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Online Resumes with "Precertification"
I have over 25 years of experienced as a Billing or Accounts Receivable Manager. I have managed over 20 staff member from charge entry, payment posting, pre-certification and authorization and full cycle billing staff. Collection from old and new accounts receivable. Manager front office to ensure excellent customer service for the organization.
Strong leadership, team building and decision making capabilities. Excellent communication and organizational skills for managing workflow, patients and families, physicians, and others under stressful conditions. Ability to set priorities, identify, assess, and-triage patients. Demonstrates superior reliability and maintains confidentiality. Looking to work with a team of professionals who place the patient/member first.
REGISTERED NURSE CERTIFIED CASE MANAGER Patient & Family Advocacy |Utilization Review |Pre-Certification |Liaison, Workersâ?? Comp & Acute Care Multifaceted and resourceful healthcare professional with comprehensive experience in leadership of complex case management, managed care, telephonic nursing and telecommuting. Patient-focused and detail-oriented RN Case Manager with demonstrated success in ability to identify, ...
Tags for this Online Resume: RN Case Manager, detail oriented, , patient focused, collaborative team player, telephonic nursing, ï‚§Excellent communication and interpersonal , strives for excellance, exceeds expectations
Summary of qualifications: I have strong communication and organizational skills, superior analytical, problem solving and management skills with the ability to handle pressure situations in a tactful and professional manner. I also possess strong team building skills, the ability to meet tight deadlines, demonstrated abilities to manage a large staff and to interact with all levels of associates within the organization as ...
Tags for this Online Resume: Accounts Receivable, Policies and Procedures, Front Desk, Cash Flow, Medical Office Manager, Data Entry, Medical Billing Manager, Billing, Audit, Medical Collection Management
Excellent communication and Interpersonal skills. I'm a team player, flexible, organized and able to multi-task. I'm stable, loyal, conscientious and a hardworking individual who understands the importance of client satisfaction through listening and problem solving solutions.
Ideal Companies: Cornell University Medical Center, Columbia Presbyterian Medical Center, Beth Israel Medical Center, Brookdale Medical Center, Maimonides Medical Center, Blue Cross/Blue Shields, Aetna Insurance, Cigna Insurance
PROFESSIONAL SUMMARY Healthcare professional with strong knowledge of clinical and business operations of hospitals motivated to delivering Service Excellence and Culture Initiatives to inspire employee engagement fostering positive outcomes for the organization. Committed to merging clinical and organizational mission with focus on values, ethics, quality and education. Expertise in Patient Access, financial counseling, de...
I had the Responsible for two to four CNA's and at least 25 residents per shift 3-11. Medication administration, wound and nebulizer treatments, taking off and handling physician orders on a daily basis. Receive new patient admissions or readmissions for the facility prn responsibility of going into clients' homes to take care of them or their loved one in their own environment. These clients had one more of the following c...
I currently work on the Member Services Non-Performance team to enhance our First call resolution as a Customer Service Representative 3. I am working on the Inventory Reduction Team for Large Group that has resulted in the lowest level of cases under sixty days in our department that there has ever been. I have worked on the Correspondence team and currently am working the fax report for the entire Large Group Department. ...
Tags for this Online Resume: Claims Auditing, Billing & Collections, Management, Medicare & Medicaid, Authrizaions / Pre-Certifications, Claims Reconciliations, Appeals & Grievance, WC Compensation Negociations, Appeals, Financial Analyst, Contract Specialist, Quality Assurance, Medical- Legal
SUMMARY OF QUALIFICATIONS Results-driven personable business professional with Master's in Business Administration (MBA). Consistent track record of developing and executing targeted business initiatives that drive customer growth, customer satisfaction/support and enhancing bottom-line profits. Highly effective communicator and team leader with proven ability to build long-term relationships with internal and external cust...
SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...
Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer
Qualifications * I am very familiar with the EPIC systems that were put in place a few years back as well as going back as far as paper charting and all the different technology systems placed in between. * I started the Porter Cardiac electrophysiology program from scratch: sitting with the architects, building CDM's, hiring staff, ordering equipment and supplies - from every syringe to the carpet and paint. I was involved...