Customer Service Insurance
Resume:
Anthony J. Prattini
Denver, Colorado 80222
abh75u@r.postjobfree.com 720-***-****
Professional Objective
To obtain a position, which allows me the opportunity to utilize my skills, and education
in various operations of this profession, with the opportunity for advancement?
Qualifications Summary
In most everything that I do, I am very detail oriented. It doesn't matter to me if I work
alone or as part of a team. Working with people, either on the phone or in person is
gratifying to me. I have done the full billing cycle. Follow up, collections, and customer
service are just some of the area I have work in. I have knowledge of ICD-9 and CPT
coding. And I have good typing, data processing, oral, and written skills. Some software I
have used is: meditech, medipac, word, and more.
Relevant Skills, Experience, and Qualifications
September 2008 thru October 2009 Kelly Services (Temporary position)
BCBS/Wellpoint Denver, Colorado Claims Examiner (Blue Card, National Accounts)
• Followed up on claims for processing of new information
October 2007 thru August 2008 Rubin and Raine Aurora, Colorado Patient Account
Representative, Customer Service (company lost the contract) 1-866-***-**** Irene
Elliot
Billing of primary and secondary insurance companies
Billing of Medicaid, Medicare, CHP+, Worker's Compensation, and commercial
insurance companies
Collection of patient accounts after insurance processed the claim
Account reconciliation of denied claims, appeals, etc.
Working with charity applications
Public Relations (customer service) with patients and insurance companies
Data Entry
Setting up payment plans for debtor on their accounts
Taking debtor payments
And much more
September 2006 thru August 2007 WellPoint / Blue Cross Blue Shield Denver,
Colorado Claims Processor (temporary position thru Med. Pro. Agency)
Code, key, adjust and process claims for payment according to policies and
procedures
Ensure all information is supplied before eligible payment
Research and analyze claim issues
Good knowledge of the application of benefits, and healthcare terminology
March 2005 thru August 2006 Revenue Enterprises, Inc. Aurora Colorado Medical
Biller / Collector (couldn't work on commission and have our goals raised when
business got slow, etc.) 303-***-**** Linda Musgrave
Billing of primary and secondary insurance companies
Billing of Medicaid, Medicare, CHP+, and commercial insurance companies
Collection of patient accounts after insurance processed the claim
Account reconciliation of denied claims, appeals, etc.
Working with charity applications
Public Relations (customer service) with patients and insurance companies
Contract adjustments
Exploration of Benefits for accurate claim and debtor payments
Process Analysis
Data Entry
Setting up payment plans for debtors on their accounts
Taking debtor payments
Working with diagnosis, procedure, rev. codes, medical records, and authorizations
May 1999 thru January 2005 Lauren Corporation Denver, Colorado Patient Account
Representative and ICD 9 coder (company lost contract and closed)
Patient Billing
Coding of respiratory, pathology, and other records for all the billing offices
Accounts Receivable
Account reconciliation on denied claims, appeals, etc.
Public Relations (customer service) with patients, and insurance companies
Co ordination of activity in business office
Process Analysis
Exploration of benefits for accurate claim payments
Contract adjustments
Data Entry
Many other related duties
***RETAIL MANAGER FOR MANY YEARS***
EDUCATION
Professional Medical Coding Curriculum 2006
Instructor: Robin Linker CPC, CPC-H, CCS-P, MCS-P, CHC
As many of the other students, I almost passed the certification test. I haven't taken the
test again.
Delgado Community College New Orleans, Louisiana Associate of Health
Information Management ART certified G.P.A. 3.6 out of 4.0
Contact this candidate