Post Job Free

Resume

Sign in

Insurance Manager

Location:
Las Vegas, NV
Posted:
July 24, 2014

Contact this candidate

Resume:

Michael W. De Salvo

*** *. **** **** ****. #****

Henderson, NV 89015

702-***-****

ace3j8@r.postjobfree.com

Profile

High quality professional capable of bringing creativity, communication and leadership skills to a serious employer enabling

the team to achieve high standards, exceed goals and demonstrate strong work ethics. Special skills in repairing and building

computers.

Skills/Training

CPT, ICD-10, ICD-9, and HCPCS Coding/HIPAA Regulations/Medical Terminology

CMS 1500/UB-92/Medicare, Medicaid and Insurance Billing

Insurance Verifications and Prior-authorizations

Patient Check-in and out/Appointment Scheduling/Medical Records Filing

E-MD’s/Medisoft/Medical Manager/Windows/Microsoft Office/Type 35 WPM/10-key

Highly organized with strong patient/customer relations and multitasking skills

Experience

April ’10 – Present Pulmonary Associates Las Vegas, NV

Medical biller/coder: Translate patient information into alphanumeric medical code; collect, post, and manage patient account

payments; submit claims to insurance; prepare and review patient statements; review delinquent accounts and call for

collection purposes; process payments from insurance companies; maintain strict confidentiality; code patient services and

enter into computer; sort and file paperwork; handle information about patient treatment, diagnosis, and related procedures to

ensure proper coding; know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS; use computers

to read and organize charts; follow up to see if a claim is accepted or denied; investigate rejected claims to see why denial

was issued; investigate insurance fraud and report if found. Obtained insurance verifications and prior-authorizations for visits

and treatments. Researched and coded patient referrals. Scheduled and confirmed patient appointments. Filed both medical

and insurance records and retrieved patient charts. Performed extensive data entry of patient information (addresses,

insurance, diagnostics, etc.). Transfer from paper office environment to EMR, and use of EMR system per HIPAA regulations.

May `08- April ‘10 Blockbuster Video Las Vegas, NV

Manager: Ensure the store is organized and clean according to and above Blockbuster standards. Perform tasks as needed

by upper management for improvement of the store. Receive new products, check them in and stock merchandise. Assisting

customers in locating their entertainment needs as well as cash/credit transactions.

Oct `03- May `08 ISI Communications Las Vegas, NV

Warehouse Supervisor/Tech Dispatcher: Ordered all equipment/supplies needed for cable, internet, and phone installations.

Monitored the stock and equipment used by techs, as well as kept timelines to verify time frames and appointments were met.

Liaison between the techs in the field, other vendors such as Sierra & Cox Communications and customers for support and

feedback. Installed equipment and repaired low voltage equipment; i.e. DVD, VCR, audio systems, computers and laptops.

Aug `97- Oct `03 Pacifica Engineers Las Vegas, NV

AutoCAD Drafter/ Designer: Produced AutoCAD drawings for mechanical and electrical departments. Drew up red-line

revisions provided from engineers, designed as well as drew up the blueprints for plumbing departments. Job site walks to

verify field conditions before building, and after to verify mechanicals were installed according to blueprint specifications.

Relocated from San Diego, CA firm.

July `92- Aug `97 Pet Supply Warehouse San Diego, CA

Operations Manager: Oversee 10 stores, including 300 plus employees and an 800 comment line ensuring customer care and

continued patronage. Visit and walk through each store bi-weekly to verify store managers, grooming departments and all

staff were working to full potential and meeting or exceeding the standards set forth by company. Reviewed a checklist with

managers on each site to work through issues or concerns as well as implement good ideas to use in other stores.

Education and Certifications

Certification: CPC (Certified Professional Coder) through the AAPC Oct. 2011 and ICD-10 certification Feb. 2014

Membership: Current member of the AAPC since Oct. 2011

Diploma: Medical Insurance Coding and Billing, Jan. 2010 – Kaplan College, Las Vegas, NV (4.0 grade point avg. graduated

w/ high honors)

CPR, AED, AND First Aid Certified



Contact this candidate