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Medical Insurance

Location:
Miami, FL
Posted:
January 11, 2013

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Resume:

CLAUDETE LATTY

Objective:

My objective is to secure a position within company that allows for growth, the ability to become an integral part of its development, and the opportunity to utilize my extensive skills and experience in the Healthcare industry.

Knowledge:

Extensive experience in the Healthcare industryWorking knowledge of hospital facility billing and medical codingStrong knowledge of HIPPA rules and regulationsStrong knowledge of HMO guidelines, claims auditing, processing, and reimbursement Experience in major Healthcare facilities, medical billing, and collection

Qualifications:

Proficient in Microsoft Windows and Office applications Strong organizational and time management skillsAbility to work well in a team environment as well as independent of supervision

Employment History:

5/2009 Present Collection Specialist Venture Ambulatory Surgery Center

Miami, FL

Specialize in collections of all major insurance carriers, Physician claims, and Self-payReview appeals and ensure timely and appropriate communication with the complainantGenerate and document all written correspondence according to established timeframeResearch and obtain required documents to resolve misdirected payment issuesMeet and exceeds monthly cash goal to reduce A/R days

4/2001 9/2008 Claims Auditor Gamse Medical Services

Hollywood, FL

Specialized in Managed Care Collections for various hospitals nationwideResearched implant and high cost drug carve-outs accounts receivables for accuracyFiled effectual appeals in compliance with the contract set forth by the insurance companyFollowed up with the insurance company to secure additional paymentsAudited accounts for unbilled and/or underpaid charges

7/2000 4/2001 Billing Coordinator Argent Revenue Management/Mount Sinai Miami Heart

Miami, FL

Processed billing reports to various insurance companiesMonitored accounts payables for accuracyProcessed claims in accordance with established healthcare requirementsAssigned daily billing reports for processing

8/1989 7/2000 Lead Biller Parkway Regional Medical Center

Miami, FL

Coordinated daily billing reportProcessed claims in accordance with established guidelinesAssigned daily billing reports for processingFollowed up on outstanding A/R for all payers, including Self-pay

Employment

Copyright 2013 C. Latty - MyResumeWebSpace.com

Copyright © 2013 C. Latty - MyResumeWebSpace.com



Contact this candidate