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Customer Service Medical

Location:
York, PA, 17403
Posted:
March 09, 2010

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Resume:

Anna M. Wilfong

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

York, PA *****

717-***-****

abnd6j@r.postjobfree.com

_____________________________________________________

Summary of Qualifications

Proven ability to work well under pressure and perform several tasks

simultaneously. Dependable, detail oriented team player committed to meeting

standards. Dedicated to produce quality work and meet deadlines. The ability to

apply employer, state and federal regulations to enrollment and claims processing.

Proficient in medical terminology.

Skills

Microsoft Windows Medical Terminology

Outlook ICD9 coding

Carefirst System(Mainframe) Cpt coding

Facets 4.3 PDR Knowledge

Facets 4.5 viewing format Nurse’s Handbook

PC Rate Quote Insurance Billing

Carefirst OGLF report/transmission Cobra

Chartmover MD Continuation/Stim

BMAS System Ancillary Case set up

Legacy System Imaging and Bar coding

Problem Tracker

Case Tracking

Oncontact

VGA Program

Coventry system to access group numbers

Experience and Accomplishments

2 years of setting up new business and insurance renewals while

maintaining systems migration. 3 months of administrative duties of typing up

cobra contracts, administrations kits for the brokers, mailing out ancillary

certificates to the brokers and groups. 3 months of working the OGLF report in

order to transmit cases to Carefirst and updated carrier group number information

in order to flag cases for transmission for other carriers. 12 dedicated years of

insurance enrollment and processing with the ability to seek out enrollment and

billing errors due to keying or system generated errors. 12 years of great

communication with co workers and carriers to get the job done fast and efficiently.

Ability to learn and train others about multiple software and multiple contracts. 3

years of medical claims processing. 18 months of medical record abstraction. 1

year medical secretary. 15 years of dedicated customer service skills. 4 years

retail experience. Wrote the cashier training procedures for Value City.

Professional Summary

Senior Accounts Installation Technician 01/29/07 08/20/09

Benefitmall, Towson, MD 410-***-****)

Sales Associate 11/13/06 01/17/07

Ashley Furniture Home Store, York, PA 717-***-****)

Enrollment Technician 03/06/97 11/10/06

Benefitmall, Towson, MD 410-***-****)

(Note: Benefitmall was formerly the Mather Companies in Maryland)

Real Estate Agent Assistant 03/03 09/03

Builders First Choice, Columbia MD

(I worked in York PA, Assisting in 4 sites that were built by CDG Homes)

Customer Service/ Cashier 09/95 02/97

Value City Department Store, York, PA

Medical Records Technician 02/95 06/96

Dynkeypro, York, PA

Medical Claims Processor 03/94 06/94

NCAS Pennsylvania, Harrisburg, PA

Workers Comp Claims Processor 05/93 02/94

Intra Corp, Towson, MD

Medical Secretary 11/92 04/93

Gabriel Martinez, M.D., Baltimore, MD

Medical Claims Examiner 04/90 09/92

Willse Associates, Baltimore, MD

Medical Secretary 11/89 01/90

Jimmy P. Cua, M.D., Towson, MD

Education

JFC Career Development Center, Inc. ( York, PA) 02/97 06/98

PC Applications Specialist

Medix School, (Towson, MD) 05/98 12/98

Medical & Dental Secretary

(Internship was with Stanley Brown& Arthur Goldvarg 10/89 1189)

Sparrows Point Middle/Senior High School,( Edgemere, MD) 09/75 06/79

References

Sonya Carroll, 3731 West Garrison Ave, Baltimore, MD 21215(AI Tech) (Cell 410

868 9599)(Work 410-***-****)

Pat Kline, 17397 Georgia Rd, Ft Myers, Fl 33967(Renewal Tech, Teacher Assistant,

Secretary for car dealer)(Home 410-***-****)

Elaine Minkove (Customer Service)(Work 410-***-****)

Claire Decunzo, 3566 Lowlen Ct, Ellicott City, MD 21042 (Cobra Acct Mgr)(Work

443-***-****)

Donna Joy Martin, 8 Darby Ct, Baltimore, MD 21236 (Brokers Assistant) (Home

410-***-****)

Scott Radford, 1402 Second Road, Baltimore, MD 21220 (Baker) (Cell 443 921

7265)



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