R Allred Iii Location: Reno, NV 89508 ... y/casualt y. In the health insurance field I have worked with executive, managed care, open choice plans, along with Medicare and Medicaid. I also have underwriting experience in individual medical insurance plans. GOALS To continue my career in the medical claims processing, medical billing profession, obtain new certifications, furthering my education and advance to more challenging assignments and team leadership responsibilities . WORK HISTORY Metropolitan Health Plan Nov 2005 — Oct 2006 Claims Processor • Processed medical and vision claims for members on state insurance programs in coordination with medicare and Medicaid. • Reviewed claims for payment in the followin ...
97 hits
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L Gelber Location: Las Vegas, NV 89119 ... Strengths include creative and strategic planning with solid achievement skills.• A highly organized; leader and coach; able to quickly assess needs and provide tools to resolve the difficulties.• Skilled in coverage, liability and damages analysis.• Extensive claim and legal experiences.CARE ER RESPONSIBLITIES: • Handled assigned Construction Defect Claims within the State of Nevada by means of complying with Chapter 40 rules and regulations. Managed high profile liability cases with extensive injuries in General Liability matters. • Ensured timely coverage analysis and communication with the insured.• Maintain claim files with factual documentation unearthed through inves ...
95 hits
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K Goody Location: Reno, NV 89503 ... resent Self-Employed Exclusive Agent - Allstate Insurance Company Currently operating a full service insurance agency in Sparks, NV selling a full line of P & C and Financial products. November 1986 - May 2005 Claims Department - Allstate Insurance CompanyMost of my career spent in Claims Management in various claims offices, including Allstate Home Office in Northbrook , IL. Positions include Staff Claim Analyst - Casualty, Property, & Multi-Lines, Evaluation Consultant, Casualty and Multi-Line Manager, SIU Property Manager, and Home Office Claims Customer Experience Team member. Evaluated, negotiated and settled all types of property and ...
93 hits
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K Moya Location: Las Vegas, NV 89146 ... a challenging, yet rewarding environment. QUALIFICATIONS - Excellent command of the English language - Experienced working as a team member and/or working independently - Able to build a rapport with most people - Competent computer and typing skills - Effective implementation of tasks, goals and objectives - Outstanding communication skills - Maintain a positive, professional image suitable for any business environment - Respectfully adhere to a Code of Ethics - Always willing to learn - 14 years of claim coding using ICD-9, CPT, NDC and AWP pricing, HCPCS WORK EXPERIENCE * Kidz Bedz, LLC (02/28/2006 to present) – Las Vegas, Nevada - Sales Associate - ...
91 hits
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M Farquhar Location: Reno, NV 89523 ... , identifying and implementing process improvement and cost savings opportunities, leadership, investigation and supervision experience. SUMMARY OF QUALIFICATIONS Twenty years of law enforcement experience in a variety of positions including ten years in property and evidence, five years in public safety dispatching, and three years in corrections. Develop relationships and networks with outside vendors, city, county and federal agencies. Train and mentor new employees using real life situations, providing both positive and negate feedback, reinforcing skills, and building self-esteem. Exceptional problem solver, driven to succeed with strong interpersonal and negotiation skills. ...
89 hits
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T Robinson Location: Wellington, NV 89444 ... NV Aug. 01/Mar. 03 Assistant Body Shop Manager Christensen Auto, Minden, NV Nov. 98 /July 01 Service Manager I HAVE BEEN IN THE AUTOMOTIVE REPAIR FIELD SINCE 1986. I HAVE WORKED IN ALMOST EVERY ASPECT OF THE AUTOMOTIVE INDUSTRY. AM CURRENTLY AN INDEPENDENT AUTO DAMAGE APPRAISER OF APPROXIMATELY 6 YEARS (SERVING BOTH NORTHERN NEVADA & CALIFORNIA). I HAVE ALSO HELD THE POSITION OF SERVICE MANAGER IN MECHANICAL REPAIR. I HAVE ESTABLISHED A VERY GOOD WORKING RELATIONSHIP WITH THE APPRAISAL FIRMS, INSURANCE COMPANIES & SHOPS. I HAVE LIVED AND SERVED THIS AREA FOR 8 YEARS & KNOW IT WELL. I FEEL I WOULD BE AN INTERGAL PART OF YOUR ORGANIZATION. CURREN ...
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K Jackson Location: Las Vegas, NV 89128 ... Power Point, Outlook Customer care ICD-9 and CPT code Inbound/Outbound CallsACAS Mainframe Team Training Personal Assisting Claims Processing HCFA 1500 Touch typing, 45 wpm UB-92 Billing 10-key, 13,000 ksph Medicare/Medicai d Medical/Dental TerminologyExper ience Senior Claims Processor 2003 - CurrentUnited Health Care Las Vegas, NV Process an average of 250 - 300 claims in the areas of medical, hospital and mental health. Calculate average wholesale pricing of drugs manually. Utilize knowledge of Medicare and Medicaid standards and regulations. Claims & Customer Service Assistant Supervisor 1998 - 2003 Prudential/Aetna US Healthcare Los Angeles ...
85 hits
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K Vu Location: Las Vegas, NV 89193 ... vate others into action. Accomplished mediator who can resolve conflicts, iron out miscommunication and break-downs between diverse business units, clients and vendors.Summary of Qualifications:E xperienced in quality assurance tasks using various performance audit tools and reports to produce accurate statistics. This skill would transfer to your required ability to effectively analyze quantitative data to identify problems and trends, recommend action to be taken, implement necessary solutions, policies and procedures.Exper ienced in corporate training: A constant throughout my management career has been my passion for the design and delivery of staff-developmen t programs. Proficient in ...
83 hits
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C Larum Cmis Location: Fernley, NV 89408 ... gh provider appeals, member appeals, daily reports, provider refunds.Adjustme nts of prior paid or waiting to be paid claims through the incorrect fee schedule on mini contract and or contract used. Medical Billing/Collecto r2005-2006 Kids Behavioral Health, Reno, NVBilling/Collec ting for Residential Treatment Facilities for the Youth in Montana, California and Utah with payment results from the state Medicaid, Medi-Cal programs. Posting of all Accounts Receivable received, Collection calls on all state programs for un received AR not to let the days out to exceed 30 days.Monthly End to be completed no later than the 3rd day of the following month. Business Services Manager2002-2005 No ...
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K Witham Location: LAS Vegas, NV 89135 ... enging position where my customer service education and experience will be utilized PROFESSIONAL PROFILE 15+ years Supervisory experience Excellent Customer Service skills Excellent written and verbal communication skills Excellent problem solving and organizational abilities Experienced technologist in medical clinics, hospitals and reference laboratories Health insurance claims processing and health benefit analysis skills Skilled in responding to insurance commissioner complaints and attorney demand letters Skilled in researching and responding to appeals and grievances Certified Medical Technologist in Colorado- MT(ASCP) Certified Medical Claims Examiner-Great-W e ...
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