RACHELLE STEWART
******************@*****.***
**** ***** ******, **********, ** 23322 Telephone 757-***-****
WORK EXPERIENCE:
**/**-**/** ********, Integrators of Orthopedic Care White Plains,
NY
Medical Claims Processor
. Created Humana service request using the Orthonet Macess database
. Coordinated and responded to complex provider's requests
. Requested medical notes and records for claims to be processed for
Humana and Healthnet contracts
. Processed and actiongrammed medical decisions after MD review
. Assessed claims to verify if their contractual requirements were met.
If there was a breach claims were sent for denials to Humana.
. Requested additional medical records for claims in the state of Texas.
. Navigated through the internet to research insurance policies and
member benefits
06/07-04/08 NYS Dept. of Taxation and Finance Rye Brook, NY
Keyboard Specialist I
. Controlled and maintained computerized check deposit-PD Remit
. Prepared audit folders and close cases to be purged
. Processed incoming cases and transmits closed cases
. Maintained time and attendance records for section
. Performed all necessary office support including data entry and faxing
. Prepared monthly reports in AIMS and BCMS systems
. Counter reception
. Mailroom
08/06-01/07 Norfolk Community Services Board Norfolk, VA
Support Technician
. Coordination of electronic conference room
. Answered, recorded and transferred telephone calls
. Greeted clients, visitors and interfaced with various city officials
and Board Members
. Performed clerical duties such as data entry for Consumer Accounts and
Quality Management
. Assisted applicants with general HR questions and receives completed
applications
. Received and sorted postal and interdepartmental mail
. Assisted Organizational Development Coordinator with training
materials, certificates, and other related duties
04/06-08/06 Sentara Accounts Payable Department Norfolk, VA
File Clerk
. Stamped date and time of receipt of incoming mail, and distributes and
collect mail
. Gathered materials to be filed from departments and employees
. Read incoming materials in order to determine how and where they
should be classified and filed
. Placed materials into file cabinets according to classification and
identification information
11/04-02/05 Child Support Enforcement Unit Virginia
Beach, VA
Administrative Assistant
. Prepared cases for court actions by utilizing automated system
. Compiled weekly court dockets
. Printed all financial and case information for case to be heard in
court
. Filed correspondence and paper files
01/04-11/04 Indian Creek Correctional Center
Chesapeake, VA
Administrative Assistant
02/03-01/04 Portsmouth Naval Hospital
Portsmouth, VA
Medical Receptionist
09/00-02/02 Westchester Jewish Community Services
Hartsdale, NY
Medical Secretary
EDUCATION:
05/11-Pres Tidewater Community College
Norfolk, VA
Certified Nursing Assistant Program
01/93-12/95 Monroe College
Bronx, NY
AAS Administrative/Word Processing
Received Associates Degree, 1996
QUALIFICATIONS: Typing 50+WPM, Corel WordPerfect 7.0/8.0, Microsoft Word
97/2007/2010, Basic Legal
and Medical Transcription, Knowledgeable in both CPT, ICD-9 coding and
HIPPA Compliance, Good Oral and Written Communications Skills, Excellent
Interpersonal Skills, Fast Learner, Flexible and Dependable