Customer Service Medical

FRITZ J PHILIPPE

*** * **** ******, ******** NY *1236

Ph: 718-***-**** e: *************@*****.***

OBJECTIVE: Looking for the opportunity to work as a Financial Rep with

a company

SKILLS:

. In depth knowledge of Medicaid Application, Hospital Billing

and Collections

. Proficient in Medical Billing systems such as EPACES, OMNI,

PATCOM.

. Knowledge of Medical Coding (ICD-9, CPT-4, HCPCS, and DRG's).

. Strong knowledge of Medical Terminology, and federal and

state local laws.

. Effective communication and interpersonal skills.

EDUCATION:

2005-2007 University of Central Florida

Orlando, FL

Bachelors in Health Services Administration

Program GPA: 3.5 on a 4.0 Scale

2002-2005 Miami Dade College

Miami, FL

Associate in Arts in Nursing, Certificate in Medical Assisting

and Medical Billing

EXPERIENCE:

01/10 - Present Brookdale Hospital Medical Center

Financial Investigator

. To secure all signatures necessary for the Medical Assistance

Program.

. Perform interviews with patients at beside, in the office and

over the phone.

. Gather proper documentations from patients to present to

Medical Assistance Program and prepare applications sent to

Medicaid for review and processing.

. Obtain and submit proper billing info so the hospital can be

reimbursed

06/08- 08/09 Nations Health / Cigna Medicare Rx

Sunrise, FL Accounting /

Billing Specialist

. Posting of payments and Reconcile payments to patients

ledgers.

. Processed premium payments, refunds request and other

general office duties

. Respond by telephone and in writing to provide info to

patients regarding billing issues.

08/07- 06/08 United Health Group

Sunrise, FL Customer Service

/ Claims Representative

. Assisted in providing excellent customer service

. Code medical records with ICD-9, CPT-4, and HCPCS Level II

coding, processing 25 to 30 claims daily while maintaining

95% accuracy and achieving productivity goals.

09/04- 01/06 Camillus Health Concern

Miami, FL

Medical Assisting and Coder

. Processed Vital Signs, Phlebotomy, and Wound Care and billed

Insurance for lab services.

LANGUAGES: English; French

REFERENCES: Available upon request.

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