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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLE Phoenix, Arizona Street Address
SUMMARYHighly-skilled and efficient Data Entry Specialist skilled in tackling administrative-oriented tasks in a fast-pace environment along with the knowledge of various types of Data Entry, analyzing and maintaining databases, processing medical claims and implementing coding procedure.SKILLSICD-10ICD-9CPT4HCPCS codingAttention to detailProblem solverMedical terminologyData analysisResearchingEXCELACCESSMS WordPowerPointPreparing packagesShipping proceduresShipment ProcessingData entry skillsEXPERIENCEDatabase and Product Order Specialist, Ear Foundation of Santa Barbara, October 2017-August 2019Santa Barbara, CaliforniaUpdated and maintain customer's demographics spreadsheet, created graphs/charts with ExcelResearched, Prepared, Shipped and Tracked various PatulEND products requestsReviewed customer orders for accuracy and completeness, ensuring that all requirements were met.Provided customer service support by responding promptly to inquiries regarding order status and shipment tracking information.Identified opportunities to improve processes related to order entry efficiency.Entered order details into system and inputted updates accordingly using EXCEL.Claims Processor, Health Choice Arizona (IASIS), January 2016-August 2017Phoenix, ArizonaProcessed paper & electronic medical & dental claims, for Medicaid, Medicare & Commercial insurance.Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.Processed a high volume of incoming claims in accordance with established policies and procedures.Adhered to all applicable laws, regulations, and company standards while processing claims.Researched discrepancies between submitted documentation and actual records to identify errors or omissions.Applied knowledge of coding systems such as CPT-4 and HCPCS codes for proper reimbursement.Verified claim data correctness in preparation for processing.Billing/Data Entry Specialist, Rural Metro Ambulance Services, February 2014-August 2014Scottsdale, ArizonaSuccessfully inputted daily trip tickets to the billing system, verified insurance eligibility and status.Inputted data into computer system to ensure accuracy and completeness of records.Validated customer information, such as addresses and contact numbers.Created spreadsheets for tracking incoming orders and outgoing shipments.Data Entry Specialist, Dr. Joseph DiBartolomeo, January 2013-March 2014Santa Barbara, CAInputted data into computer system to ensure accuracy and completeness of records.Validated customer information, such as addresses and contact numbers.Utilized PowerPoint application to create a presentation of the PatulEnd medication.Resolved problems related to incorrect or incomplete data entries.Data Processing Analyst, UNITED HEALTHCARE/APIPA, March 1995-August 2005Phoenix, ArizonaAnalyzed and resolved all errors that occurred on pended claims, provider's fee schedules & demographicsAccurately updated all providers' fee database schedules annually with new CPT/HCPCS codesInteracted with providers regarding pended claims errors, procedures and regulationsSuccessfully completed numerous special projects utilizing Excel software.Assisted in the development of new systems for managing customer data.EDUCATION AND TRAININGASHealth Information Technology, Santa Barbara City College January 2013CertificateMedical Coding Specialist, Santa Barbara City College January 2011AWARDSRecipient of Outstanding Achievement Award at United Healthcare |
