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Click here or scroll down to respond to this candidateCandidate's Name
Street Address 82nd PLSalem, WI Street Address
Cell: PHONE NUMBER AVAILABLEOBJECTIVE: To secure a position that will utilize my present skill and offer me new challenges, along with supplying the necessary tools and opportunities for expansion of my knowledge and growth.PROFESSIONAL EXPERIENCE:March 08 currant Medical Biller, RMS Lifeline Inc. ( Medix Staffing Solutions)Responsible for submitting professional claims to payers for payments.Interact with Government and Commercial payers for several states.Interacted with Coders, Access coordinators and cash posters to make sure everything is correct.Worked on special projects to collect bad dept from payers.Analyze reports related to billing errors and bad debt.Worked on Mysis and Nextgen systems. I also go on line to payers web sites and process claims to expedite payment.July 05 January 08 Claims adjudicator, Condell Medical Center.Responsible for the processing of claims, adjudication and payments.Answer all incoming calls from policy holders and providers.Maintained and interacted with all departments to ensure proper communication to expedition of all claims.Maintained and interacted with BCBS via e-mails on a daily basis.Worked on the MC400 system.Worked with excel spreadsheets, and lotus notes.Jan. 05 May 05 Sr. Claims Analyst, Westlake Financial Group (Medix Staffing Solutions)Responsible for the processing of claims, adjudication and payments.Analyzed reports for payment of claims with a high degree of quality and accuracy.Answered all questions relating to claims for providers and policy holders, provided additional customer service support on challenging issues.Eliminated back log for repricing and payment of claims.Worked on TPA clients through the Facts System.Oct. 98 Sept. 04 Sr. Claims Analyst, The Trizetto GroupResponsible for auditing and the processing of claims, adjudication and payments.Analyzed reports for payment of claims with a high degree of quality and accuracy.Solved all problems relating to claims (including billing errors) for providers and policy holders, and assisted in customer service support on challenging issues.Provided training of new employees and lent continual support, maintained and inter-acted with the Executive Director and all pertinent departments to insure proper communication and expedition of all claims. Worked on Rims, Amysis & Facets systems.Responsible for additional projects which included payment and adjustments of dental claims for United Health Care.Nov. 97 Oct. 98 Patient Coordinator, Family Practice AssociateResponsible for patient scheduling and inquires regarding their accounts as well as billing needs. Utilized Medical Manager systems.Acted as a liaison between the physician and the client.SKILLS: Highly motivated and goal- oriented, accurate, thorough and precise in attention to detail. Excellent organizational skills with a focus on prioritization. Major strength is my communication skills with customers. Experiences in the computer usage, Microsoft Outlook, excel and Word. I can utilize most office equipment.EDUCATION: Proviso West High School, Hillside, ILCertificate of Completion for Medical TerminologyCompleted HIPAA Compliance Phrases I & II |
