Manager Loss Prevention

PAMELA C. FARINELLI

**** ****** **** ● Rocklin, CA 95677 ● 916-***-**** ● ********@*****.***

OBJECTIVE: Seeking employment in the Healthcare field as an Office Administrator and/or Medical Insurance

Biller and Coder with an emphasis on Third party, Medicare and Workers’ Compensation claims.

SUMMARY OF QUALIFICATIONS:

• Healthcare Reimbursement: Medicare, Medi-cal, Private insurance, Tri-Care & Workers’ Compensation

• Supervisory experience in loss prevention, field auditing, accounting and retail management

• Proven track record of reducing losses in areas of shrink, safety and cash controls

• Analytical thinker, effective communicator, and hands-on manager with consistent record of achievement

• Recognized as results-oriented problem solver and trouble shooter who produces under pressure

• Computer literate in MS Office 7 & XP, Microsoft Word, Excel, PowerPoint, DOS, and Unix

• Experienced with Medisoft, Medical Office Manager, ICD-9, CPT, HCPCS coding, CMS-1500 claim forms

EDUCATION:

Medical Insurance Billing and Coding Diploma – Heald College, Roseville, CA August 2010

• 4.00 GPA • HIPAA Certificate • Type: 47 WPM • Ten Key: 12168 KPH

• Accurately assigned ICD-9 and CPT codes to patient scenarios and completed CMS-1500 correctly

Workers’ Compensation & Personal Injury Certificate – Sierra College, Roseville, CA August 2010

• Coursework included billing of WC claims, maximizing reimbursement and Appeals Board Liens

Relevant Courses: Reimbursement Methodologies • Disease Pathology • Pharmacology • Diagnostic and

Procedural Coding • Medical Terminology • Coding of PPO’s, HMO’s, HCPCS • Billing of Workers’

Compensation, Medicare, Secondary and Personal Injury Claims and patient scheduling.

WORK EXPERIENCE:

Medical Biller and Coder (Externship) – Sacramento Pain Clinic, Sacramento, CA July – August 2010

• Assigned DX and CPT codes to patient scenarios and entered accurately in medical billing program

• Created patient records and billed appropriate insurance companies accordingly

• Majority of the claims processed were for workers’ compensation (90%)

• Posted daily and month-end reports, reconciled financial statements, handled rejected claims

• Ensured strict confidentiality of financial records; performed clerical duties including telephone reception,

mail distribution, copying/scanning of patient records and other routine functions

Accounts Receivable Clerk – Folsom Lake Appliance, Orangevale, CA

2009-2010

• Responsible for company A/R, payroll functions and billing collections

• Created company policies and procedures relative to employee handbook, business credit applications

Senior Loss Prevention Manager – Ross Inc., Perris, CA 2008-2009

• Supervised six Loss Prevention District Managers in three state area

• Recognized for leadership, creative problem-solving and exemplary performance

• Effectively recruited, trained and hired employees in conjunction with company objectives

• Formulated in-store accountability systems and procedures resulting in increased bottom line profits

• Received top awards for Best Shrink Reduction Achievement nationally & Best Shrink Reduction for Zone

Area Loss Prevention Manager – Staples Inc., Sacramento, CA 1997-2008

• Supervised up to 31 stores in two states

• Conducted store audits, safety audits and criminal investigations

• Trained management and associates on company policies and procedures and Safety programs

• Recognized and received awards for Loss Prevention Manager of the Year, Professional of the Year, Profit

and District Achievement Awards, Ethics Policy Review Team and Safety Taskforce Team Award

REFERENCES UPON REQUEST • WILLING TO RELOCATE

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