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Online Resumes with "obtaining authorizations"



Medical or Health Services Manager - 20 Years of Experience - Near 07087

To obtain a challenging Coordinator position that will utilize my skills such as customer service, scheduling, insurance verification, prior authorization & follow ups. Knowledge on CAHC, JACHO and URAC. February 2017 - Present Empire Specialty Pharmacy West New York, NJ Intake/Prior Auth Coordinator * Obtain referrals from doctors, insurance companies and account representatives * Insurance verification and eligibility * O...

Tags for this Online Resume: Accenture FOUNDATION, Acquired Immune Deficiency Syndrome (AIDS), Coaching, English Language, Sports, healthcare

Featured Profile

Case Manager - 20 Years of Experience - Near 92630

I am looking for a full time permanent opportunity with a growing Case Management Company with excellent comprehensive benefits including Health Insurance, dental, vision and 401k option. I am a dedicated, highly skilled, self-motivated, registered nurses that that has significant experience with workers compensation & commercial case management as well as Utilization Management. I am also highly skilled in using Microsoft...

Ideal Companies: Strong and Stable, Kaiser, Hoag, St Joseph.

Tags for this Online Resume: healthcare, rn, case manager, utilization review, Registered Nurse, Milliman Care Guidelines, care coordination

Medical Assistant - 20 Years of Experience - Near 92405

Job Objective:Seeking a position in which I can grow using my professional skills.

Ideal Companies: Kaiser, Desert Regional

Tags for this Online Resume: Medical Assistant, Authorizations, Referrals, Medicare, Complaints, Microsoft, Electronic Medical Records, Medical, Medical Assistant, Medical Records, Referrals, Front Office,Back Office

Quality Coordinator - 20 Years of Experience - Near 11590

Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...

Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills

Billing/Coding Specialist - 15 Years of Experience - Near 01571

Summary I would like to offer services for practices or facilities that are need of assistance. I would be willing to work remotely as I do not wish to leave my current practices. I am the Director of Billing for three multi-specialty medical groups for the past 11 years. These practices specialize in Internal Medicine, Infectious Disease, Sports Medicine and Gastroenterology. I've been a requested consultant for numerous s...

Tags for this Online Resume: Billing, Medical, Accounting, Accounting Functions, Amazon Elastic MapReduce, Attention to Detail, Balance, Coding, CT, Database

System Administrator - 6 Years of Experience - Near 20784

Seeking an Information System Auditor or Information Assurance officer position in a growth oriented organization with focus on IT Security and Risk, system security monitoring and auditing risk assessments audit engagements and testing information security controls. IT Audit and IT Experience Catholic Charities, DC, MD Information Security Analyst June 2014 to Present Duties * Provided subject matter expertise support for ...

Tags for this Online Resume: Communication Skills, Compliance, Cyber, Cyber Security, Frame Works, Information Security, Management, Risk Management, Security, Software AG Natural, software

Medical or Health Services Manager - 15 Years of Experience - Near 96003

CPT ICD9& ICD10 coding. Deploy customer service, interpersonal leadership skills to make a difference in a patient's life by supporting a team that resolves patient inquiries, identifying problems and coordinating appropriate corrective actions. * Act as a subject matter expect, utilizing project management techniques in certain areas to assist with training, coaching and providing feedback, scheduling and organizing work a...

Tags for this Online Resume: Management, Corrective Actions, Customer Service, Managed Healthcare, Benefits Verification Specialist, Project Management, Scheduling, Medical Terminology, Monitoring, Coordinator, Medical Authorizations, home infusion coordinator, patient admissions representative, Patient Care Representative, Prior Authorization Rep, Staff Services Analyst, Quality Analyst

Featured Profile

Director - 15 Years of Experience - Near 91350

SUMMARY OF PROFESSIONAL EXPERTISE Expertise in project management, successful project implementation (100% success rate for meeting project implementation go live dates): Skilled at ensuring successful project implementation (s) by cohesively establishing project deliverables through ongoing communication of project goals, creating team synergy between key stakeholders, engaging applicable resources, and deploying effective...

Ideal Companies: Non-Profit Call Center, For profit healthcare

Tags for this Online Resume: Service, Teambuilding, Communication, Positive, Strategic, Relator, Visionary, Analytical, Leader, Studer Group Coach, Gallup Engagement Coach, Leadership Training Written Wrap-up, Lean Sigma Green Belt, Change Acceleration Process Certified, Motivator, Cerner Scheduling App, Epic Scheduling App, Ms Office, Entrepeneur

Featured Profile

Dedicated healthcare professional

Dedicated healthcare professional with 14 years of clinical, administrative and management experience, including 6 years as a Clinical Research Coordinator and 14 years as a Medical Assistant. Combined clinical skills and business acumen. Excellent communication and interpersonal skills. Master of Science in Clinical Research Administration degree.

Ideal Companies: Clinical Research

Tags for this Online Resume: Recruiting, Microsoft office, Liaison, Employee Development, Clinical Research Coordinator, Medical Records, Healthcare Administration, Management, Data Collection, Analysis, Medical Terminology