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Online Resumes with "QNXT"
I am a bright and very organized project manager with excellent interpersonal skills.
Ideal Companies: Anheuser Busch
My objective is to obtain an entry level position in Information Technology career field as a Database Administrator. I am a quality oriented Analyst possessing excellent customer service and communication skills with over 23 years in the health insurance profession.
Tags for this Online Resume: DIAMOND, SIDEWINDER , RHUMBA, FACETS, ENCODER PRO, QNXT/QMACS, CACTUS, SOFTHEON, FLEXX, Microsoft Office, Windows 95, 98, 2000, XP, WordPerfect, Peradigm , Filemaker Pro, Qmacs/Qnxt, Visual Cactus, Lotus Notes
Facets/QNXT configuration analyst with a company that will able me to advance in all levels.
Valuable resource for Orgization.
As my resume indicates, I possess more than 6 years of progressive experience in Microsoft Technologies and Application Maintenance /support in Healthcare domain. My professional history includes work experience on QNXT and FACETS products.
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...
Healthcare Insurance Recovery, Cost Containment, Configuration and Operations Leadership 20 plus years experience in Medicare, Medicaid, Commercial Insurance Operation Management.
Obtain an Executive Leadership role where my skills and knowledge can be utilized to minimize costs, increase profits, and ensure compliance with all Federal and STate Regulations. Autonomy to build effective teams, mentor staff, and develop a world class organization in a rewarding environment with an atmosphere of innovation and leading edge technologies being implemented or utilized would be the most favorable situation.
QUALIFICATIONS * Experienced handling a high volume of inbound calls, while multitasking * Extremely confident and shows confidence over the phone, puts caller at ease * Ensure first call resolution while respecting the customers time * De-escalation * Technical/Troubleshooting support * Medical and Auto Insurance * FMLA, Long/Short term disability, enrollment, claims, All Medicare Plans, PPO, HMO, Limited Indemnity, HIPAA,...
Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...
PROFESSIONAL SUMMARY: * Nine years experience as Business System Analyst in directing cross-functional teams of technical experts to analyse systems & processes and implement infrastructure improvements. * Ensure project activities are completed in accordance with applicable Federal Reserve standards, such as Technology Project Standards (TPS) and NCA Application Development Methodology (ADM). Maintain electronic repository...
Professional Summary Over20+ years of experience in claims and customer service, experience in information technology across several healthcare companies, having played key roles in business analysis, testing software design, software development, training, implementation of online systems, organizational assessments and support of business solutions, self-starter with solid multi-faceted experience. Effective in analyzing ...
Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into d...