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Online Resumes with "Claims Encounters"
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Summary: * Qualified professional with more than 7 years of experience as a IT Business Analyst in Healthcare and Banking Industry. * Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment. * Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Waterfall, RUP an...
Tags for this Online Resume: Business Analysis, Business Requirements, Insurance, Microsoft Visio, Structured Query Language, Unified Modelling Language, Use Cases, agile, Risk analysis, Impact analysis, Change management, EDI Claims
SUMMARY * Experience Healthcare quality improvement and process improvement. * Data processing professional, application development and project management experience. * Extensive knowledge in Systems Development Life Cycle (SDLC) and methodologies. * Excellent work ethics and communication and interpersonal skills. * Outstanding technical and analytical skills. * Good relationship with clients, customer services, users and...
Tags for this Online Resume: VISIO, Business Analysis, Business Requirements, Configure, Management, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, PDF, Business Analyst, Quailty Assurance, Risk Adjustment, Intervention, Healthcare, Claims/Encounters, Billing, HEDIS
Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...