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Medical Customer Service

Location:
Tucson, AZ, 85706
Posted:
September 14, 2010

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Resume:

Anna M Mendivil, CPC, CPC-H

**** * ******* ****** **** Tucson, AZ 85706 Ph: 520-440-

**** ***: 520-***-****

Email: abk59s@r.postjobfree.com

Objective My objective is to utilize the skills and

education I have acquired through

previous employment and continued

medical education. Striving for

the highest in reimbursement for all

medical facilities and physicians in

the community and practice my

certification in medical coding.

Certifications Certified Professional Coder - Physician - August

2008

Certified Professional Coder - Hospital -

December 2008

(AAPC

certifications)

Certified Medical Assistant - 1996

Experience Medical Office Manager

Old Pueblo Anesthesia, Tucson, AZ

Dates of Employment: February 2010 -

September 2010

. Credentialing for 40 physician practice for all

Tucson Hospital Facilities and all Insurance

Plans

. Supervision over the Accounts Receivable/Payable,

Refunds, Unclaimed Money and Medical Follow-up

and Billing

. Maintains & Insures that all Physician Licenses

(Medical & DEA) are current and updated

. Working with confidential human resources forms,

documents and information to include benefits and

highly confidential personal physician records.

Medical Coder/ Medical Claims Follow Up

Arizona Community Surgeons, LLC, Tucson,

AZ

Emergency Surgical Services of AZ,

Tucson, AZ

Dates of Employment: June 2006 -

November 2009

. Maintains professional medical coding for 29+

physicians in a multi- specialty surgery practice

which includes General Surgery, Orthopedics, Hand

Surgery and Plastic Reconstruction Surgery.

. Maintains proper communication between physicians

to ensure proper and correct coding throughout the

several satellite offices.

. Liaison for all offices to maintain on-call

emergency surgery schedule for 7 major hospitals.

. Insurance verification and claims follow up to

ensure all insurances pay to the highest

reimbursement.

. Quality customer service ensuring self pay accounts

are paid in full.

Continued: page 2 of 3

Anna M Mendivil, CPC, CPC-H

2560 E Warwick Castle Lane

Tucson, AZ 85706

Ph: 520-***-**** Alt: 520-***-****

abk59s@r.postjobfree.com

Physicians Resources/Patient Placement (Admitting)

University Medical Center, Tucson,AZ

Dates of Employment: October 2005

through May 2006

. Liaison between state, national and international

physicians and the Arizona Health Sciences Centers

faculty physicians.

. Coordinates inpatient/outpatient bed placement

including initial registration and visit creation.

. Facilitates communication between physicians,

clinical supervisors and patient care unit staff and

department staff to effectively coordinate the

admission process.

. Maintains records, rosters, protocols and schedules

for all clinical departments, divisions and physician

faculty members associated with UMC.

. Insurance verification, multi-telephone system,

authorizations for inpatient transfers and trauma

patients.

OfficeTeam - Temporary Services

University Medical Center - Physicians Resource

Dates of Employment: September 2004 through October 2005

. BedBoard management to ensure enough nursing staff on

each floor to accommodate proper and individual

patient care.

. Maintain hospital census and Trauma and ER call

schedules

Insurance Processor and Follow Up

Carondelet Health Network - Tucson, AZ

Dates of Employment: February 2001 through August 2004

. Data entry of accounts payable and receivable for

hospital claims.

. Prepping remits and posting of batches, refunds and

disbursement of Lockbox to each individual employee.

. Knowledge of Medicare, AHCCCS (Medicaid) and Indian

Healthcare regulations guidelines for physician and

hospital billing.

. UB92/UB40, HCPC 1500/CMS. Analyze medical records

for insurance follow up and appeals.

. ICD-9 and CPT coding, DRG assignment, authorizations

and spreadsheets on Excel.

Continued: page 3 of 3

Anna M Mendivil, CPC, CPC-H

2560 E Warwick Castle Lane

Tucson, AZ 85706

Ph: 520-***-**** Alt: 520-***-****

abk59s@r.postjobfree.com

Education LS Coding and Education - Certified Professional Coding

February 2008 through August 2008

LS Coding and Education - Evaluation and

Management Specialty

Abstracting & Auditing Physician E&M

- Extensive course

September 2008 through October 2008

LS Coding and Education - Certified

Professional Coding - Hospital

October 2008 through December 2008

Pima Medical Institute - Certified Medical Assistant

June 1994 through March 1996



Contact this candidate