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Online Resumes with "CAQH "



Clinical Social Worker

Ideal Companies: Sierra Tucson

Tags for this Online Resume: mental health, clinical, LCSW

Office administrator

Experienced Medical Billing Manager with deep knowledge of Medicaid, Medicare, Medicare Advantage, Medicare Plus Blue, BCBS, BCN Advantage, HMO’s, Commercial Insurance’s, 3rd Party Insurances, Auto Insurance, Work Comp billing. Significant experience with CPT, WEB Denis (BC/BS) and CSNAP (Medicare), Epic, Electronic Data Interchange (EDI) transmissions and statusing claims. Responsible for the hiring, training and perform...

Admissions Director

Tags for this Online Resume: CAQH , Credentialing, Provider Relations, Claims Resolution, Provider Education

Featured Profile

Office Administrator

To assist in increasing productivity in any office of which I become part and to use some of my many skills to their greatest potential.

Ideal Companies: Scripps, UCSD, the Salk Institute, the Whittier Institute

Featured Profile

Senior Network Account Manager, New York

A stable middle management position in contract negotiation that has a dynamic corporate culture. Opportunity for advancement must exist. The Executive Management should want and encourage innovative thinking and recognize how to keep an intrinisic employee motivated.

Ideal Companies: Government Agencies, Public Health Solutions, NYC, Managed Care Plans (GHI, HealthFirst, FirstChoice, Aetna, BlueCross/BlueSheild)

Featured Profile

Admissions Manager with EHR Certification

I am looking for a full-time position (which can be a traveling or remote position). I have experience with EHR conversions as a Certified Implementation Trainer, which today it is so important that people are trained correctly to obtain government monies, in return for purchasing an electronic medical records system. It is my desire to combine my leadership skills and EHR system management within the registration, busines...

Ideal Companies: Aurora, Omni Health, Modern Med, Epic, Vitera Healthcare, Physician's Office, Modern Med

Tags for this Online Resume: Leadership Abilities, Healthcare Insurance Denials, Registration Requirements, Proficient in Microsoft 2007-2010, Excellent Communication Skills, Electronic Database Proficiency, Healthcare Billing and Payments, Ability to Organize and Prioritize, Ability to Audit Medical Records, Focus is on Customer Service and their Experience, Certified Electronic Medical Records and A/R Implementation Specialist and Trainer, Provider Credentialing thru CAQH and/or paper, Medicaid Regulatory Requirements, Medicare Regulatory Requirements, Health Insurance Regulatory Requirements, HIPAA Rules, HIPAA Standards, HIPAA Implementation Guides, Bill Collection and Cash Handling Experience, Coordinate Registration Department, Coordinate Medical Business Office, Transcriptionist, Ability to Troubleshoot Office Equipment including PC's, Fair and objective, Utilizing Ques for Denials will lead to better financial outcokmes, Keeping abreast of regulatory changes will enhance the effectiveness of team goals, Leader in utilizing Microsoft Products - Obtained Employer Certifications, There is a difference in Great Communication Skills vs. Mediocre, Database Management is ongoing, Utilizing the best technologies available on the market will decrease days outstanding and will show employees that the company is willing to be a trendsetter, Prioritizing a day on the way to work can fall apart as soon as you get to work. Everyday is different and you need to be able to re-prioritize at a second's notice, Auditing medical records correctly is a skill-Educating Providers is also a skill that normally is not one easily learned, All employees main focus should be on the patients/people/customers that you come in contact with. Professionalism with a smile

Healthcare Administration

To attain a position in health care administration (non-clinical) which best fits my qualificaions and 20+ years of experience. I seek a position near the Daytona Beach, FL area.

Tags for this Online Resume: Physician Credentialing, Managed Care Enrollments, CAQH profiling, Medical Customer Service, Medical Terminology, Policies & Procedures

Billing/Coding Specialist - 9 Years of Experience - Near 31021

Tags for this Online Resume: Management, Billing, ICD-10, Insurance, EHR, Microsoft Office, Quick Books, eclinicalworks, coding, credentialing, HIPAA, CAQH, CLAIM SUBMISSION, Payroll, CLEARINGHOUSE, EMR, MEDITECH, SERVSAFE, eCW, Parallon

Featured Profile

Administrative Services Manager - 19 Years of Experience - Near 22192

Susan M. Cooper 2835 Noble Fir Ct  Woodbridge, VA  22192  703.408.9406 (cell)  starpangle@aol.com Associates in Physical Therapy Dumfries, VA Administrator September 1998-June 2017 Billing Specialist July 2008-June 2017 Medical billing: • Billed approximately $3 million per year utilizing Medisoft billing systems (with a $1.5 million return). • Managed insurance contracting including Medicare, Anthem, Aetna, Blue...

Tags for this Online Resume: retail manager, store manager, assistant manager, sales, management, manager, Manager Administrator

Admissions Director - 20 Years of Experience - Near 75707

PROFESSIONAL SUMMARY I have 30 years combine experience in the Healthcare Profession working as a Medical Office Manager, Licensed Workers Compensation Case Manager, Contract Negotiation, Contract Analysis, Billing, Collections and Denials Management Manager, Healthcare Consultant, Human Resource and Payroll function and Senior-Level Revenue Cycle Analyst for Hospital and Physician. I have successfully trained and mentored ...

Tags for this Online Resume: Coding, Payment Processing, Billing, Management, Medical, Audit, Compensation, Insurance, Managed Care, Chiropractic, healthcare

Billing/Coding Specialist - 20 Years of Experience - Near 85924

Medical Billing Services/Mangement Legal Assistant Criss Candelaria Law P.C. July 2017 - Present * * Currently serving as a legal assistant in a law firm specializing in criminal * and family law. Direclty responsible for the day to day operation of the practice. This includes scheduling clients and court dates, answereing phones, processing correspondence received electronically or by mail. Transcription and preparation of...

Tags for this Online Resume: CCS, Health Care Industry, Medical, Microsoft, EKG, Billing, Transcription, Receivables, Cms, Consulting

Manager - 0 Years of Experience

of the project is to develop a Medicaid Management Information System for the State of Michigan to follow 5010 version of X 12\HIPAA using existing eCAMS application which is developed following HIPAA X 12 standards. Implement the Core rules to meet the CAQH CORE mandated standards by integrating it existing eCAMS application. Responsibilities: * Gathering the CORE Rule requirements for Phase I/II/III implementation and con...

Tags for this Online Resume: Agile, Artificial Intelligence, Clearcase, Data General Eclipse, Eclipse, EDI, Edifecs, Electronic Data Interchange, Extensible Markup Language (XML), File Transfer Protocol