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Customer Service Medical Billing

Location:
Brooklyn, NY
Posted:
June 09, 2014

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Resume:

INGER L. FORD-MASON

*** ***** ****** # ** ********, NY 11212

Cell: 347-***-**** Home 347- 529-1605

aceh24@r.postjobfree.com

OBJECTIVE:

I am seeking a job opportunity as an Alcohol and Drug Counselor where I can help patients with their

addiction recovery.

EDUCATION:

ICDC COLLEGE, Culver City CA

Associate of Occupational Studies - Alcohol and Drug Counseling Degree

Graduate: February 7, 2014

Education Summary: Alcohol and Drug Counseling Introduction and Overview; Psychoactive Drugs

and Pharmacology; Law and Ethics, Prevention, Education, Outreach, Referral; Case Management;

Individual, Group and Family Counseling; Field Work Practicum; Supervised Laboratory Counseling;

Chemical Dependency and Co-occurring Disorders Counseling; Domestic and Family Violence

Counseling, Harm Reduction, Techniques for Outreach and Multicultural Counseling; Gambling

Addiction and the Five Domains of Practice

Brooklyn Educational Opportunity Center (SUNY), Brooklyn NY

MEDICAL BILLING

Graduation Date: June / 2001 MEDICAL BILLING

Education Summary:

Samaritan Village Vocational Educational Center, Ellenville NY

GED

Graduation Date: November / 1986

Education Summary:

WORK EXPERIENCE:

Healthfirst HMO, New York NY

October 2013 - Present

Enrollment Representative

• PC literate and ability to navigate easily among various software applications, (AX, ERZNG,

Transmittals, and ePACES).

• Knowledge of Microsoft Word and some Excel, Managed Healthcare System (MHS) and

Electronic Medicaid Eligibility Verification (EMEV) software

• Accurate scanning data entry skills and detailed oriented.

• Ability to work under pressure, adhere to daily production

• Match and update status of electronic images of the dispositions assigned in DMS

• Review application to determine Eligibility Worksheet

Housing Works Inc., Brooklyn NY

July 2013 – March 2014

Counselor Intern

• Provide Individual and Group Session Substance Abuse /Harm Reduction /HIV Awareness to

client

• Completes documentation/ notes in a timely manner Intake, Screening, MMS, Pre-Admission

and Admission Assessments, Medical Assessments per client.

• Participate in team meetings and rounds.

• Ensure daily groups are carried out in a timely manner

• Oversee distribution of metro cards, breakfast and Lunch tickets, and referrals signed

paperwork for ACS/ HRA/Parole/ Probation/NADAP showing client is in compliance as per

stipulations and program protocol.

Affinity Health Plan/ HMO Medicaid, Bronx NY

April 2012 - July 2013

Customer Service/Claims/Provider Advisor

• Serviced 45-56 inbound calls daily building an exceptional rapport with the providers

• Experienced in Facets 5.0 with the use of Amysis software to provide info on aged claims

• Knowledge of New York Medicaid managed care

• Assisted providers with inquires related to claim submission, ICD-9 and CPT coding,

payment disputes, complaints, appeals, credentialing, authorizations verification .Strong

work ethics

Multiplan/PHCS Inc. PPO. New York NY

May 2005 - April 2012

Billing Issue Resolution Specialist

• Acted as the primary interface for several of Multiplan largest clients

• Served as the point of contact to resolve cases streaming from Network Development,

Account Management, and Customer

• Provided client support via telephone and/or e-mail for resolution of client and provider

inquiries

• Monitored and assured providers contracts/fee schedules were loaded correctly

• Educated providers on their contract agreement

• Reviewed claims, explanation of benefits and paid claims for adjustments per the contract

of the provider

CERTIFICATIONS:

• Degree obtained from an institution approved by CAADAC, CAARR, NAADAC, with reciprocity

by IC&RC

• Meet educational and practicum requirements established by CCBCDC, CADCEP, CCBADC,

CAADAC

• Cultural Awareness certificate

• HIV/AIDS certificate

• Medical Billing 2001

• OASAS CASAC-T 2014 PENDING

REFERENCES:

Available upon request.



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