Customer Service Medical

Desiree Dahl

**** ******** ******

Phone: 801-***-****

St. Paul, Minnesota 55117

Email: ***********@***.***

Medical Coder - Medical Front Office - Medical Administrative Support

SUMMARY OF QUALIFICATIONS

Medical Coding Skills: Computer Skills: Customer Service Skills:

V/E Codes Type 55 wpm & 10-Key by

HCPCS Hospital Diagnostic Touch Medical Terminology

HIPAA Regulations UB92/UB04, McKesson Star Highly Detailed

Principles of Diagnostic EPremis Systems, HCFA Environment

Coding 1500 Hard Working and

Monitoring and Compliance Windows "95 Professional

Process Certified/Vista Determine Codeable

Utilize ICD-9-CM, CPT-4 Microsoft Word, Excel Services

Code Book Facets Claims System IASIS Guidelines

Utah Hospital Billing

Experience

EDUCATION

Ambassador Institute of Travel, Nashville, TN Travel Agent Career

Training, Certificate

Allied Business Schools, Inc., Laguna Hills, CA Advanced Medical

Terminology, Certificate

Allied Business Schools, Inc., Laguna Hills, CA Medical Coding

Specialist, Certificate

Relevant Coursework Included: Physician Documentation; Determining

Physical Diagnosis, Utilizing ICD-9-CM Tables, Coding Special Complexities,

Codeable Services; CPT-4, HCPCS Codes/Hospital Diagnostic, and Advanced

Medical Terminology

Business Development: ICTA/ Institute of Certified Travel Agents,

USTOA/United States Tour

Operator's Association, ADA/Americans with Disabilities Act/People

Accessible Compliance Workshop/Accessibility Guideline ~ Certificates

PROFESSIONAL EXPERIENCE

Maranatha Insurance Services

Salt Lake City, UT

Office Manager 07/2009 - 10/2010

- Oversee activities related to providing services, pricing, promotions,

and sales

- Review financial statements and sales to measure productivity and goal

achievement, determine cost reduction/service improvement, and oversee

personnel processes

Iasis Healthcare Corporation

Franklin, TN

IASIS Healthcare owns/operates 15 general, acute-care hospitals including

Jordan Valley, Pioneer Valley, Salt Lake Regional and Davis Hospital; also

Health Choice, a Medicaid/Medicare managed health plan in Phoenix

Patient Account Representative 06/2002

- 06/2009

- Followed-up on unpaid claims for status/resolution and replacement claims

to third party payers, assisted with unapplied payer payment postings,

verified and balanced claims/Financial Class

- Documented account activity in accordance with IASIS guidelines,

recommended improvement processes

- Collection department duties included reconciling accounts and making

calls

- Processed collections for Utah Hospital billing system, promoted into

billing department

- Contacted health insurance companies for status, resolved accounts for

Utah hospitals

- Liaison between Regence Blue Cross/Blue Shield and Jordan Valley Hospital

Dillard's Travel/Part-Time Antioch,

TN

Leisure Travel Agent 07/1999

- 03/2006

- Determined destination, mode of transportation, and computed costs

- Booked and sold transportation and accommodation packages

Theraphysics

Brentwood, TN

Claims Processor 06/1999 -

03/2002

- Processed pre-priced valid healthcare claims fully to the extent of the

Theraphysic's contract

- Reviewed and entered data from HCFA 1500/UB92 healthcare forms into

Facets Claims system

- Reviewed and interpreted healthcare contract summaries to pay/deny for

capitated, ASO/Administrative Services/Pass Through agreements

- Adhered to Beverly Enterprise's Code of Conduct/Business Ethics, resolved

electronic or paper claims for system error/warning messages,

eligibility, cob, duplicate services, and credentialing

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