Insurance Sales
Resume:
DIANA ZAPATA EVA
Northwood, Ohio 43619 deva12189@ya
hoo.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
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