DIANA ZAPATA EVA

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

419-***-****

419-***-****

Northwood, Ohio 43619 deva12189@ya

hoo.com

abgn3q@r.postjobfree.com

SUMMARY A very persistent, highly energetic team player, who possesses self motivation. Will

ing to learn new ideas and train others on insurance billing and therapeutic changes

and prior authorization.

EXPERIENCE OMNICARE PHARMACY OF NORTHWEST OHIO 1989 to 2011

Clinical Technician, Maumee, Ohio 2007 to 2011

Transferred to Clinical Intervention Center, where I took my skills from learning how

to adjudicate Medicare Part D. Received a monthly report of prescription claims that

had not been paid for by insurance, which entailed 1,000 claims at a total cost

$25,000, and managed to get 90% coverage on my own, including Ohio, Michigan,

Oregon, Washington, Colorado, Nebraska, Florida and Indiana. Followed through

with these claims by getting prior authorization approved for future fills.

In addition, did non cover forms to facilities and doctors, letting them know when

there was a covered alternative that would be paid by insurance. Established a rela

tionship with several of the insurance companies, director of nurses and doctors. Al

ways a team player in training others on the use of Oasis and DX System.

Biller, Perrysburg, Ohio 1989 to 2006

Billed to 25 facilities for Medicare and Medicaid charges. This also included a daily

census report, taking billing calls that came in from nursing homes, responsible

parties and insurance. Furthermore, did accounts receivable for facilities’ patients

and insurance. Responsible for adjudicating prescription claims when Medicare Part

D came along in 2000. Took the initiative and organized on how to adjudicate and

complete prior authorization to ensure reimbursement by insurance and then trained

others to accomplish that task.

Especially Yours, Oregon, Ohio 1987 to

1989

Managed the bridal shop. This included sales,placing special orders for bridal

gowns and bridesmaids,prom gowns. Also included in managing the bridal shop was

pricing, keeping track of all special orders,alterations and coordinating bridal and

prom shows.

EDUCATION OWENS COMMUNITY COLLEGE, Perrysburg, Ohio

Business, 1981 to 1982

KENT STATE UNIVERSITY, Kent, Ohio

General Coursework, 1980 to 1981

COMPUTE

R

SKILLS

Microsoft Office, Excel, Windows 97 through Windows 7, Oasis System, DX System

PERSONAL

Bilingual. Two children.

Volunteer at school and for the local soccer organization.

Enjoy reading self help books and working on running a 5k . .I have been unem

ployed from the CIC department since it was moved to Chicago