High School Sales

Karen Garcia

**** ***** ***, **** ***** CA ****0

Cell: 562-***-****: ********@*******.***

Objective

To obtain a position within the company that will allow me to utilize my

education and work experience for the benefit of the company as well as for

personal growth and professional advancement.

Highlights of Qualifications

* Bilingual-Spanish * Type 45(wpm)

* Management Experience * 10 Key by Touch

* Energetic and organized * Ehealthcare System

(Claim Program)

* Team building

* Detail oriented

MICB Skills

* CMS-1500 & UB04 billing forms * CMS-1500 claim

completion

* Procedural Terminology (CPT) * EOB (Explanation of

Benefits)

* Patient Scheduling * ICD-9-CM

* Professional Billing * Institutional Billing

* Medical Terminology * HCPCS

* Referrals and elegibility of preemptive eligibility * Use of

Modifiers

* Verification & eligibility of health benefits * MEDI/MED

*Revenue Coding * CPT-4

Work Experience

MedServ MSO, Inc/ Claims Processor / July 11, 2011 to

current

. Data entry and adjudicates of professional CMS1500 &

hospital UB04

. Maintain knowledge of assigned Plans, Benefits & Line of

Business

. Understand Modifier and Coding Guidelines

. Service support including customers/members, provider &

vendors by telephonic and facsimile

. To ensure all assigned claims are timely entered and

processed by maintaining high level of accuracy within the

parameter established by State and Federal regulations &

contractual agreement.

. Ability of understanding & interpretation of DOFR & contract

compensation schedules.

. Provide claims receipt acknowledgment via Facsimile or

Telephonic

. Provide excellent customer care to both member and provider

. Manage the daily Misdirected Claim Log for the assigned

IPA/Product

Papa John's Pizza Management/ Shift Leader/ CSR

January 2009-August 2010

. Ensured deliveries were completed on time

. Oversaw 8 employees: attendance, scheduling, and evaluation of

performance

. Develop new customer relations through telephone contact and sales

activity

. Completed phone orders via telephone accurately and in a timely

manner

Education

Charter College-Medical Insurance Coding and Billing 08/2011 Diploma

Juan Rodriguez Cabrillo High School -

Long Beach, CA High School Diploma 2005-2009

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