Customer Service Quality Control

Pamela Gilitiuk, CPC

*** * *** ***** ***** Unit #87, Mesa, AZ 85204 ? 623-***-****

PROFESSIONAL EXPERIENCE

. Certified Professional Coder (CPC), credentialed October 2003 and

current.

. Extensive Insurance background including payment posting (lockbox and

electronic payments), charge entry, collections, contracts, coverage,

billing, adjustments, refunds, benefits, claims, EOB's, eligibility,

prior authorization, coding, and verifications.

. Varied administrative responsibilities including customer service,

training, bank account reconciliation, phones, charge entry, payment

posting, coding, billing, and quality control.

. Customer Service experience including answering patient's inquiries on

accounts; updating and verifying information; analyzing, researching

and resolving problems; advising and educating on issues regarding

payments, policies and procedure guidelines.

. Excellent computer skills (i.e. Microsoft Office including Word, Excel

and Outlook, as well as Centricity, NextGen, Medisoft, Navicure,

etc.). Able to learn new systems quickly.

. Analytical, efficient, accurate, detail-oriented. Proficient with

numbers. 10-key by touch.

EMPLOYMENT HISTORY

Various Temporary Positions

01/10-current ( AZ

Range of duties includes payment posting, adjustments, refunds,

collections, verifications, etc.

Payment Poster

Phoenix Diagnostic Imaging/MedQuest ( Gilbert, AZ ( 11/07-12/09

Payment posting (both lockbox and electronic), account adjustments, EOB's,

patient refunds, reconcile daily bank statements to cash receipts, assist

manager with month end close involving running reports, resolving issues,

and adjusting and balancing accounts.

Biller/Accounts Receivable/Payment Poster

Surgery Center of Scottsdale/USPI ( Scottsdale, AZ ( 12/05 - 11/07

Handle patient calls regarding accounts, research and resolve patient and

insurance issues, post payments and adjustments, balance accounts, follow

up on outstanding AR, post charges and bill claims, maintain and update

contracts.

Financial Specialist (Billing and Receivables)

Devereux Arizona ( Scottsdale, AZ ( 08/05-12/05

Verify and bill monthly expenses to various state agencies and insurances,

enter payments and adjustments, balance accounts, follow up on outstanding

claims with carriers, contact patients for information and collections on

accounts.

Prior Authorization Specialist/COB Insurance Enrollment Specialist

Schaller Anderson Inc ( Phoenix, AZ ( 02/02-11/04

Enter, verify, research, and approve prior authorization requests from

providers per contracts, or forward to nurse review, various special

projects, verify patient eligibility, determine cob, rebill claims as

necessary, contact patients and insurances for resolutions.

Contact this candidate