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Quality Analyst Medical Coder and Biller

Location:
Orlando, FL
Salary:
$15.00
Posted:
June 28, 2014

Contact this candidate

Resume:

MARIONETTE STARK-HICKEY

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

Hollywood, FL 33024

305-***-****

acersy@r.postjobfree.com

OBJECTIVES:

To expand my knowledge while developing growth, securing a position with an organization that

would afford me the opportunity to utilize my experience and challenge my skills.

EMPLOYMENT HISTORY:

02/2014-Present

Quality Analyst Coder/Biller

10/2012-02/2014

Hedis MRA Coder Analyst

Pasteur Medical Corporate Headquarters

Responsible for analyzing, coding and billing patient’s diagnosis from the doctor’s progress notes of

physicians in various medical practice such as PCP, Optical, OB Gyn, Physiatrist, Dermatologist,

Clinical, Physical Therapy, Podiatrist, URO, GI, transmitting the report to the Healthsun Insurance,

analyzing the patient’s diagnosis provided by the doctor for proper coding, check the encounter, make

corrections reverse charges and refill denials for payments, check the end of the day reports for

accuracy then transmit for payment.

• Responsible for coding and submitting claims from the EHR and EPM with accuracy. Prepares and

submits clean claims to HealthSun electronically. Conducts self in accordance with HPA’s employee

manual. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Knowledge of

medical billing/collection practices. Knowledge of computer programs.

4/2012 – 10/2012

Nova Southeastern University – Shepard Broad Law Center

Executive Assistant to the Dean of Law (Temporary)

Responsible for day-to-day Dean’s office operations; served as Executive Assistant to the Dean of the

Law Center to ensure efficient running of the Dean’s Office; served as Dean’s liaison to the faculty

university officials, local national and international professional organizations, administrators, staff,

students, volunteers, alumni, outside contacts and business matters on a daily basis. Work with the

Executive Assistant to the Academic Dean.

Arranged travel and accommodations for the Dean and submit travel, mileage, check and expense

request and reimbursements through university systems. Managed incoming and outgoing

correspondence, sort and prioritize mail; disseminate information and forward request for information

as required.

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Resume of Qualifications – Marionette Stark-Hickey

Managed and maintain the Dean’s electronic calendar, paying special attention to avoid conflicts.

Maintain a tickler or call-up process to ensure that important functions, dates and matters are process

to ensure that important functions, dates and matters are not overlooked. Scheduled and coordinated

all appointments as directed by the Dean. Edit and proof all correspondence and written material of

the Dean prior to completion.

10/2011 – 11/2011

Coconut Grove Medical Center/Dr. Michael E. Johnson M.D. Coconut Grove, FL

Medical Insurance Billing/Coding (Externship)

Duties included coding from the super bill that the doctor provides after each medical examination

and/or consultation, made copies of each check received from Medicare, insurance carriers, Tricare

and post each check according to the EOB; also posted credit card and cash of patient’s co-pays,

coinsurance and deductibles; entered new patient’s information and updated established patient’s

information in the demographics; set appointments; verified patient’s insurance status and validity

checked super bill reports for primary and secondary rejections including insurance action. Checked

patient’s ledger account for status of payment. Checked the accuracy of the daily activity reports

against the daily deposit reports. Follow up with the insurance carriers making inquiries regarding the

claim status; knowledge of the ICD-9, CPT codes and the CMS1500.

8/1982 -09/2010

Miami-Dade County Corrections and Rehabilitation Department Miami, FL

Executive Secretary

As an Executive Secretary of Management Services, duties included but not limited, prepared travel and

expense reports; maintained a heavy schedule for the Assistant Director. Delegated assignments from the

Director and complaints of concern for the Assistant Director’s review and Director’s signature. Scheduled

applicants for appeal hearing who were rejected for employment.

Assisted the HR of the Office of Fair Employment Practices with cases filed by sworn and civilian staff.

Typed response of sexual harassment, Title 7 violations, discrimination, in-house complaints, mediations

lawsuits, etc. Acted as liaison between the Department and the County Attorney’s Office when a case has

been assigned to an attorney. Prepared requested documents for review before a scheduled prehearing

and hearing date. Scheduled mediation meetings between staff against staff and supervisors.

Opened, screened and distributed mail; marked important parts of instructions, ordered supplies;

organized mail according to priorities. Composed correspondence from verbal instructions of the Assistant

Director, independently drafts replies to inquiries; reviews correspondence prepared by the Command staff

and Facility Supervisors for the Assistant Director’s signature to ensure correct grammar, format and

completeness

Typed various reports, evaluations, requisitions, work orders, purchase orders, requisition office supplies;

authorized expenditures from petty cash and collected data for yearly budget preparation. Received and

screened telephone calls; established and maintained office filing system; ensured that report deadlines are

met and that all information distributed is completed.

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Resume of Qualifications – Marionette Stark-Hickey

09/1999 - 05/2004

Circuit City Miami, FL

Customer Services Associate (Part-Time)

Duties included but are not limited to: Fill-in as the supervisor in charge, assisted the front counter

manager, opened and closed the store, balanced the safe, register money drops, prepared the

paperwork for the next day and assisted corporate office with customers’ daily issues; retrieved

information from the computer concerning customer’s layaways and on hold purchases; performed

duties such as refunds, ordered parts, released of merchandise, processed applications for new

accounts; processed credit card payments and purchases; prescreened and graded test of new

employment applications; price adjusting and tendered sales and provided good public relations.

3/96-11/98

AMR – American Airlines Cargo Miami, FL

Cargo Agent (Part-Time)

Assigned as part-time agent, responsible for international and domestic paperwork; handled various

amount of cash including a cash bank; credit card; business accounts; storage charges; all COD’s; must

also be accurate with all charges of each invoice printed and ensured proper processing of all incoming and

outgoing paperwork; ensured that paperwork, cash bank and monies collected were balanced at the end of

the shift, checked flight crew on gendex and Sabre computer for accuracy; prepared banks for next day

morning flights. Arranged cargo pouches in order of time and gates; checked gates for proper flight

destination. Prepared 10pm flight bank for U.S. Customs clearance.

EDUCATION:

Corinthians College - Everest Institute Hialeah Campus Hialeah, FL

Medical Insurance Billing & Coding: Graduated - Diploma 2011 - GPA 4.00

Earned 48 credits transferable college credits

Miami Edison Senior High Miami, FL

General Subjects: Graduate - Diploma 1982 - GPA 3.50

SKILLS:

Proficient in Arriba system, MS Office Suite Outlook, Excel, Works, Word, PowerPoint and Access,

NetPractice and NextGen

AWARDS/AFFILIATION:

President’s Honor Roll – 2 x Recipient

Dean’s Honor Roll 6 x Recipient

Miami Dolphins Volunteer for Various Fundraising

Miami-Dade Women’s Association

HIPPA, OSHA and CPR Certified

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REFERENCES:

Furnish Upon Request

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