cross-functional medical billing healthcare claims and accounts receivable experience. Ensures data integrity for optimal and correct reimbursement. Proficient with Microsoft Word Excel Medical Manager Greenway Realmed. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * HCPCS * CPT * ICD-10-CM * Medical Terminology Electronic Health Records (EHR) * Electronic Medical Rec...
Ideal Companies: Wake Forest Baptist Health, BCBS
Tags for this Online Resume: Insurance, Benefits, Credit Card, Medical, Medical Billing, Billing, Medical Records, Medical Terminology, Medicare, Microsoft
Billing/Coding Specialist
Skills Summary CPT Procedures, HCPCS, Medical Terminology, Multi-Task Medicare/Medicaid Guidelines, ICD-9/10 Coding Microsoft Word/Windows, HMO's, PPO's, Worker Comp Excel, Access, Lotus Notes, Power Point Data Entry, Payroll, Accounting, Medical Records, Outlook Customer Service, Scheduling, Diversity Scanner, 35-55 WPM, 10-key Calculator skills Administrative Assistant, Secretary, Professional Presentations Nationally Reg...
Tags for this Online Resume: Insurance, Coding, Medical, Benefits, CCS, Medicare, Scheduling, Data Conversion, Diversity, sheets
Pharmacist - 10 Years of Experience - Near 20724
SUMMARY OF QUALIFICATIONS 9 years' experience as licensed pharmacist in USA the fields of Retail Pharmacy (chain, independent and LTC), Hospital (outpatient and inpatient) and Government (State Medicaid and Federal) settings, as well as Drug Safety Associate. 15 years' as research professor at the National Research Center, Department of Medicinal and Pharmaceutical Chemistry with research in the field of Pharmaceutical Chem...
Tags for this Online Resume: Billing, Management, Insurance, Pharmaceutical, Therapy, Fraud, Drug Utilization, HYGIENE, Inventory, Training
Programmer Analyst - 7 Years of Experience - Near 72211
SUMMARY OF QUALIFICATIONS: * Over ten years' extensive experience in SAS programming on Windows and UNIX platforms, including nine years' experience working on Medicare and Medicaid national warehouse databases, mainly in manipulating large complex medical datasets and medical claims data (inpatient, outpatient, and pharmacy claims). * Solid experience in data extraction, transformation, and loading to data warehouse Data c...
Tags for this Online Resume: SAS, SQL, Statistical Analysis, Data Management, Medical, Oracle database, Data Validation, Data Extraction, Survy data analysis, Modeling, SAS ODS Report, Generate tables and graphics
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
Medical or Health Services Manager
SUMMARY: A dedicated and self-motivated Project Manager, drawing upon 5+ years of industry experiences within healthcare. Specialties: Process Improvement Clinical Quality Initiatives State Medicaid and Medicare Innovation models like DSRIP, Meaningful Use, HEDIS, PCMH, CCM and Transition of Care Healthcare Information Technology, Financial Analysis Budgeting Strategic planning & Operations and Grant & Report writing
Tags for this Online Resume: Medical, Fraud, Call Center, Documentation, Financial, Financial Analysis, Insurance, Quality, Policies and Procedures, Management
Manager - 15 Years of Experience - Near 19958
Professional with broad health care industry experience and understanding of private public and managed care coverage requirements. Proven expertise in eligibility appeals with the state of Tennessee's Medicaid Plan. Expertise in leading teams responsible for developing and maintaining viable policies and procedures to resolve coverage issues for applicants. Proactive approach to analyzing issues and finding creative soluti...
Tags for this Online Resume: Benefits, Health Insurance Portability And Accountability Act, Insurance, Management, Human Resources, Managed Care, Medicare, Project Management, Senior Project Manager, Statistics
Medical & Health Services Manager - 7 Years of Experience - Near 20019
AREAS OF EXPERTISE Medicaid 101 Training, Customer Service, Information Specialist Team Building Skills PROFESSIONAL AWARDS & HONORS Above and Beyond 2015 - 2016 Directors Award (2015) Certificate of Appreciation 2014 - 2015 LEADERSHIP ROLES Health Care Delivery Management Administration Team Leader DC CONTRACTS TRAINING PASS Contracts, PASS Sourcing-Scheduled, Contract Admin/E-Val Monitor, Managing the Purchase Card, DC Go...
Tags for this Online Resume: Management Analyst, Contract and Procurement, Research, Customer Service, Technical Support, Scheduling, Management, Training, Market Research, Procurement
Materials Manager
SUMMARY Healthcare professional with extensive experience in training, management, reconciliation, audit, Medicaid and Medicare regulations. Experienced with federal regulations and compliance. Experienced with analysis and preparing reports for management. Medical claims Adjudication and Network Management.
Tags for this Online Resume: Management, Policies and Procedures, Audit, Business Analysis, Compliance, Medicare, Cms, Complaints, Business Analyst, Integrate
Business Analyst - 7 Years of Experience - Near 08817
Professional Summary: * 10+ years of overall IT experience with 6+ years of Business Analyst / Project Coordination and management expertise in Healthcare and Pharmaceutical Industry. * Lead JAD sessions to aid in requirement gathering, prototyping and documentation of business and system needs via BRDs, FRDs User Stories, Use Cases, Workflows, Wireframes and Software Requirement Specifications. * Expertise in implementing ...
Tags for this Online Resume: Business Analysis, Business Analyst, Information Technology, Acceptance Testing, Active Server Pages, Adobe, Adobe Acrobat, Agile, ANSI, Ansi (Am Natl Stds Inst), PMP certified, VISIO,MS Project
