Office Assistant, Receptionist

Annette

Jones

**** ***** ******* ****** *** ***

Las Vegas, Nevada 89103

abn6oi@r.postjobfree.com

702-***-**** Home 310-***-**** Cell

Worker's Compensation Certified Medical Bill Reviewer

Process Bills for State Fund /State Contract Services

Certified Medical Bill Reviewer, Processing Worker's Comp Claims for the

Largest Insurance Company in the State of California, My Strengths include

helping others and gathering data to analyze Medical Providers Bills.

EXPERIENCE

State Compensation Insurance Fund, Commerce/Santa Ana, CA 06/06-

12/2011

Program Technician / Office Assistant

. Analyze medical provider bills and support documentation for

appropriate procedure code.

. Analyze the appropriateness of level and frequency of service;

appropriate provision of drugs and supplies.

. Analyze adequacy of physician's report to support Current Procedural

Terminology (CPT) codes submitted by the medical provider.

. Key all medical bills data into the automated bill review system to

facilitate review and payment.

. Maintained claim files and correspondence, including reconciliation of

claim files and bills

. Establish Litigation files.

. Copied records from claim files.

. Provided phone coverage for claim adjusters and co-workers.

. Scheduled medical appointments, including interpreters and

transportation.

. Closed all disability cases; On-hand bill review.

. Assisted the Utilization Review Department with collection of faxed

requests for treatment; assisted with phone calls to Doctor's offices

for additional information; provided timely notices per Labor Code.

. Processed medical narrative reports / reimbursement requests.

South Bay Workforce Investment Board. Hawthorne, CA 02/04- 04/05

Data Entry Clerk

. Data Entry of Business Client Contacts and Phone Numbers.

. Inputted E-Mail Addresses for the Marketing Department.

Super K-mart, Carson, CA 02/04 - 04/05

Front End Cashier

. Cashier balancing daily log;

. Stocked front end shelves.

Reproductive Partners Medical Group, Redondo Beach, CA 12/1999 - 11/04

Receptionist/ Medical Biller

. Scheduled appointments in a way to maintain a constant flow of work

. Answered questions regarding service; checked in patients.

. Verified the accuracy of super bills.

. Followed up on appeals and collections on delinquent accounts.

. Typed correspondence to referring physicians for new patient's

referrals.

. Copied and mailed records per signed request from patients.

. Made sure charts were reviewed by the physician.

. Posting of insurance checks and payments; billing for service.

. Medical coding, HCPCS coding and ICD-9 coding.

International Services, Inc., Los Angeles, CA 07/1997 - 01/1998

Assistant Scheduler

. Assisted General Manager on weekly operations reports.

. Assisted Payroll Manager on discrepancies of officer's paychecks.

. Assisted the Scheduling Manager in assigning personnel to fill open

posts.

. Inputted data on check-in logs.

Borg Warner Protective Services, Los Angeles, CA 02/1996 - 07/1997

Security Supervisor

. Supervised and managed 60+ officers.

. Visited posts and locations for inspections.

. Scheduled officers call-offs and no-shows.

Radisson Crystal Park Hotel & Casino, Compton, CA 10/1996 - 06/1999

Security Dispatcher

. Monitored CTTV Cameras for possible cheating.

. Answered 10 line telephone system.

. Implemented training courses for new recruits.

. Dispatched emergency calls to Compton Fire and Police Department.

EDUCATION

ICDC College, Lawndale, CA

Certification in Medical Office Specialist

Coushatta High School, Coushatta LA

Diploma

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