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Online Resumes with "medicare medicaid"



Executive Director - 20 Years of Experience - Near 62040

To be part of an organization that is committed to providing the highest quality of life and care for older adults where I may utilize my exceptional leadership and organizational skills to create an environment of trust and teamwork. Experience and Employment History St. Louis Altenheim November 2014 St. Louis, MO 63111 Executive Director Responsible for the operation of a 90 bed non-profit Senior Living Community providin...

Tags for this Online Resume: Nursing Home Administrator, Executive Director, Quality Assurance, Medicare/Medicaid, Teambuilding, Leadership, Customer Service, Corporate Compliance

Physician Assistant

PROFESSIONAL SUMMARY_____________________________________________________________________________ * Physician assistant program graduate with over five years of experience providing high-quality care in a variety of settings. * Accomplished leader devoted to patient education and clinical excellence. * Collaborative team member passionate about serving underserved populations. QUALIFICATIONS_________________________________...

Tags for this Online Resume: community health, primary care, Internal medicine, Geriatrics, Patient Care, Family medicine

Licensed Nurse - 20 Years of Experience - Near 32409

Summary of Qualifications and skills * Participatory Management Style * Experienced in Due Diligence Investigations * Experienced in CQI Processes/OBQI * Program, Policy and Procedure Development * Automated Clinical System Implementation * Medical Record Documentation Review * Preparation/Presentation of Education Programs * Medicare and Medicaid Regulations * Utilization Review, Billing and Compliance Audit * JCAHO/CHAP R...

Tags for this Online Resume: Medical, Services, Clinical Management, Clinical Programs, Compliance, Home Health, Management, Data Analysis, Medicare, Patient Care

Registered Nurse - 20 Years of Experience - Near 63138

To obtain a position where my skills and experience will be used as an asset September 2016 to Present Missouri Home Health Care 11636 West Florissant, 63033 Field Case Manger Responsible for completing initial nursing assessments SOC, Oasis 485, developed care plans Educated patents and families on disease process, medication management, and pain management Completed paper work accurately and in a timely manner collected b...

Tags for this Online Resume: Assessments, DRESSING CHANGES, Emergency Room, ER, Home Health, Insulin, Long Term Care, LPN, Management, Medicare

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Case Management Manager - 4 Years of Experience - Near 34741

Accomplishments Operations Management: Managed the quality of services as well as monitoring and achieving program compliance expectations. Handled all functions related to introducing new regulations and implementing them with success.

Tags for this Online Resume: Patient Care, Documentation, Nursing, English Language, Medical, Medical Terminology, Transcription, Business Operations, Coding, Compliance, Medicare/Medicaid & Commercial Insurance, Leadership and Managemnt

Pharmacist - 13 Years of Experience - Near 33785

SUMMARY: * Active Florida Pharmacist License #53616 * Highly knowledgeable with experience in prior authorization, hospital, retail and long-term care pharmacy. * Adept at all aspects of daily management and inventory * Strong decision-making ability * Efficient and accurate * Skilled in clinical interventions * Strong clinical background * Drug utilization review * Inventory management * Expert understanding of Medicare an...

Tags for this Online Resume: Management, Triage, Nephrology, Cardiovascular, Data Management, Research, Sales, Sales Training, Training, Clinical Research

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

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

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