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Online Resumes with "provider relations"



Senior Provider Relations Specialist - 20 Years of Experience - Near 91762

Public Health is where my passion lies. Emergency preparedness planning and educating the public on health, wellness and proper nutrition.

Tags for this Online Resume: Public Health, Provider Relations Healthcare, HIPAA , Healthcare operations, Medical Terminology, Patient Relations, Administrative Support Healthcare, Knowledgeable with PHI

Claims Examiner - 19 Years of Experience - Near 24014

I have been a Provider Relations Consultant and feel I have a great background in the Health Insurance field. I am a licensed Health agent, in good standing, and would like to use my past experience and build on it.

Tags for this Online Resume: Provider Relations Consultant, Quallity Analyst, Customer Service, Provider Data Analyst, Roanoke, VA, Provider Contracting, Network management

Claims Examiner - 20 Years of Experience - Near 28212

Highly organized, detail-oriented professional with practical experience in healthcare reimbursement strategies, private, commercial, and Medicare/Medicaid protocol and evaluation. Exceptional multi-tasker who aggressively pursues established goals. Full proficiency in reimbursement consulting and relationship retention

Tags for this Online Resume: PROVIDER RELATIONS, Healthcare, medical insurance, pharmacuetical billin, insurance customer service

Physician - 20 Years of Experience - Near 10801

To obtain a position within the healthcare industry that utilizes my experience in quality management, utilization management, clinical operations, strategic planning, budgeting, sales, coding, claims, credentialing, provider relations and customer service.

Administrative Assistant - 7 Years of Experience - Near 32825

To obtain a position with a company that will enable me to use my strong organizational skills, negotiation skills and the ability to communicate with others. I have over 25 years’ experience in the Medical field starting as a Medical Biller and worked myself up to Provider Relations, in which I have over 7 years’ experience. Aside from my experience as a Medical Biller and Provider Relations, I have high knowledge in dat...

Tags for this Online Resume: Documentation, Benefits, Cms, Medical, Medical Records, Protocol, Referrals, Medicare

Medical & Health Services Manager - 15 Years of Experience - Near 21261

Experienced professional with the ability to educate, train and implement initiatives through strategic planning and data mining. Through collaboration and training attained a successful direction of the network development staff to exceed all yearly goals. Worked through complex provider networks; pricing, development and team management. Analyze network reimbursement methodologies and provide process improvement strate...

Tags for this Online Resume: will relocate, Healthcare Reform, Contract Negotiations, Compliance, Contract Management/Operations, Reimbursement Analysis, Operations, ACA

Quality Assurance Director - 19 Years of Experience - Near 29072

SUMMARY OF QUALIFICATIONS Innovative strategist with demonstrated ability to identify and promote managed care in emerging and established markets. Executive management, operational capabilities with the expertise to develop, refines contractual terminologies increase revenue through standard or alternative methodologies and policies and procedures. Significant skills include: Project Management Certificate Reimbursement Me...

Tags for this Online Resume: Management, Actuarial, Architect, Cms, Medicare, Project Management, Project Manager, Accounting

Project Manager -- 15 years experience -- PMP

In my desire to grow into an executive leadership role, I have begun a Doctorate of Management in Organizational Leadership. I possess Masters of Business in Project Management and am a Project Management Institute certified Project Manager Professional with over 16 years of experience in meteorology, personnel management, project management, planning, writing and client-provider relations. Proficient with Microsoft Office ...

Tags for this Online Resume: Houston, Management, Project Managemet, Oil , PMP, MBA, Environmental Services, Strategic Planning, Project Management, Project Manager, Risk Management, Management, Planning, Primavera, SAP, IDS

Director of Provider Relations - 7 Years of Experience - Near 11581

Dedicated and motivated professional with over 7 years experience working in various healthcare settings. Excellent verbal, written, interpersonal communication and presenting skills. High performing leader with the ability to motivate others. Demonstrated success in various health care organizations as indicated by fast-track promotions to leadership positions.

Tags for this Online Resume: ACO, PCMH, Leadership, Management, Policies and Procedures, DSRIP, Value Based Payment, Data Entry

Business Analyst - 10 Years of Experience - Near 30102

Tags for this Online Resume: Business Analysis, Business Analyst, Documentation, Test, Program Manager, HP, Claim Processing, Project Manager, Healthcare

Administrative Assistant - 5 Years of Experience - Near 39209

QUALIFICATIONS SUMMARY With years of office experience providing supportive services and administration functions, providing services for Corporate Accounts, providing medical, dental, life insurance, filing claims for various companies, providing Provider Relations for various hospitals and clinics and various other duties. Skilled in Microsoft Word, Excel, Remas, and Spreadsheet. A team player capable of working with mini...

Tags for this Online Resume: Filing, Folder, Insurance, Billing, Corporate Accounts, Insurance Claims, Medical, Pre-certifications, Process Invoices, Bankruptcy

SALES & MARKETING / DIAGNOSTIC & SURGICAL DEVICE SALES / MARKET RESEARCH & ANALYSIS / RELATIONSHIP BUILDING / ASSESSMENT & INTERVENTION / CLINICIAN & PROVIDER RELATIONS / HEALTH SERVICES ADMINISTRATION & CLINICAL CARE /HEALTH CARE PROFESSIONAL / TEAM LE

To be a part of a multidisciplinary medical team within a world-class progressive leading health care organization offering a strong combination of professional experience advanced academic training, well-developed business and clinical skills. To effectively communicate and embrace the research and science with the implementation of innovative ideas, products and services to improve the lifestyles and the well-being of peo...

Tags for this Online Resume: SALES & MARKETING, DIAGNOSTIC & SURGICAL DEVICE, HEALTH CARE PROFESSIONAL, STRATEGIC BUSINESS PLANNING, TEAM LEADERSHIP, NEW BUSINESS DEVELOPMENT