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Online Resumes with "Medicare Medicaid"

Billing/Coding Specialist

Summary: * Well versed experience in Health Care, Health Care Administration management, Medicare/Medicaid Claims management. * Extensive Knowledge of Complex Disease Processes with Clinical experience in an Inpatient setting. * Experienced in Clinical & Experimental Research, Medical Information Retrieval and Communication. * ICD-10 Boot Camp successfully completed. * Good verbal and written communication and interpersonal...

Tags for this Online Resume: EKG, VITAL SIGNS, Imaging, Injections, Medical, Surgical, Venipuncture, Coding, Documentation, Management

Marketing manager

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development

Human Resources Manager

Qualifications Summary Highly-motivated, results-oriented visionary and strategic professional with an exceptionally strong track record for bringing innovative and creative ideas to operational challenges particularly effective in employee engagement, organizational change, designing procedures, implementing programs and building infrastructure to reflect and preserve the unique culture of an organization * Systematically ...

Tags for this Online Resume: Child Care, Compliance, Licensing, Performance Evaluations, Program Manager, Benefits, Employee Relations, Fraud, Medicare, Retention

Medical Billing Specialist - 19 Years of Experience - Near 12602

SUMMARY OF QUALIFICATIONS * Versed in medical staffing by-laws, rules and regulations, and JCAHO, processing appointment applications, performing primary source verifications, and keeping applicants apprised of statuses. * Fit to process all medical staff and allied health privilege requests monitored expiring appointments and ensured licensure and credentials remain current. * Used CPT, ICD-9-CM, ICD-10-CM, CMS-1500, and U...

Tags for this Online Resume: Billing, Documentation, Insurance, Insurance Claims, Medical, Medical Billing, Medical Terminology, Radiology, Managed Care, Medicare

Licensed Nurse - 20 Years of Experience - Near 79109

Summary of qualification: Diverse nursing experience and skills. Management of Health Care Services, Medicare and Medicaid, Scheduling, Budgeting, Sales, Marketing, RN Consultant, and In-Service Coordinator for Nursing Home, Nurse Examiner for Competency Evaluations, High School Teacher and Clinical Instructor.

Tags for this Online Resume: Health Care Industry, Services, Home Care, Policies and Procedures, Scheduling, Test, Assessments, Billing, Budgeting, Long Term Care

Featured Profile

"Experienced Worker's Compensation Attorney"

Full-time employment as an attorney or health insurance or healthcare advisor, coordinator in the Worker's Compensation, Disability Insurance or related fields.

Tags for this Online Resume: "Workers' Compensation", disability insurance, medical, "civil litigation", "health insurance", "civil litgation", disability

Quality Manager - 25 Years of Experience

Accomplishments * Published "A New Quality Approach to Reducing Vascular Access Infections" in the Nephrology Nurses Journal (2011) as a national Continuing Education Unit (CEU) for Nursing. * Published Four Pinnacle Award performance improvement projects through Health Care Association of New York (HANYS) (2007) Profiles in Quality and Patient Safety. * End Stage Renal Disease (ESRD) Network Quality Champion Award received...

Tags for this Online Resume: Managed Care, Consulting, Manufacturing, Process Improvement, Cms, Management, Root Cause Analysis, Medicare, Quality, Quality Assurance

Customer Service Representative

Profile Advanced HomeCare -Referral Support/Specialist 03/17 - Present Handling inbound calls from patients regarding patient financial responsibility. Enter payments into payment center system. Enter Home Health visits into McKesson system. Qualify Durable Medical Equipment orders ensuring meets Medicare/Medicaid guidelines. Verify patient service area to determine nursing coverage for TRIAD, Piedmont, Novant VA area. Ensu...

Tags for this Online Resume: Insurance, Billing, Cardiopulmonary resuscitation (CPR), Coding, Customer Service, Data Entry, Documentation, Home Health, Homecare, Link

General - 20 Years of Experience - Near 34608

Promoted to Provider Relations Supervisor * Managed customer services team of call center agents handling calls from Medicare, Medicaid, and commercial customers * expanded staff from 3 to 16 positions * Created work tools using Excel and Access used by entire staff

Tags for this Online Resume: Health Insurance Compliance, Audit, Compliance, Medicare, Call Center, Services

Medical or Health Services Manager - 18 Years of Experience - Near 91321

PROFESSIONAL SUMMARY Licensed insurance professional with extensive experience in sales, prospecting and lead generation. Seeks a position offering new challenges and opportunities for career growth and advancement. Accomplished Compliance and Regulatory Affairs Specialist and Insurance Consultant who proudly maintains a highly productive, efficient and quality-driven environment in the ever changing health care regulatory ...

Ideal Companies: DME Supplier

Tags for this Online Resume: Documentation, Policies and Procedures, Services, Sales, Advertising, Compliance, Management, Quality, Regulatory Affairs, Securities

Admissions Director - 19 Years of Experience - Near 10710

Qualifications Profile I am able to establish a cooperative climate, across multiple departments to identify opportunities which will result in long-term benefits for the employer. I have proficiency in Medicare and Medicaid compliance and NYSDOH regulations. I continuously seek out new ways to streamline and expedite operational processes and procedures in the Admissions and Marketing functions.

Tags for this Online Resume: Managed Care, Referrals, Rehabilitation, Marketing Management, Quality Assurance, Test, Insurance, ALLSCRIPTS, Benefits, Budgetary

Billing/Coding Specialist

Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows polices guidelines and procedures to assure consistent quality. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * Electronic Health Records ...

Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Compliance, EHR, EMR