Medical Billing Administrative Assistant
Resume:
NANCY CARABALLO
New York, New York 10029
********@*******.***
Experience professional with solid qualifications in subscriber relations
committed to achieving company goals and objectives.
. Extensive successful experiences dealing with the public.
. Demonstrate a sensitive, caring approach to client care along with the
ability to work cooperatively with all members of company team.
. Excellent interpersonal, organizational, problem solving and
communication skills.
. Proficient in managing multiple priorities and projects as needed within
deadlines.
. 20 years of experience within the medical insurance industry. Areas of
experience include:
Claims Bilingual Liaison
Correspondence Nursing Contracts
Subscriber Contracts Customer Relations
RDS Program
PROFESSIONAL EXPERIENCE
GROUP HEALTH INCORPORATED, NEW YORK, NEW YORK
1989-2010
Subscriber Relations Representative
. Answer telephone load of up to 100 calls per day from clients regarding
the scope of subscriber contracts and consistently meet performance
benchmarks in all areas (speed, accuracy and volume).
. Ensure to resolve subscriber and provider inquiries regarding coverage,
memberships, accounting and pre-determinations.
. Chosen from a list of 20 candidates for a newly created position to
represent the company as a bilingual liaison representative between
subscribers, providers and all company departments.
. Manage clients claims inquiries, transfer CPT code claims information
from HICFA 1500 to GHI database and make adjustments for claim
settlement.
. Edit, type and transcribe correspondence accurately and on time.
. Selected to assist Nursing Coordinator as a backup, providing nursing
benefits on all contracts.
STEAMFITTERS INDUSTRY, NEW YORK, NEW YORK
1987-1989
Administrative Assistant/Claims Processor
. Worked extensively with Executive Manager in a fast pace environment
preparing, reviewing and finalizing claims paperwork.
. Entered and coded claims data in an in house data entry program for
disbursement to clients and ensured the accuracy of claim payment
amounts.
EDUCATION
PROFESSIONAL MEDICAL CODING COURSE Approved by the American Academy of
Professional Coders 2010
Prepared for the CPC exam with the 2010 CPT-4 coding, ICD-9, HCPCS and
Medical Terminology. Completed a
Course of 100 hours.
HOSTOS COMMUNITY COLLEGE. BRONX, NEW YORK
2005-2006
Medical Billing and Coding Certificate Program. Course studies include
Medical Records Analysis, Anatomy and Physiology, Medical Terminology, CPT-
4 Coding, ICD-9 Coding and Computerize Medical Billing (Medisoft)
HOSTOS COMMUNITY COLLEGE, BRONX, NEW YORK
1988-1989
One year study toward A.S. in Liberal Arts while working full time.
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