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Online Resumes with "optum"
Billing/Coding Specialist - 11 Years of Experience - Near 80109
a position within the medical industry for Inpatient Outpatient coding, Surgical, and Auditor which offers a career development, advancement potential, and enhancement. PROFILE OF QUALIFICATIONS ( CPC, HCC, Auditing, ICD-9, ICD-10CM, ICD-10PCS and Medical Biller. ( Englewood AAPC Chapter, Board Member * New Membership Officer 2008 to 2009 * Education Officer 2010 to 2011 ( Completion of "Professional Medical Coding Curricul...
Tags for this Online Resume: Insurance, Sports, Sports Medicine, Benefits, Billing, ICD-9, Certified Pension Consultant, Data Entry, Front Office, Injections, physical therapist
Supervisor - 10 Years of Experience - Near 32810
COVER LETTER: To Whom It May Concern: I am writing to explore the possibility of joining your company in a Manager position. Having built a track record of delivering outstanding performance on contracts with Kaiser Permanente, CIGNA and Blue Cross Blue Shield of Florida, I believe my talents and expertise are an excellent match for the role. I can offer to a company 10+ years of leadership experience with core strengths in...
Tags for this Online Resume: Bilingual, Management, Retention, Sales, Health Insurance, Insurance, Payroll, Quality Assurance, Test, Advertising
Healthcare Executive - 18 Years of Experience
SUMMARY Healthcare Executive RN with 20 years' comprehensive experience in areas that include: Leadership across multiple disciplines, P&L, Innovative Business Development, Staff and Client relationships, Quality Assurance and Outcome based program management, in various geographical locations. Recognized as a Transformational Leader with special expertise in: * Operational Leadership * Regulatory and Compliance * Business ...
Tags for this Online Resume: Hospice, Business Development, Leadership, Referrals, P&L, Compliance and Regulatory, Operations, Organizational planning, Clinical Oversight, Systems Improvement, Fiscal Management, Performance Improvement
System Engineer
Member of CIO division (Optum technology) Senior Leadership team specialized in implementing Health Care initiatives for Government services handling state programs with budgets of over 15 million USD managed a 100+ team covering Medicare/Medicaid Health Insurance Exchange and Benefit Management handling in-house products like Integrated Eligibility (IE) & Optum Integrated Layer (OIL) and SQA Advisor to the State on impleme...
Tags for this Online Resume: Management, Quality Assurance, Test, Banking Industry, Business Case Development, Compliance, Computer Aided Software Engineering, Consulting, Data General Nova, Program Management
Case Management Nurse - 10 Years of Experience - Near 55445
Tags for this Online Resume: Medicare, Insurance, Management, Satellite, Utilization Management, Documentation, Medical, Medical Records, nurse, Telemetry
Pega Developer - 5yrs of Experience - Orange county
* Certified Pega CSSA (7.2), CSA (6.1) * Pega Experience of 5.3 +years with overall IT experience of 5.5+ years * Worked in Pega 7.1, 6.X * Experienced in Pega Healthcare CPM framework, Pega Smart Dispute framework and Pega PRPC Basic Framework * Worked in US Healthcare, Insurance & Banking domain * Extensive experience in REST, SOAP, Email & File Listener Integration * Experience working in AGILE-SCRUM, Waterfall software ...
Tags for this Online Resume: Information Technology, Development Activities, Integrate, Acceptance Testing, Applications, Defect Tracking, Email, SCRUM, System Testing, Test, Pega, Pega PRPC
Medical or Health Services Manager - 20 Years of Experience - Near 32174
SUMMARY * 30 years in healthcare with thorough knowledge of ICD-10-CM, ICD-10-PCS and CPT coding for hospital and physician reimbursement, including Medicare and Medicaid regulations * Successful with hospital and physician coding and billing denials and appeals * Performed monthly MS DRG and APC audits and coding education internally * Successful appeals of MS DRG and APC denials from insurance companies * Successful devel...
Ideal Companies: Hospitals, colleges, university.
Tags for this Online Resume: Documentation, Management, Coding, Data Quality, Quality, Quality Assurance, Quality Management, CCS, Audit, Billing, coding, Health Information, Online Health Information Management Coding Jobs
Project Manager
PROFESSIONAL SUMMARY * Health Information Management (HIM) Leader, Consultant, Director, and Project Manager with the ability to manage client priorities and develop action plans and timetables, commensurate with each assignment. * Experienced HIM Consultant for California with a record of consistent accomplishments in directing cost-efficient health information management operations. Experience with 150- to 665-bed facilit...
Tags for this Online Resume: CMA, Services, Rehabilitation, Surveys, Billing, Cancer, Compliance, Health Insurance Portability And Accountability Act, Integrate
Director of Human Resources - 20 Years of Experience - Near 30736
SUMMARY A resourceful and accomplished human resources leader with demonstrated expertise in talent development, benefits administration, recruiting/staffing, employee engagement, succession planning, leadership management, data analytics, training/development, and regulations management. Proven aptitude in creating HR best practices, executive-level vision, and positive leadership to create vibrant teams with a penchant fo...
Tags for this Online Resume: HR, Human Resources, Leadership, Audit, Compensation, Compliance, Equity, Health Insurance, Insurance, Litigation
Admissions Registration Clerk - 5 Years of Experience - Near 92084
HIGHLIGHTS OF QUALIFICATIONS * Data Entry and 10-Key * Microsoft Office * ICD-9, CPT, HCPCS Coding * Customer Service * Insurance Verification * Medical Terminology * Able to take Vital Signs * Detail-Oriented * Effective Communicator * Professional Telephone Skills * Patient Registration * CPR Certified * HIPAA Regulations * Optum, NextGen and Intergy Software * EHR/EMR experience
Tags for this Online Resume: Security, Customer Service, Scheduling, BAR, Billing, Cancer, Cardiopulmonary resuscitation (CPR), Coding, Data Entry, Documentation
Program Director
Looking to join a leadership team where I can make the most of my financial planning, budgeting, forecasting and reporting skills, incorporating the latest trends in business intelligence, analytics and category buying, to add value to your business..
Ideal Companies: Small to Medium businesses
Tags for this Online Resume: Infrastructure, Management, Procurement, Integrate, Program Manager, Project Management, Active Directory, Architectural, Assessments, Business Plan, Director
Medical Records Technician
Summary To obtain a challeging position in coding that requires strong skills in ICD 10 cm & ICD10 pcs, CPT-4 codes, HCPCS, modifiers, E/M coding. Which allows me to use 3m-coder and Optum CAC system, medical knowledge and strong organizational skills. Qualification: More than 25 yrs experience as a hospital coder knowledgeable of coding guidelines and coding techniques with ICD9 CM, ICD10 CM, ICD10 PCS CPT, HCPCS, ) and DR...
Tags for this Online Resume: Coding, Billing, Documentation, Insurance, Pharmacology, 3M, Amazon Elastic MapReduce, C Programming Language, Compliance, EMR