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Manager Insurance

Location:
Temecula, CA, 92591
Posted:
June 30, 2011

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Resume:

Adrienne C. Van Dun

***** *** ***** ********, **.92591 (951)-676-3216H (951)760-6910C

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

EXPERIENCE

**/**/**** ** **/01/1989 Travelers Insurance Brea, Ca.

Sr.Clms Proc., Assist Clms Coordinator

• Processing medical claims for payment, data entry

• Training classes for new employees and implementing policy changes

• Conducted monthly Q.A. audits of paid claims, composed and reported results

• Audited and authorized payments over $10,000

• Administered all aspects of a supervisorial position

• REASON FOR LEAVING: Motherhood

08/01/1991 TO 10/01/1996 Robert Zelman D.O.,F.A.C.C. Brea, Ca

Office Manager

• Insurance Billing and Collections

• ICD-9 and CPT Coding

• HMO Authorizations

• Patient and Doctor Inquires

• Supervision of Employees, hiring and training

• Payroll

• COMPUTER PROGRAM: Santiago

• REASON FOR LEAVING: Merger with group below

11/01/1996 TO 01/15/2001 Cardiology Specialists of O.C. Santa Ana, Ca.

Business Office Representative

• Insurance Billing and Collections

• Insurance Appeals and Correspondence

• ICD-9 and CPT Coding

• Patient Inquiries

• COMPUTER PROGRAM: DNA

• REASON FOR LEAVING: Commute!

01/20/2001 TO 07/01/2001

Employee Medical Practice Management Temecula, Ca

• Data entry of daily office charges

• Posting of Insurance and Patient Payments

• Rebilling and Appealing outstanding claims

• Patient and Doctor Inquiries

• Correcting and sending monthly patient statements

• COMPUTER PROGRAM: Medical Manager

• REASON FOR LEAVING: Better Opportunity

07/01/2001 TO 03/01/2002 Combs Medical Group Inc. Temecula, Ca.

Business Office Associate/Provider Credentialing

• Provider Credentialing and Provider Relations

• Account Receivable

• Patient Inquiries

• Monthly Patient Statements

• COMPUTER PROGRAM: DNA

• REASON FOR LEAVING: Bankruptcy of Medical Group

04/2002 TO 07/2006 Owen Leverson M.D. Temecula, Ca.

Office Manager

• Insurance Billing and Collections

• Accounts Payable and Accounts Receivable

• ICD-9 and CPT Coding

• Provider Credentialing

• Patient Inquiries and Monthly Statements

• Supervisions of Employees, Hiring and Training

• Payroll

• Daily Deposits

• COMPUTER PROGRAM: Medical Manager

• REASON FOR LEAVING: Better Opportunity

07/2006 TO 07/2007 Temecula Psychiatric Center Wildomar, Ca.

Business Office Associate

• Insurance Billing and Collections

• Deposits

• Insurance Appeals and Correspondence

• Provider Credentialing

• Patient Inquiries

• Monthly Patient Statements

• Insurance Authorizations

• COMPUTER PROGRAM: Therapist Helper

• REASON FOR LEAVING: Outsourced to billing service

11/2009 TO 10/2010 Temecula Valley Cardiology Mur rieta, Ca.

Business Office Associate

• Accounts Receivable

• Patient Inquires

• ICD-9 and CPR Coding

• Responsible for out going mail

• Posting Insurance and Patient Payments

• Insurance appeals

• EHR

• COMPUTER PROGRAM: Sage

• REASON FOR LEAVING: Outsourced to Billing Service



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