** ********* ***** . ***********, ** *****
Phone 716-***-**** . 914-***-**** (c)
E-MAIL : *******@***.***
JESSICA RHOOMS
Objective
To obtain a position within an organization that utilizes job
training to promote individual opportunity and professional growth
while making positive contributions to the organization.
Education
1998 - 2002 Canisius College Buffalo, New York
Bachelor of Arts, Criminal Justice and Political Science
Experience
Healthnow/Blue Cross Blue Shield
Claims Authorizer, 06/2005 to Present
Disposition of claims under provisions of applicable contracts,
the Provider Operating Agreements and Corporate procedures
Analyzing, editing, coding, auditing and preparation of claims
for EDP processing, and data entry of claim: Input/Output Terminal
or Extrex Terminal. Maintenance of required files.
Maintain records reflecting department activity and claim traffic.
Checking and sorting provider remittance statements.
As required, correspondence and telephone contact incidental to
general claim administration and/or
Special assignments under direct supervision
Healthnow/Blue Cross Blue Shield
Indexer, 12/2004 to 05/05
Daily Indexing (data entry) of application and group documents
into the appropriate queues using FAF
Performing general review of the application for missing
information such as identification number, address, PCP
Recognize and make corrections, as needed, of misrouted index
documents.
Other miscellaneous tasks that may b e required
Professional TRAININGs
Computerized Medical Office Billing System. Software- Medical
Manager
Understanding of HIPPA (Health Insurance Portability and
Accountability Act.
Professional Skills
Proficient in Microsoft Office
Lotus Notes
WordPerfect
Data Entry
Excellent Organizational Skills
Efficient, accurate, and detail oriented
Strong Customer Relations skills
Word Processing & Typing
Filing
Telephone answering: multiple lines
References
Available upon request