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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEOBJECTIVESeeking to transition to a Full time Medical Office Position where I can continue to offer support to the staff, patients, complete projects, accept more responsibilities and contribute to this growing company.WORK EXPERIENCEAldridgepite Melville NY11/15/18 to 3/25/2Keep files and documents organized with both paper documents and electronic files and do routine Tasks data entryScanning Copying,Ordering suppliesFilingRetrieval DocumentsCross ReferenceCustomer ServiceOptum 360/ Northwell Hospital,Lake Success NY ContractAppeals Representative3/21/17 to 8/22/21Review and appeal claims that have been denied and require manual interventionAppeals claims by assembling documentation documenting the invoice in IDX ACM AEOS and Invision programsResponsible for reviewing all correspondence from Medicare and Medicaid and process according to current policies and proceduresConsistently meet established times for projects and assignmentsCommunicates with the Manager or Supervisor on progress of projects and assignmentsReport any detected problems errors and/or changes to the Manager or SupervisorOther tasks as assigned by ManagementCatholic Health Service Of Long Island Melville, NYEnrollment Clerk12/14/16 to 1/7/17Contacted Providers to obtain necessary demographic elementsAssisted in preparing the contract files for all providers which include scanning filing faxingParticipate in special projects and perform other duties as assignedInput specified data into databaseExercise good judgement and remain knowledgeable in related company policies and proceduresCareCentrix, Melville, NY 05/2011 to 04/2015Credentialing CoordinatorContacted providers to obtain licensureAssisted with special projects including compiling files for Iron Mountain and preparation of CIGNA auditEnsured credentialing and contract folders were filed correctlySupported staff with scanning of contracts and credentialing applicationsCompiled documents, prepared mailers and entered tracking information on excel spreadsheetsUtilized Provider 98 and Oracle to look up provider information on patientsMicro Media, Lake Success, NY 12/2007 to 07/2010Medical Records ClerkCoordinated medical records in strictest confidence according to HIPPA guidelinesScanned and purged medical recordsKept records accurate by obtaining and updating patients data and demographicsFiled records in assigned areas according to numeric and alphabetical filing systemsPosted payments and filed insurance claimsTyped correspondences and reports for department-wide circulationLocated signed out and delivered records as requested by medical departmentsNorfolk CSB, Norfolk, VA 01/1998 to 02/2006Data Processing TechnicianManaged and maintained filing systemsUpdated databases and files to reflect demographics, service and payment changesGenerated monthly reports and staff activity summariesReviewed printouts for errors and recommended corrective actionUsed data processing and software systems to enter, log and record report dataPosted payments and batched reportsMEDICAL OFFICE SKILLSHIPA and CARF guidelines, Health Insurance Billing and Medical TerminologyICD-10/CPT & HCPCS Coding, Optum Software, EMR, and 1500 Claim FormsProficiency in Microsoft Word and Excel, AS 400 BTIEDUCATIONHunter Business School, Levittown, NY 01/2016 to 04/2016Medical Billing Specialist Diploma |
