Medical Customer Service
Resume:
ELAINE GUTIERREZ
Sanger, CA *****
559-***-**** (home)
559-***-**** (mobile)
*************@*****.***
SUMMARY
I am an enthusiastic, self motivated professional whom possess general knowledge and hands on
experience in workers compensation medical bill processing and an assistant to a claims examiner. Have
working knowledge of medical billing and coding. Attended and graduated from the Institute of
Technology with a 98% overall grade.
SKILLS
Correspondence Flexible Team Player Dedicate Hardworking Data Entry Accounts Payable Accounts
Receivables Filing Medical Bill Coding/Processing Working knowledge of Medical Terminology CPT
Codes ICD-9 Codes HCPC Codes Medical Record Charts Customer Service
ATTRIBUTES
Certificate acknowledging success in meeting company goals and quotas. Certificate acknowledging
dedication to the company for 300 hours of overtime during one year. Email from the AR Supervisor for
recovering lost revenue totaling for one month over $56,000 overall for the month of January. All together
from the project was a total of over $150,000
PROFESSIONAL EXPERIENCE
St. Agnes Medical Center September 2010 to March 2011
Verified medical insurance, made follow up calls for
Claim status, pulled EOB’S. Scanned correspondence and
Medi-cal eligibility, data entry.
DELTA HEALTH SYSTEMS February 2010 to July 2010
Audited claims that did not automatically adjudicate out.
Repriced claims through the Blue Cross System. Verified benefits and eligibility
INSURANCE RELIEF September 2009 to Feb
2010
Started a medical billing system at a dental office . (contractual assignment)
Billing, appeals, pre-auths, composed letters of medical
Necessity
SANTE HEALTH SYSTEMS January 2008 to April
2008
Medical Bill Coder (contractual assignment)
Coded medical billings from 4 different medical offices
LIBERTY MUTAL INSURANCE May 1998 to March
2007
Claims Processor which included auditing, and paying
Workers compensation medical billings from physicians, hospitals and labs, assisted call center
EDUCATION
Institute of Technology November 2008 to Sept
2009
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