Reena Sharma

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

Palo Alto, CA ****3

650-***-****

Email- acgf1v@r.postjobfree.com

OBJECTIVE:

Administrative Support/Workers Compensation-claims professional experienced

working in fast paced environments demanding strong organizational,

technical and interpersonal skills. Trustworthy, ethical and discreet,

committed to superior customer service. Confident and poised in

interactions with individuals at all levels. Detail-oriented and

resourceful in completing projects. Able to multi-task effectively.

Capabilities include:

.Customer Service & Relations .Accounts payable/Receivable

.Telephone Reception . Workers Compensation .Office Equipment

operation .Word Processing & Typing .Filing & Data Archiving

.Computer Operations .Problem Solving

WORK EXPERIENCE

CARITAS BUSINESS SERVICES - FELLOW UP REP 04/2013 -

PRESENT

Early billing of receivables (whether insurance or patient

responsibility)

Ability to appeal and pursue underpayments by

insurance/contracts.

Researches and resolves all assigned outstanding balances.

Starts appeals and sees through to completion, including follow-up for

resolution.

Maintains strictest confidentiality. Performs other related duties as

assigned

Responsible for collection and follow-up of all accounts assigned

prior to during or after admission and discharge.

Communicates the universities or clinical/healthcare financial

policies to all patients. Identifies patients who require early

financial counseling intervention. Provides information regarding

resources for patients who needs financial help. Coordinates

classification for bad debt and charity. Verifies, researches and

completes all paperwork and forms to bill all types of claims for

reimbursement via electronic system and hard copy. Serves as a

patient advocate during the cycle of the account

ARGONAUT INSURANCE - CLAIMS ASSISTANT 07/2011 -

03/2013

Perform all Claims Assistant duties. Complete all State WC DWC

Notices. Filing California Legal form thru Eams. Handle complete

Utilization Review thru Genex. Handle EOBs, including CPT codes

related questions. Answer various questions for medical

providers. Prepare approval/denial authorization letter to

medical providers. Prepare Proof of Service. Handle EDEX/EDI.

Complete ISO on all new claims. Call Doctor's offices for

update reports. Handle special project as needed. Print &

inventory WC checks. Handle hearing calendars for all WC

Adjusters. Index all new incoming mail. Audit & Monitor all work

for outsource.

CRAWFORD & COMPANY - ADMINISTRATIVE SUPERVISOR 01/2000 -

12/2010

WC/LIABILITY

ADJUSTER

Perform administrative and secretarial support functions

for Managers and

Supervisors for large Insurance Company. Provided

telephone support.

Investigated and resolved billing problems. WC Adjuster-

Investigate new workers Comp and liability claims. Obtained

recorded statements. Handle complaint calls.

Data entry. Train new clerical staff and learn new software

programs and special projects as needed. Handle major project

for west Marine Dolphinte Paint Claim. Generated weekly and

monthly computer update. Enrolled new staff in the system.

Resolve inquiries. Analyzing and preparing reports on doctors'

bills. Travel as needed. Prepare and type office reports. Act as

a liaison to supervisor. Worked overtime as needed. Maintain

supervisor and staff member's appointments and travel calendars.

Verify, revise, and arrange appointments, conferences and

meetings. Maintain control, records and follow-ups on work in

progress. Establish file-coding system and learn new software

programs. Maintain time and attendance record as well as

instructional and reference manuals. Responsible of recording

and assigning job duties for employees. Operate all office

equipments. Handle complaints/trouble shooting problem on office

equipments. Demonstrated ability to maintain composure and work

efficiently in a fast paced environment while preserving strict

confidentiality. Conducted patient interviews to elicit

necessary information for registration. Special events and

reservation managed customer relations and provided exemplary

service to all customers. Read and match EOB's. Arrange Company

functions .Attended Lien, Status Conference/Trial hearing for

WC.

Reena Sharma

2100 Salas Court

Palo Alto, CA 94303

650-***-****

CRAWFORD & COMPANY- ADMINISTRATIVE ASSISTANT 08/1989 - 01/2000

.

Responsible for administrative duties

Investigate new workers Comp and liability claims

Generate weekly and monthly bills on claim files.

Prepare check inventory for clients

Train staff on new client instructions, data entry, and

special projects as needed

Handle time cards, vacation and sick log for employees.

Updated branch policy folders, Handle central index

bureau search for new claims.

CRAWFORD & COMPANY - RECEPTIONIST/SECRETARY 07/1988 -

07/1989

Distributive Computer Operator/Dispatch Computer Operator

Answering phones PBX (33 inbound lines)

Managed customer relations and provided exemplary service to all

customers

Receiving and issuing orders, Recording orders, 10 keys touch,

operating all business machines. Filing, typing, distributes mail

and scheduling appointments. Created claim file folders. Handling

resident/non-resident adjuster license.

.

COLONIAL WAR MEMORIAL HOSPITAL - CLERICAL 12/1982 - 04/1986

Medical records clerk, Prepare billing invoice for patient.

Scheduling appointments, filing, generate new files

for new patients

Answering phones, gathering information on patient.

Education & Training

WC Basic, IEA, On-Line 03/08 - Present

Liability Investigation for UPS, Dallas, TX

05/05 - 06/05

IEA WC Classes, On-line 03/98 -

04/00

Training for AS/400 system Administrator, Atlanta, GA

12/91 - 03/92

Worldwide Educational Service 04/98 - 06/98

D.A.V. Girl College, Fiji Island 02/82 - 12/84

Skills

PBX, Supervisor, Customer Service, 10-Key by touch, Right Fax.

Technical Programs

Lotus 1-2-3, Word, Excel, Windows 95/98/XP, AS/400 Mainframe/MS4,

IBM- Main Frame, Microsoft Outlook, Discoverer, AIS/GSIC. Oracle

Financial. Chartmaxx, Cirius, Trac.,

.

Contact this candidate