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Insurance Medical

Location:
Worcester, MA, 01601
Posted:
January 06, 2013

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Resume:

DONNA M. D'ERRICO

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** ****** ****** *********, ** 01604

508-***-****

Email: ab8140@r.postjobfree.com

PROFESSIONAL . Effective communicator with excellent interpersonal

and organizational skills

PROFILE . Highly motivated self-starter who learns quickly and

enjoys a challenge

. Team player who works well independently and performs

well under pressure

. Cooperative and flexible; adapt easily to changing

needs and circumstances

. Resourceful and determined approach to problem

resolution

. Able to handle multiple tasks, set appropriate

priorities and meet deadlines

. Interact effectively with various personalities,

cultural backgrounds and age groups

. Knowledge of medical and insurance terminology;

billing and scheduling procedures

EMPLOYMENT

11/07-Present LUK CRISIS CENTER, INC., Fitchburg, MA

Respite Worker

. Work with assigned child (through DMH or DSS) and family

to address issues and improve

client's living conditions.

2007-2008 CHILI'S, Shrewsbury, MA

Hostess / Waitress / Food Prep

2006-2007 SHIELD'S MRI, Brockton, MA

Clinical Secretary

. Performed patient advocate, distributed film and

maintained files in proper status.

. Responded to incoming calls, scheduled patient

appointments and managed daily patient schedule.

. Screen patients for medical history and obtain physician

referrals and prior authorization.

. Enter patient demographic and insurance data and collect

co-payments.

. Prepare setup for following day's work schedule.

. Obtain operative notes from prior surgeries.

. Perform all necessary office support tasks including

operation of all office equipment.

2005-2006 CHILDRENS FRIEND, Worcester, MA

Billing Representative

. Entered encounter forms and followed upon denials.

. Worked on the accounts receivable report closing and

opening each day.

. Ensured that physicians corrected any billing errors and

that correct patient CPT codes were

used.

2002-2005 WORCESTER OPHTHALMOLOGY, Worcester, MA

Billing Clerk

. Responsible for entering insurance payments and

following up on insurance rejections.

. Prepare deposits and print out financial and statistical

computer reports.

. Provide patients with billing information and rectify

any billing errors.

2000-2002 MEDICAL BUREAU, Worcester, MA

2/01-1/02 Billing Clerk

. Processed commercial billing and worked with insurance

companies to obtain claims status and

review basis for denied claims.

11/00-2/01 Client Services

. Provided claims and related information to customers.

1993-2000 UNIVERSITY OF MASSACHUSETTS MEDICAL CENTER, Worcester, MA

5/00-11/00; 8/97-3/99 Financial Assistant - Primary Care

Utilized bar and Meditech system.

DONNA M. D'ERRICO

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EMPLOYMENT

Cont'd 10/96-8/97 Scheduling Coordinator - Neurology Clinic

12/94-10/96 Scheduling Coordinator / Office Assistant

Responsible for scheduling and office support within the

Dermatology Procedure Center including

Mohs Surgery, Laser, Phototherapy and outpatient surgery.

This entailed:

. Ongoing communication with patient and family verifying

proper insurance coverages.

. Greeted patients and visitors, determined their needs

and provided information.

. Entered all clinician appointments, patient arrivals,

cancellations and no-shows into IDX

appointment system.

. Respond to and screened incoming calls for appropriate

level of urgency, triaged specific medi-

cal problems according to established procedures and

scheduled urgent care.

. Coordinated medical appointments and surgeries with

other surgical sub-specialties.

. Processed all documents including invoices, payments,

requisitions, patient billing, etc.

. Obtained and processed pertinent patient information to

facilitate 3rd party billing.

. Scheduled all new consults, outpatient surgeries, follow

ups, suture removals and wound checks

for Mohs Unit.

12/93-12/94 Financial Assistant - Outpatient Surgery /

Group Practice Billing

. Collected and posted co-payments, entered referrals into

the system and consulted patients with

any billing questions.

Prior experience Medical Claims Coder - Salisbury Associates,

Worcester, MA

Product & Service Analyst - Hanover Insurance Company,

Worcester, MA

EDUCATION WORCESTER STATE COLLEGE, Worcester, MA

B.S. Psychology Minor: Business 1996

QUINSIGAMOND COMMUNITY COLLEGE, Worcester, MA

Associates Degree in Liberal Arts 1979

Professional Training:

The Accounting Complete Plus Training Program -

ConnecTotal Computer Training

A comprehensive 9 week program which includes advanced

levels of Windows, Word,

Excel, PowerPoint, Access, Outlook, QuickBooks, Adobe

Acrobat, Visio and Publisher

Management - Sponsored by UMASS

Liability; Homeowners; Auto - Insurance courses

REFERENCES Available Upon Request



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