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Online Resumes with "payer contracting"

Contract Negotiations, Vast health care experience

Recently moved to the Boston area and seeking employment in a hospital or provider setting to aid in contract negotiations.

Tags for this Online Resume: Sales management, payer contracting, epic systems, territory management, credentialing , microsoft systems

Full revenue cycle expertise,certified HIM,Mangement Consulting and lots of energy

I love to train people and as a consultant I was able to use all of my experiences to see others grow and expand their businesses. I enjoy working idependently and also collaborating with a team. I enjoy travel up to 50% and especially like working on process improvement and the full revenue cycle. Analyzing information, data mining and accounting projects are my favorites. I like it best when I can be hands-on working with...

Ideal Companies: Hospitals, Medical Software Companies, IT Consulting Companies, Revenie Cycle Finance Accounting

Tags for this Online Resume: revenue cycle, project management, analysis, improvement, training, implementation, information technology, problem solving, A/R accounts receivable, decision support, team, consultant, productivity, healthcare, software, management, audit, access, reports reporting, recommend


Have been doing billing for over 22 years, know all of payer contracts and coding, Also know ICD coding.

Sr. Medical/Workers Comp Specialist

Seasoned healthcare professional with over 20 years with extensive and comprehensive collections and billing experience with a proven & consistent track record of high dollars negotiations and collecting. Highly knowledgeable with payer contract terms & language. Direct involvement with capitation, risk pools, encounter data requirements as well IPA's (gatekeeper and non gatekeeper)DOFR's. Also well trained in Workers Comp...

Director, National Accounts

Seeking stable opportunities with ethical healthcare organization offering opportunities for continue professional advancement

Ideal Companies: Healthcare, HMO

Tags for this Online Resume: Network Development, Contract Financial Modeling, Revenue Cycle Management, Contract Management, Contract Negotiations

Featured Profile

Sales Manager - 10 Years of Experience - Near 77084

I am writing to express my interest in the position of director of sales advertised as being open at this time with your organization. I am a highly talented and dedicated professional with broad-based and progressive experience in sales and marketing, business development, and customer service management. Now I would like to bring my expertise and knowledge to work for your organization. My unique skills, keen eye for d...

Registered Nurse - 13 Years of Experience - Near 28037

Dedicated RN with 13 years of experience within emergency department, care coordination, and payer contracting. Possesses a Bachelorette qualification in nursing and currently focused on earning Master Degree in this field. Aiming to leverage my experience and knowledge to effectively fill the nursing position at your facility.

Tags for this Online Resume: Nursing, Patient Care, Quality, ACLS, Advanced Cardiac Life Support, Automobile Claim Law Specialist, Basic Cardiac Life Support, BASIC Programming Language

Chief Executive Officer - 15 Years of Experience - Near 10036

SUMMARY OF QUALIFICATIONS Executive Management Skills: Effective communicator as management at an executive level with strong organizational and problem solving skills with proven abilities to liaise with various departments, institutions (providers), insurance companies, unions, and the public to raise awareness and bring support to facilities. Worked with the medical and behavioral health, care coordination and outreach d...

Tags for this Online Resume: Information Technology, Insurance contract negotiations, french, Investment Opportunities, spanish, Executive Leadership, budget Management, Medical management, electronic Medical Records, Medicare/medicaid, program development

Chief Executive Officer - 20 Years of Experience - Near 32533

Tags for this Online Resume: Behavioral Health, Consulting, Health Care Industry, Networking, PEDIATRIC, Commercial Insurance, Management, Network Management, Provider Reclations, Medicare, Medicaid, Provider / Payer Contracting, Business Development, EAP Networks, Business Consulting

Medical Office Manager

Summary As an experienced, innovative, strong & creative leader among my accomplishments are: * Maximizing operational efficiencies & reducing costs while assuring quality & customer satisfaction. * Designing databases, analytic models & reporting to identify & quantify opportunities to increase profitability spread "best practices" & improve service. * Perform numerous database analytics to quantify critical metrics. * Sav...

Tags for this Online Resume: Benefits, Complaints, Managed Care, Services, Billing, Provider Operations, Long Term Care, Medicare, Transportation, Account Management, Revenue Cycle, Contracting, Network Development, Provider Relations, Management

Medical Office Manager - 20 Years of Experience - Near 34476

Areas of Expertise * Quality Improvement * Medical Billing & Coding * Account Receivables * Medicare & Medicaid Billing * MCR/MCD Dual Plans * MCR/MCD HMO Plans * ICD-9 CM & ICD-10 CM * Account Reconciliation * EHR/Practice Management Systems * Customer Service * Innovative Goal Setting * Compliance Plans & Programs * Policy & Procedure Writing * CMS-1500 & UB - 04 * Project Management * Team Leadership * Setting Fees * CDI...

Tags for this Online Resume: Audit, Training, Coding, Customer Service, Policies and Procedures, Necessary Adjustments, Medicare, Reviews, Evaluate, Leadership, Billing Manager, Revenue Integrity Manager, Revenue Cycle Manager, Reimbursement Manager, Medical Billing Manager, Accounts Receivables Manager

Director - 20 Years of Experience - Near 60563

SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...

Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management