Customer Service Insurance

ANTHONY J. PRATTINI

**** *. ****** ***. **** *** Denver, Co. 80222

abnrah@r.postjobfree.com 720-***-****

PROFESSIONAL OBJECTIVE

To obtain a position, which allows me the opportunity to utilize my skills, and

education in various operations of this profession, with the opportunity for

advancement.

QUALIFICATIONS SUMMARY

Good typing and data processing skills, knowledge of medical codes, procedures,

rules and regulations. I can operate computers, fax machines, copiers, and

printers. Knowledge of: billing, and insurance accounts, claim processing,

customer service, and more. Good oral and written communication skills.

Experience using PC, database systems, as well as, related software. Work well

with little supervision.

RELEVANT SKILLS, EXPERIENCE AND QUALIFICATIONS

October 2007 thru August 2008 Rubin and Raine Aurora, Colorado

Patient Account Rep., Customer Service

• Billing of primary and secondary insurance companies

• Billing of Medicaid, Medicare, CHP+, Workers Comp., and commercial

insurance companies

• Collection of patient accounts after insurance processed claim

• Account reconciliation of denied claims, appeals, etc.

• Working with charity applications

• Public Relations with patients and insurance companies

• Data Entry

• Setting up payment plans for debtor on their accounts.

• Taking debtor payments by credit cards and check

• And much more

October 2006 thru June 2007 (Temp. Position thru Med Pro Agency)

WellPoint / Blue Cross Blue Shield Denver, Colorado Claims Processor

• Codes, keys, adjust and processes claims for payment according to

policies and procedures.

• Ensuring all information is supplied before eligible payment.

• Researches and analyzes claim issues.

• Good knowledge of the application of benefits, and healthcare

terminology.

March 2005 thru June 2006 Revenue Enterprises, Inc. Aurora, Co.

Medical Biller / Collector

• Billing of primary and secondary insurance companies

• Billing of Medicaid, Medicare, CHP+, and commercial insurance

companies

• Collection of patient accounts after insurance processed claim

• Account reconciliation of denied claims, appeals, etc.

• Working with charity applications

• Public Relations with patients and insurance companies

• Contract adjustments

• Exploration of Benefits for accurate claim and debtor payments

• Process Analysis and Data Entry

• Setting up payment plans for debtors on their accounts.

• Taking debtor payments by credit card and check

• Working with diagnosis, procedure, rev. codes, medical records, and

authorizations

May 1999 thru November 2004 Lauren Corporation Denver, Co.

Patient Account Representative and Coder

• Patient Billing

• Coding of respiratory, pathology, and other records for the billing office

• Accounts Receivable

• Account reconciliation on denied claims, appeals, etc.

• Public Relations with patients and insurance companies

• Co ordination of activity in business office

• Process Analysis

• Exploration of benefits for accurate claim payments

• Contract adjustments

• Data Entry

March 1998 thru April 1999 HealthSouth Denver, Co.

Patient Account Representative

• Accounts Receivable

• Patient Billing

• Account reconciliation on denied claims, appeals, etc.

• Co ordination of activity in business office

• Public Relations with patients and insurance companies

• Process Analysis

• Exploration of benefits for accurate claim payment

• Contract adjustments

• Data Entry

May 1997 thru January 1998 Memorial Medical Center New Orleans, La.

Outpatient Coder

• Explore resources to obtain accurate codes for reimbursement

• Assign correct ICD9-CM and CPT-4 codes

*** Retail Manager*** for many years prior to working medical claims.

• Supervised employees

• Filed and wrote reports

• Took and ordered inventory

• Trained employees

• Worked with customers

• And much more

EDUCATION / CLINICALS

PROFESSIONAL MEDICAL CODING CURRICULM 2006

Instructor: Robin Linker, CPC, CPC-H, CCS-P, MCS-P, CHC

DELGADO COMMUNITY COLLEGE New Orleans, La.

Associate of Health Information Management

ART certified, G.P.A. 3.6 out of 4.0

VOLUNTEER WORK

Counselor of troubled teens, teacher, supervisor, speaker, coach, coordinator,

and driver of van.

ANTHONY J. PRATTINI

5770 E. WARREN AVE. 202 DENVER, CO. 80222

abnrah@r.postjobfree.com 720-***-****

PERSONAL REFERENCES

Mike De Smit 303-***-****

Pastor Andrew Baker 303-***-****

Beckey Haze 720-***-****

Contact this candidate