Customer Service Data Entry

KEVIN W. MANIECE

OBJECTIVE: To obtain a position in Customer Service, Data Entry or Claims

Examiner

EXPERIENCE: 2005-2013 MOLINA HEALTHCARE INC. Long Beach,

CA

Claims Recovery Analyst

. Reviewed Medicaid and Medicare overpayment claims

. Researched claim payment and billing guidelines audit

results

. Communicated with providers, health plan advisors,

and vendors

to recover outstanding overpayments

. Contacted providers and handled collection

arrangements

. Maintained and reconciled department reports for

outstanding payments

. Prepared written provider overpayment notification

and supporting documentation (explanation of

benefits, claims and attachments)

2003-2005 NHIC-Medicare Los Angeles, CA

Provider Enrollment Analyst

. Analyzed and processed provider applications

. Assisted with guidelines and regulations for

credentialing

. Warehouse worker

2002-2003 HEALTHCARE RESOURCE GROUP Seal Beach, CA

Consultant (Cedar-Sinai Medical Center Site Assignment)

. Assisted with billing and collection for emergency

room

. Assisted with large volume of data entry material

(billing and adjustments)

. Worked various special projects as assigned

1991-2002 TRANSAMERICA OCCIDENTAL Los

Angeles, CA

Benefits Analyst/Adjustment Analyst/Medical Claims

Processor

. Communicated with other insurance carriers

. Verified medical coverage

. Coordinated primary amounts with use of explanation

of benefits

. Trained several other Analyst

. Provided feedback to providers on billing errors

. Researched patient records

. Completed claims prior to deadline

EDUCATION: Webster Career College, Los Angeles, CA Certificate,

Data Entry, 1986 Grover Cleveland High School,

Reseda, CA Graduated, Diploma, 1984

SKILLS: 10-key by touch, Windows, Windows XP and PC Skills

References Available Upon Request

9531 FLOWER STREET, BELLFLOWER, CA 90706 PHONE: 323-***-**** EMAIL:

************@*****.***

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