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Utilization Management Appeals Nurse ConsultantRegistered Nurse Case ManagerClinical NurseSeasonal HEDIS Clinical Documentation Review NurseClinical Nurse
AetnaAetna InsuranceHeart Center Observation Unit-WakeMed HospitalCoventry HealthcareNeurovascular Surgical Unit WakeMed Hospital
East Carolina University
Raleigh, NC

Dedicated nurse with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Knowledgeable in evaluating medical records to determine accuracy and overall care quality. Experience includes review of medical records for both inpatient and outpatient needs with knowledge of medical terminology and team collaboration.

TOP SKILLS

Patient care assessmentsWord processing softwareBenefits guidelinesManaging diseasesUtilization of mcg, interqual, and cpbs
Electronic Billing Consultant
Blue Cross Blue Shield Of Michigan
University of Detroit
Southfield, MI

Retired from BCBSM after 36 years of which the last 18 years as an Electronic Billing Consultant. Hired into the Accounting Department as a Check Processing Clerk, promoted to Account Payable Processor, and Supervisor of the Disbursement Department. Supervised a staff of 20 plus employees. Responsibilities was to prepare weekly check payments to doctors and subscribers. Generate manual payments for over and underpayment adjustments. Tax preparation statements (1099), inquiries, and other financial or legal records for doctors and BCBSM. Appear in Circuit, Federal or in local courts for cases involving financial representation to BCBSM check issued payments.

TOP SKILLS

General ledgerBilling systems and softwareCustomer contactMedical billing and collectionsCustomer accounts management
Outside Travel Consultant
CRUISE HOLIDAYS OF WOODINVILLE
University of Utah
Peoria, Arizona

Reliable employee seeking Travel position. Offering excellent communication and good judgment. Experienced Travel Consultant with over 39 years of experience in The cruise and travel industry. Excellent reputation for resolving problems and improving customer satisfaction.

TOP SKILLS

Good telephone etiquetteAnalytical and critical thinkingActive listeningOrganization and time managementDecision-making
Compliance Consultant/Project LeaderOperations and Compliance ManagerHealthcare Operations
OBScComfort Keepers AKA Rudy Enterprises, IncDr. Avrum Goldstein, Dr. Robert Faiella,
Northeastern UniversitySuffolk UniversityForsyth Dental Hygiene School
West Barnstable, MA

Experienced Healthcare Project Leader with talents in planning, scheduling and coordinating all stages of projects, and selecting the most effective approaches and processes for timely project completion. Outstanding organization and communication management abilities. Proficient in multi-tasking, analysis and problem solving. Presentation and public speaking skills. Trained in the use of Lean Six Sigma to create more efficient, effective processes. Knowledgeable in a variety of computer software programs.

TOP SKILLS

Project deadlinesChange management processLeading projectsDeveloping project strategyProject goals and milestones
ConsultantManagerDirector of AccountingSenior AccountantAssistant ControllerSenior Financial Analyst
SELF EMPLOYED SERVICESPATRIOT COAL SERVICES/PATRIOT COAL LIQUIDATED TRUSTWV STATE TREASURER’S OFFICETRINITY COAL CO/ESSAR MINERALSBURCO SERVICESMASSEY COAL SERVICES
Marshall University
Mooresville, NC

Results-driven CPA seeking full-time position that offers professional challenges utilizing quality business experience, exceptional communication, interpersonal skills, excellent time management and problem-solving skills. Computer experience in Excel, SAP, QuickBooks and MS Office.

TOP SKILLS

Flexible and adaptableEffective and professional communicationPayroll managementReliability and integrity improvementFinancial statements
Labor Relations ConsultantIndividual Care Provider and InterventionistLead Worksite Organizer, Union RepresentativeService Navigator
NEA/OEAIndividual Care Provider and InterventionistSEIUPrevention Point Of Pittsburgh
University of Pittsburgh
Hermitage, PA

Diligent, creative, organized Labor Relations Director, Lead Negotiator, and Organizer with over a decade of experience in Labor-Management relations. Highly skilled and successful in contract negotiations; both traditional and interest-based, while focusing on the process of ratification, the overall administration, and general maintenance of such agreements. Additionally, possesses skills in mediation, while specializing in labor arbitration. A committed community and political Organizer who maintains an understanding and knowledge of financial systems. Proficient in the development of salary schedules, and takes pride in the delivery and presentation of information. .

TOP SKILLS

Labor managementCollective bargaining agreementsActive listeningGrievance proceduresComplex problem-solving
ConsultantConsultantDirector of ConstructionConsultantContractorField Manager
Pella Windows And DoorsPCDGNAPCI ROADS
UDEMY - UniversityUdemy UniversityUPE - University of Pernambuco State
Altamonte Springs, FL

Results-oriented Construction Manager with more than 19 years of experience in the Construction and remodeling industry. Demonstrated ability to manage and deliver projects on time and within budget. Extensive knowledge of planning and developing sub-contractor relations. Entrepreneurial mindset and skilled in developing trusted relationships. Hardworking Consultant gifted at turning prospects into clients and delivering exceptional presentations. Engaging, personable and focused on delivering exemplary customer service. Outstanding motivator with adaptable communication style and success in collaborating across organizational levels. Skilled Consultant skilled in client oversight, issue resolution and business presentation. Impressive capability for juggling multiple tasks and projects within deadlines and delivering quality suggestions. Focused on helping resolve business issues and capitalize on development opportunities. Operations Specialist with experience developing realistic solutions to assure satisfactory consumer and customer experiences. Fluency in English, Spanish and Portuguese. Committed to resolving problems and maintaining accurate metrics and reports. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

TOP SKILLS

Building codes and regulationsPermit processingPractical leadership skills - 2022License commercial and residential contractor from minnesota state.Client engagement
Consultant, Contract With Kaiser PermanenteSenior Manager of OperationsClinic Manager IIIPractice AdministratorProcess Improvement Specialist
Rose InternationalProvidence Medical GroupProvidence Medical Group, MercantileACCREDITED CARDIOLOGYProlink, Inc
Institute For Professional Excellence in CoachingVillanova UniversityArizona State University
Ashland, OR

SENIOR LEADER Strategic leader, team builder, and collaborator with diverse business experience in the healthcare management industry. Proven track record of process improvement and operational development and expansion. Experience in business strategy and leading highly cross-functional programs requiring strong partnerships and complex change management. Exude openness, visibility, and approachability. Adept at mentoring, coaching and conflict management. Excellent Communications Strategic Approach Leadership Human Resources Training and Mentoring Talent Acquisition Talent Management Process Improvement Budget Management Practice Management Systems Regulatory Compliance

TOP SKILLS

Coaching for improvementEmployee training programsOperations and leadershipProcess implementationEmployee recruitment and hiring
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