Nerissa C. Chitolie
********@*****.***
***** ******* *** ****, *******, TX 77429 713-***-****
OBJECTIVES
Pursuing a position in the area of insurance health Claims
billing/coding/processing, adjuster/ quality assurance, patient
accounts/registration, administration/clerical, and customer
service, which will utilize my acquired skills and experience.
EDUCATION AND TRAINING
Colorado Technical University, Online - Colorado Springs, CO
A.S., - Medical Coding and Billing (currently enrolled)
National Education Center- Silver Spring, MD
Medical Assistant - 1984-1985
Cambridge University- Cambridge, England
General certificate of Education
CAREER SKILLS/KNOWLEDGE
Offering an extensive background in claims analysis, medical
billing and coding, with emphasis in the area of medical,
dental, hospital, and short term disability.
. Processing insurance health claims/employee health claims
in accordance with policy guidelines, to include
Coordination of Benefits when applicable.
. Proficient in Medical Terminology, CPT, and ICD-nine
coding.
. Quality Assurance- Reviewing and adjusting insurance claims
for payment and processing accuracy.
. Customer Service - Providing policy/claim information to
providers and members, handling adjustments for appeals and
grievances.
. Auditing high dollar claims.
. Responsible for training new employees in accordance with
company/policy guidelines.
. Performance coaching / Team building
. Volunteerism
. Organization / Prioritization / Strong communication skills
EARLIER EXPERIENCE
2005 - 2011
. Coordinated Homeschooling curriculum and activities for
Junior High and High school children. Drafted course
curriculum, graded tests, evaluated results, reviewed
research projects and planned field trips.
. Worked with local church as a VBS volunteer; responsible
for registration and preparation of work material for daily
student activities.
. Enrolled at Colorado Technical University; pursuing an
Associate of Science degree in Medical Billing and Coding.
2001 - 2005 United Behavioral Health - Houston, TX
. Claims Adjuster
2000 - 2001 Medical Center OB GYN - Houston, TX
. Medical Billing / Coding
. Customer Service / Collections
1999 - 2000 Amerihealth - Houston, TX
. Senior Claims Examiner
1996 - 1999 Nylcare - Houston, TX
. Claims Examiner
1991 - 1996 American Psych Management - Arlington, VA
. Claims Analyst/Trainer
1989 - 1991 New York Life Insurance - Washington, DC
. Claims Examiner /Customer Service
1987 - 1989 Physicians Care - Arlington, VA
. Claims Examiner/Customer Service
1984 - 1987 Mutual of Omaha - Washington, DC
. Claims Examiner
TECHNICAL SUMMARY
Microsoft Word, Excel, PowerPoint, 10-key Calculator