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Specialist Iii Office Coordinator Resume...
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Title Specialist Iii Office Coordinator
Target Location US-FL-Hollywood
Email Available with paid plan
Phone Available with paid plan
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PHONE NUMBER AVAILABLEEMAIL AVAILABLEHollywood, FLSKILLSEPIC EHR softwareICD-10 codingHCPCS codingHEDIS measuresWorkday ERP softwareMicrosoft Office SuiteEXPERIENCEESCALATION RESPONSE SPECIALIST IIICenteneSunrise, FLJuly 2023 - PresentAnalyzed complex coding issues, identified trends, and provided solutions to improve accuracy of medical claims submissions.Reviewed insurance policy coverage, determining validity of patient requests for claims.Tracked progress of pending claims and followed up as necessary to ensure timely resolution.Documented all findings from investigations into discrepancies on individual accounts or batches of accounts submitted for payment.BILLING QA SPECIALIST/REVENUE ACCOUNTING COORDINATORMEDNEX/NapaSunrise, FLFebruary 2015 - January 2023Performed daily reconciliation of payments received from insurance companies and patients.Processed and submitted medical insurance claims to carriers electronically, accurately and in a timely manner.Prepared detailed financial reports summarizing revenue cycle performance metrics on a monthly basis.Identified and rectified unique circumstances affecting delayed payment of delinquent accounts.OFFICE COORDINATOR/BILLING AND CODING SPECIALISTTENET/SUNRISE MEDICAL GROUPHollywood, FLAugust 2012 - January 2015Organized and managed office operations and procedures, including record keeping systems and filing protocols.Exhibited strong interpersonal skills to effectively interact with all levels of management, staff, clients, vendors and visitors.Reviewed financial statements and ledgers, working with accounting staff to clear discrepancies.Ensured compliance with company policies regarding health and safety regulations.EDUCATIONMASTER'S DEGREE IN BUSINESS ADMINISTRATIONUniversity of Phoenix, Phoenix, AZJan 2018BACHELOR'S DEGREE IN BUSINESS ADMINISTRATIONUniversity of Phoenix, Phoenix, AZJan 2010ASSOCIATE'S DEGREE IN HEALTHCARE ADMINISTRATIONUniversity of Phoenix, Phoenix, AZJan 2008

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