Customer Service Insurance

J anine Puga

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

B uena Par k, CA *0621

909-***-**** or e mail-

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

Dear Sir or Madam:

I saw your job posting and I am looking for Pa rt time work on

w eekends, Holidays and some week nights. Enclosed is my

r esume of qualifications for review and consideration.

M y t raining and experience qualify me for a variety of positions.

I believe that my total background and practical experience will

m eet the requi rements of your organization.

Given the opportunity I feel confident that I would be an asset to

your company, I am available for a personal interview at your

e arliest convenience, and I will look forward to discussing

e mployment opportunities w ith you.

Sincerely,

Janine Puga

J anine Puga

2 Waterside Cove

B uena Par k, CA 90621

909-***-**** or email-

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

Objective:

Obtaining a position set in a challenging environment in which I am able to utilize my experience

and knowledge.

Capabilities:

* H ighly dependable, able to work independently, and adapt as a strong team player. Excellent

customer service with professional demeanor, take in coming and make outbound calls in a call

center environment.

* Knowledge of HCPC, CPT, and ICD9 codes able to read and understand contracts and fee

schedules. Read and understand EOB’s, work with H MO, PPO’s, POS, managed care and worker

comp plans, Data entry, Medical Billing, Claims Follow up, authorization and eligibili ty,

customer service. Work with Microsoft Word and Excel software, also faxing, coping, printing

and filing.

P rofessional Experience:

M a rch 2005-June 2011

Nursefinders Los Angeles, CA

S taffing Coordinator duties: Receive incoming calls from hospitals requesting special unit nurses

or CN A’s for open shifts, receive incoming calls from nurses asking to be place at facilities of

t here choice for upcoming shifts. Confirm or cancel any shifts with facilities and nurses. Calling

n urses for their availability for the week.

August 2008-P resent

Crescent Healthcare Anaheim, CA

Reimbursement Specialist duties: Bill out Home infusion and RN visit claims to insurance

companies in a t imely manner, take incoming calls from patients and insurance companies,

p rocess incoming mail, process and send out appeals, make follow up calls to insurance

companies for outstanding claims. Process refunds and adjustments, Fix any claim problems.

July 2006-August 2008

Oso Homecare I rvine, CA

Reimbursement Specialist duties: Bill out Home infusion and RN visit claims to insurance

companies in a t imely manner, take incoming calls from patients and insurance companies,

p rocess incoming mail, process and send out appeals, make follow up calls to insurance

companies for outstanding claims. Fix any claim problems.

August 2004-June 2006

Marina Billing Services Cerri tos, CA

Account Rep Duties: Make outgoing calls to patients insurance for follow up on claims for ER

Physician claims, process and send appeals, take incoming calls send patient statements and

p rocess incoming mail.

September 2003-May 2004

Medical Accounts Receivable Cypress, CA

Account Manager Duties: Make outgoing calls to patients insurance for follow up on claims for

Home Healthcare Infusion claims, process and send appeals, take incoming calls send patient

s tatements and process incoming mail.

Janua ry 2001-May 2003

Select Data Anaheim, CA Reimbursement Specialist Duties: Bill out Home infusion and RN visit

claims to insurance companies in a t imely manner, take incoming calls from patients and

i nsurance companies, process incoming mail, process and send out appeals, make follow up calls

to insurance companies for outstanding claims. Fix any claim problems.

Contact this candidate