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Online Resumes with "Medical Appeals"




Director of Case Management

Experienced RN with case managment & disease management background. Exceptional communication skills, dependable, and resourceful.

Ideal Companies: Blue Cross & Blue Shield, Humana, Genex, Corvel

Tags for this Online Resume: Strategic Planning

Medical Billing Specialist

From a remote computer or in a doctor office setting, manage the data insurance billing, electronically transmit the patient data and when the explanation of the insurance involment has been decided, post the account receivables, audit payments, debit or credit the patient and collect all monies due to the doctor's practice.

Ideal Companies: Work at home or Doctor Offices

Tags for this Online Resume: Medical biller, Data entry, Elecronic filing, Collections, Patient Account follow-up, Account Receivables, Written Reviews, Medical Software, Medical Appeals, Office Practium, Microsoft Word, Excel, ICD9CM, CPT4 Coding, HCPCS

Health Insurance Specialist

Health Insurance Professional with 20 years of experience looking for new and exciting healthcare management opportunities providing clients with high quality provider services, establishing relationships with physicians and practice managers, building physician networks, expediting medical claims and resolving billing disputes.

Tags for this Online Resume: Insurance , Claims, Medical Appeals, Network Management, Provider Relations, Operations

Senior Medical Appeals Specialist-11 years, Health Insurance-Benefits Specialist

Working towards a degree in Human Resources Management.

Health Care Administration MBA- Los Angeles- Admissions, Registration, Medical Appeals

A highly resourceful professional with hands on experience in customer care and client satisfaction. Goal oriented and results driven. A motivated team player that easily adapts to environment, strategy, and technology changes among many; skilled in time management, training, client focus and strategizing procedures. Consistently exhibits remarkable work ethic, flexibility and leadership. Hardworking and eager for further ...

Tags for this Online Resume: Los Angeles, administrative professional, health care administration, advanced microsoft skills, hard-working, quick learner

Quality Coordinator

To apply for a position in appeals, medical record review, or concurrent review

Tags for this Online Resume: Internal Auditor, Medical, Medical Records, Medicare, Medical appeals, utilization review, concurrent review

Registered Nurse - 20 Years of Experience

Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...

Tags for this Online Resume: Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care