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Online Resumes with "denials appeals"



Case Manager and MDS Coordinator, experience with Medicare, HMO denials and appeal process.

I will like to work with HMO companies, case coordinator for patients related to appropriate referrals, SNF, Home Health. I can also do MDS Coordination, along with case management in a LTC setting. I have experience with wound management.

Ideal Companies: open

Tags for this Online Resume: MDS-CM, CmMDS

Healthcare Services/ Administration

Administrative professional brings over 20 years experience in customer service, people relations, administrative, managerial support and office productivity skills for a high growth company with a positive work environment.

Tags for this Online Resume: denials and appeals, customer service, medical secretary, medical insurance, recovery analyst, admissions clerk, admissions clerk, administrative assistant, filing, unit clerk, administrative assistant

High Energy Manager

High energy management professional with above average interpersonal communication and leadership skills. Very dedicated and loyal.

Tags for this Online Resume: Medical Office Supervisor/Manager, Medical Scheduling, Medical Billing

Take-Charge Administrative Assistant

Dedicated, attentive, and detail oriented administrative assistant with strong organizational, intrpersonal, and multi-tasking skills. Thrives in a fast-paced and challenging work environment.

Ideal Companies: Medtronic, Smith & Nephew, Marketing Firms

Tags for this Online Resume: Billing, Training, Scheduling, Administrative Assistant

Go getter HR generalist ready for you!

Dynamic, fun and well positioned leader in HR generalist field with ability to make a difference in the company - creative, friendly, loyal and open minded

Ideal Companies: Wellmark, Pioneer, IFMC, Merit

Tags for this Online Resume: Human Resource, Generalist, Recruiter, Training

Seeking position in reimbursement supporting medical devices

I am seeking the opportunity to fight for coverage for new devices and procedures while assisting offices and patients with denials, appeals, and procedural requests.

Ideal Companies: Johnson & Johnson, Hill-Rom, DePuy Spine, United HealthGroup, Healthpartners, Medica, Advanced BioHealing

Tags for this Online Resume: reimbursement, appeals, precertification, coding

Director Managed Care, Payment Discrepancy Analysis, Clinical Denials and Appeals

customer service rep.

Ideal Companies: vitamin.com, any company that has customer services postions or sales reps. anything that hs entry level positions.

Tags for this Online Resume: bilingual. speaks english also a quick learner.

Revenue Cycle Manager - 17 years Experience

I am a Revenue Cycle Manager with 17 years experience. I have 19 years experience with Managed Care reimbursement and supervisory experience. Including but not limited to, training, implementation of policies and procedures, development of staff and client relations. I have a strong background in Managed Care, Work Compensation, PIP reimbursement guidelines. Medicare and Medicare procedures.

Tags for this Online Resume: Revenue Cycle Management, Denials, Appeals and Underpayments Supervisor, Multiple Systems Experience, Hospital Billing, Physician Office Management, Payables and Receivables

Admissions Director

Tags for this Online Resume: Assistant Director Of Finance, Hospital billing and appeals, Claims collection for commercial insurance, Medicare/Medicaid HMO and third party insurance, Patient financial service, Hospital Denials and appeals, Underpayment, Auditt review

Client Services Manager - 6 years Experience - Santa Fe

I am a Client Services Manager for a behavioral health organization with 20 plus years experience dealing with customer service, claims payment, denials and appeals. I am in the Santa Fe area but am willing to relocate.

Tags for this Online Resume: health care, administration, management, texas, north carolina, south carolina

Experienced Registered Nurse -EHR/ICD-9, HEDIS documentation expert

My career uniquely combines a solid understanding of medical health care practice and business management and my goal is to continue as a hospital provider advocate within the medical auditing and clinical documentation career path.

Tags for this Online Resume: Registered Nurse, Medical/Surgical, Home Health, Infusion Therapy, Director of Nurses, CCU/ICU/Telemetry, Documentation Review EHR, Quality Assurance, Telecommute, Medicare Recovery Auditor, IternQual, ICD--9 ICDCCU/ICU/Telemetry, Integrated Case Manager, Quality Assurance/HIM; Healthcare Information & Documentation Manager, Medicare Denials appeal and Managed Care Risk/ medical necessity auditor, InterQual/ICD-9/MCG;Millliman/DRGs/Lean/CMS Guidelines MS Office, telephonic/remote, CCU/ICU/Telemetry/evidence based best practice provider and physican advocate, HEDIS abstractor, internal risk auditor, EHR quality assurance, ICD-9, Interqual/Milliman, clinical coordinator