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Customer Service Representative

Location:
Saint Petersburg, FL, 33716
Posted:
October 29, 2010

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Resume:

Monica Marcone

*** ***** ***. *. #*

St. Petersburg, FL 33716

727-***-****

abig4f@r.postjobfree.com

CERTIFICATION

CPC- Certified Professional Coder

EXPERIENCE

*/****-*******

Reconciliation Consultants, Inc.

Seminole, FL

MRA/HCC Coder (Remote)

Evaluation & Management Coder (Remote)

11/2007-1/2010

Blue Shield of California

Woodland Hills, CA

System Analyst I

Assist in development of transmission/receipt/tracking processes for

complying with Medicare and Blue Cross/Blue Shield Association

encounter/claim-related regulations.

Process routine incoming electronic encounter/claim files using ANSI-837

and NSF Formats.

Work with contracted vendors to ensure accurate and timely conversion of

encounters to electronic format.

Compare professional possible duplicates in the AS/400 and either update

the system or delete.

Add additional diagnosis codes from abstracts for received from hospitals

upon request.

Create queries for data mining projects.

Create flowchart for processes and implementation using Visio software.

8/2006-5/2007

The Auto Club of Southern California

Burbank, CA

Service Counselor I

Received approximately 80-100 calls per day from members needing roadside

assistance in regards to tire changes, battery starts, tows, etc.

11/2005-7/2006

Ceridian Benefits Services

Customer Service Representative

Answered 80-120 calls per day from COBRA participants. Assisted

participants

complete election forms, access online information, and answered questions

pertaining to the COBRA law.

EDUCATION

University of Phoenix- Clearwater, Florida

E-Business

2 years completed.



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