Manager High School
Resume:
RESUME
Terrance V. Jones
New London, CT 06320
Mobile: 203-***-****
Home: 860-***-****
************@*******.***
Career Objective: Seeking a position for which I am qualified with
opportunity for advancement.
EDUCATION: New London High School - Class of 1993
Employment Experience:
3/12 - 5/12 Bank of America/Manpower - Data Capture Operator (Temporary
Assignment)
Processing taxpayer payments that are owed to the Internal Revenue Services
into the AIDE client database.
7/06 - 4/09 MCMC - Bill Review Processor
Responsibilities included processing provider medical bills into The
Schedule Link database system created for MCMC, creating claim and claimant
records in schedule link and processing a minimum of 90 medical bills per
day with a 95% or better accuracy rating. I also acted as a backup to my
manager with various duties in her absence which included transferring PDF
files of scanned bills to our clients, finalizing of claims that were
discounted by our repricing companies, and processing reconsidered claims
for payment.
5/06 - 7/06 Progressive Insurance - Office Assistant (Temp Assignment)
This position carried a responsibility of providing office and systems
processing support for the claims unit. Duties expand to include
claims processing such as rental bills, title work and data entry.
Responsible for preparing and tracking auto liability information,
preparing recorded statements and transcriptions for claim
adjusters.
4/05 - 12/06 Caregiver for Elizabeth Jenkins (grandmother)
Responsible for providing healthcare for my grandmother who was partially
incapacitated from a major knee surgery.
11/04 - 3/05 WellCare - Claims Processor
The position entailed processing electronic and paper claims for
Medicare according to guidelines for adjudication of claims that
were eligible for payment.
10/03 - 11/03 OrthoNet - Claims Processor
The core responsibilities of this position included reviewing and
processing physical therapy and occupational therapy claims in accordance
with contracts and policies to determine the liability and entitlement.
Consistently meeting a daily quota of 80-90 claims daily to meet our
monthly goals, accessing information and translating data into claims
processing system; additional job duties were maintaining computer
generated claims files and following up on suspended physical and
occupational therapy claims.
4/00 - 5/01 T.R. Paul, Inc. - Claims Processor
The job requirements entailed reviewing and processing claims by a third
party administrator for self-funded companies according to the plan
documents attained by our clients to determine liability.
A daily goal of 75 claims or more were to be processed to meet our clients
expectations. Accessed ICD-9, CPT Code, & HCPCS books for correct payment
of services rendered.
Computer Programs Experience: Windows 00, Microsoft Word, & Excel.
Professional References:
LaToya Williams - MCMC, LLC - 203-***-****
Lori Aiello-Stempert - Oxford Health Plans, Inc. - 203-***-****
Salary Requirements: Negotiable.
Contact this candidate