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Online Resumes with "submitting claims"
Operations Manager
I am organized, flexible, dynamic, ambitious, goal oriented individual with an extensive background in victim advocate, office management, human resources, employee relations and Operations management. Subject matter expert who enjoys learning and executing new procedures, programs and processes. A dynamic team player very attentive to detail and produces quality results. Aiming to work in an organization that offers profes...
Ideal Companies: climber.com
Tags for this Online Resume: Administration, Customer Service, Management, Payroll, Recruiting, QuickBooks, Compliance, MS Office, Complaints, Documentation
Pharmacist - 18 Years of Experience - Near 11370
Experienced with readjusting and correcting cutbacks (cutback reports), and reimbursement amounts on submitted claims Experienced with Third Party and Medicaid Audit requirements * Adjusting for audited rejected claims and correcting them for resubmission * Very Experienced with OPUS-ISM Experienced with billing for time on compounded medications (i.e., legend drugs on insurances) with OPUS- ISM * Adding new insurance plans...
Tags for this Online Resume: Compliance, Inventory, Inventory management, Management, Pharmaceutical, Toxicology, Audit, Billing
Claims Examiner - 16 Years of Experience - Near 34613
QUALIFICATIONS I have been both Inside desk Adjusting/ File Reviewing (desk adjuster) and investigating insurance losses and Examining claims (CAT, daily & fraud-related) for app. 17 years and have a broad exposure to catastrophe & disputed losses (litigation also). I am BI-Lingual GA, have my passport, and licensed as a 2-15, 5-20 and 4-40 & General Commercial Adjuster (Citizens). Also licensed as an adjuster in app 20 sta...
Tags for this Online Resume: CAT, Settlements, Medical, Real Estate, Accounting, Audit, Fraud, Litigation, Insurance, insurance
Executive Assistant - 15 Years of Experience - Near 22401
Possess excellent time management and adaptation skills very organized responsible with an attention to detail. Organized and takes initiative to be a leader very logical precise and analytical Able to work unsupervised or in a team environment. Experienced in use of Microsoft Office Suite on an executive level Type 60 wpm extensive Customer Service experience considerable knowledge of various insurances benefits verificati...
Tags for this Online Resume: Billing, Medical, Medical Records, Pathology, Coding, Medical Billing, Referrals, Administrative Assistant, Accounting, Automation
Financial Manager, Branch or Department - 15 Years of Experience - Near 11432
PROFESSIONAL SUMMARY * Financial reporting and analysis * Payroll processing and analysis * Supervised up to 5 employees * Skilled at resolving complex bank reconciliation issues * Effective Trainer * More than 15 years accounting experience * Experience in both large and small business SBS Promo (STANDARD BUYING SERVICE, LTD) - premium & promotional products Finance Manager, October 16th 2013 to July 20, 2017 * Monthly clo...
Tags for this Online Resume: Accounting, Accounts Payable, Accruals, ACH, Audit, Balance, Balance Sheet, Bank Reconciliation, Budget Preparation, Budgeting, accounting, finance
Project Manager - 20 Years of Experience - Near 78052
Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...
Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager
Coding Educator - 20 Years of Experience - Near 23231
Summary of Qualification OrthoVirginia 2015 - Present Medical Coder 1,2 Audit records to ensure proper submission of services prior to billing on pre-determined selected charges. Supplies correct ICD-9/ICD-10 diagnosis code on all diagnoses provided. Supplies correct CPT code on all procedures and services. Audit medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bod...
Tags for this Online Resume: Co-Pays, Medical, Pharmaceutical, Medicare, Deposits, Medical Records, Accounts Payable, Billing, Payroll, Emergency Room, healthcare
Payroll Administrator - 10 Years of Experience - Near 92807
Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...
Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting
Billing/Coding Specialist - 15 Years of Experience - Near 75409
Summary: * Works closely with providers in an effort to optimize billing and production, while still upholding customer care. * Processed all incoming Appeals Work with providers in advising proper billing and coding of claims, to ensure proper claims processing and payment * Work with the Private Client to obtain correct/ verified information, so I can then verify Coding information * Verify claim details and all pertinent...
Tags for this Online Resume: Billing, Coding, Insurance, Benefits, Accounts Payable, Accounts Receivable, Accounting, Administrative Assistant, Bankruptcy, Distribution, healthcare, Collections
BUSINESS ADMINISTRATION / HEALTHCARE ADMINISTRATION PROFESSIONAL
Exceptional record of achievement in the management of healthcare programs and processes. Proven ability to streamline workflow, eliminate backlogs of work, increase efficiency, and enhancing customer satisfaction. Special expertise in in claims processing and administration, policy and procedure review, document control, and reporting. Excel at reviewing procedures and identifying strategies for improvement. Highly adept a...
Ideal Companies: Any City or State companies such as, VA or other city and State Hospitals, MTA, DMV, Social Security Administration, Housing Department, Children Services,
Tags for this Online Resume: COLLECTED SPECIMENS, Legacy, Nursing, Office Administrator, Patient Care, Wound Care, Benefits, Billing, Certified Senior Advisor, Claim Processing, Claims Manager, Great Understanding of Medical Terminology Epidemiology, Multitasking
Billing/Coding Specialist - 15 Years of Experience - Near 11572
Tags for this Online Resume: Billing, Cardiology, Insurance, Medicare, Fraud, Amazon Elastic MapReduce, Deposits, EMR, Managed Care, Medical
