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Data Entry Customer Service

Location:
Euclid, OH
Salary:
29,000.00 - 35,000.00
Posted:
June 16, 2014

Contact this candidate

Resume:

Gotthard B. Hirzer

**** **** **** *****

Cleveland, Ohio 44113

216-***-****

acek2e@r.postjobfree.com

PROFFESIONAL EDUCATION:

Sanford-Brown College Middleburg

Hts., Ohio

Medical Billing & Coding Diploma Graduated:

September 2010

Electronic Technologies Institute Cleveland,

Ohio

(Now Bryant & Stratton College)

Associates of Mechanical Drafting & Electrical Graduated: August 1989

QUALIFICATIONS:

. MS Office Applications

. Medical collections and billing

. Electronic Claims Processing

. EPIC, Medisoft, Capstone

. Electronic Medical Records

. Medicare/Medicaid

. Worker's Compensation

. Conducting Pre-Certifications

. ICD-9/CPT-4 Coding

. HCPCS Claims Submissions

. Customer Service Skills

. CMS1500/UB92 Forms

. Processing HCFA Claims

. Insurance Verifications

PROFFESIONAL EXPERIENCE:

Adecco Staffing (at Penske Logistics)

Beachwood, Ohio

Cell Phone Programmer Associate January

2014 - May 2014

Major Function: Configuring & Programming Cell phones with Penske

Software. Very detailed & precise work. Extensive FedEx Packing &

Monitoring. Keeping track of incoming & outgoing Packages using Tracking

number devices & Databases. Used Microsoft Excel Spreadsheets, Microsoft

Word and MS Outlook.

Alliance Staffing Solutions (at Cleveland Clinic Foundation) Cleveland,

Ohio

Clinical Engineering Logistics Tech (Main Campus) July 2012 -

July 2013

Major Function: Assists in the Clinical Engineering Asset Team of PCA,

Smart IV, Kangaroo Feed, Syringe & Pediatric Feed pumps & PAS pump

maintenance program. Performs routine monitoring duties, documentation and

program modifications and interfaces with CCF ICU, & Step down units in

all buildings of main campus. Sets-up, maintains and transports specialty

devices used in the clinical environment. Cleans, disinfects and returns

to service reusable equipment and instrumentation. .Processes orders,

maintains records and checks status of orders and equipment on CMS system.

Computer Operator inserting data & closing work orders along with

Microsoft word and Excel spread sheets.

Alliance Staffing Solutions (at Litigation Management Inc.) Mayfield,

Ohio

Medical Biller (Records Analyst) January 2012 - April

2012

Major Function: Provider entry, Data entry to input from image & verify

via website using LMIS Software package. Records & Acquisition entry,

Provider verifying, updating Demographics, redirecting from wrong provider

name to correct provider name per demographics investigation and contact

via telephone. Great communication skills in a High Professional manner.

Maintained 93% to 96% on a daily basis calling & verifying, and follow-

ups. 30-37 providers a day. MAYA Software program, Healthgrades.com,

Google Internet for investigation & Provider contact. Faxing/Mailing out

Request for Medical, Patient Billing, Radiology, and Pathology Records

from Providers. Call Center experience.

Nesco Resources (at Visiting Nurses Association) Cleveland, Ohio

Medicare Billing Assistant November 2011 - January 2012

Major Function: Support the CMS Medicare Home Health Billing

Electronically. Ensure the Medicare Claims Follow-up is done daily.

Medicare Insurance Verification to make sure pt. has coverage,

Primary/Secondary. Claims, Communication with Insurance Companies for

verification, workers compensation claims & processing of claims status.

Entering data for Hospice pt. information and demographics update in

Horizons Homecare (Software), GPNET, Ivan's Portal, Ivan's Remote Access

to Medicare Web. Lewis Report, Claims Processing for Medicare pt. chart.

Data entry, input/updating patient registration/demographics. Strong

office computer software, Microsoft Office, Word, Communication skills.

HIPPA certified.

United Medical Staffing (at Cleveland Clinic) Brecksville, Ohio

Med Sec Support June 2011 - September 2011

Major Function: Support the CMS requirement of face to face for homecare.

Ensure the face to face encounter has been performed for homecare

admissions by contacting referral sources, notifying physicians of the new

regulation and providing the proper documentation to be completed by the

physician. Duties include: typing face to face encounter, faxing and

documenting information in Allscripts (homecare software) Data entry,

input/updating patient registration/demographics data entry. Strong office

computer software, Microsoft Office, Word, Communication skills. HIPPA

certified.

Nordonia Hills Clinic Sagamore Hills, Ohio

Billing Clerk (temporary) February 2011 - April 2011

Duties: Billing and collections for clinic visits and hospital patients

utilizing Payerpath Revenue Cycle Management; conducted Rx charge's for

patient refills; used CMS1500 to send EOB to insurance companies; used

CITRIX Access Gateway system for collection bureau procedures; called

insurance companies for claims status workers compensation claims &

processing; phoned patients for payment status; used EPIC Web to verify

patient info, data entry conducted for insurance payment adjustments,

updating patient registration/demographics, HIPPA certified.

Care Alliance Health Center

Cleveland, Ohio

Medical Billing & Coding Externship August 2010 - September 2010

Duties: CPT, ICD-9 Billing & Coding, insurance verifications, adjustments,

receivables, updating patient demographics, registration, inserting patient

encounters for each visit seen, filing in alphabetical order per Provider,

verifying patients next office visit, account transactions (adjustments,

data entry, entering payments from insurance companies.) Programs, EHS

Intern login, Ohio Medicaid Provider Portal, & Care source, EPIC Web.

LXD Inc.

Liquid Crystal Display Modules

Cleveland, Ohio

Computer Aided Drafter/Designer December

2007 - July 2009

AutoCAD Rel. 2009-2010

Creating spec drawings for customer approvals revise & update files. Laying

out designs

For electrical component modules. Creating Fonts, Segment and Common

Planes for Artwork from Dxf Files, translate into Gerber files to making

Photo plots used to image on Glass. Maintaining & organizing Engineering

File folders, sub folders, & directories. Taking out new P/N's & drawing

No.'s from database, including Ecn's, Check Print approvals, customer

confirmation files, Pdf .Files,Deviation Reports. ISO-9000 Qualified.

Programs used are CamMaster 10.3, ASM500 6.5, Gerber program File,

Windows/Vista programs. Microsoft Office.

City of Cleveland

Cleveland Police Traffic Unit

Cleveland, Ohio

Traffic Control Officer

July 2007 - Present

Duties: Serving the Public, Control flow of traffic at intersections,

Crossing Pedestrians, Pin Detail, major contact with public, good

communication skills, many other assigned details, working close with

fellow Officer's & Supervisors. Data entry for citations in computer. To

protect & Serve.

Pepsi Americas

Soda Bottling Co.

Twinsburg, Ohio

Can line Filler Operator/Warehouse Loader January 2002 -

November 2006

Fast paced company duties were maintaining filler speed at 2400 rpm filling

cans of pop as well as trouble shooting line if line went down. Many

duties, utility driver, Nr packer operator as well as 2-ltr. Line operator.

Have lot of experience in line operations. Doublewide caterpillar and

regular cat. Tow motor, warehouse experience.



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