Medical Specialist

Nyemah O. Lateju

**** */* *** ***** Place

Los Angeles, Ca 90007

H: 323-***-**** C: 323-***-****

Email: *******@*******.***

EXPERIENCE:

Healthcare Partners Medical Group

Claims Specialist 1

January 31, 2011- Current

. Responsible for processing all professional medical claims for payment

or denial.

. Providing resolutions for medical claims needing additional work in

the areas of referral/authorization, eligibility, contracting, and

provider setup.

Claims Specialist

July 28, 2008- January 27, 2011

. Received all incoming claims service calls from health care providers,

and other entities.

. Researched and resolved various claim issues using provider contracts,

Division of Financial Responsibility reference tools, established

policies and procedure, and other resources when needed.

. Input and scanned medical claims and records into the system database.

EDUCATION:

The Art Institute of California Los Angeles

2001-2007

Bachelor of Science in Graphic Design

Graduation Date: June 2007

SKILLS:

. Microsoft Word, Excel, PowerPoint

. Adobe Photoshop, In Design, Illustrator, Quark Xpress,

ACHIEVEMENTS:

. Employee Appreciation Top Performer Award 2010 for Customer

Resolution.

Contact this candidate