Administrative Assistant Customer Service
Resume:
Janice Sopko
Email: aboupb@r.postjobfree.com
Address:
City: East Greenbush
State: NY
Zip: 12061
Country: USA
Phone: 518-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Detail-oriented quality focused professional billing specialist. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in maintaining an exceptional rate of productivity and accuracy. Dedicated to maintaining strict patient confidentiality.
Educational Background:
High School Dipolma from Bryant & Stratton College, Albany NY 1/2001 to 6/1996 (Administrative Assistant)
Job History / Details:
Professional Summary
Detail-oriented quality focused professional billing specialist. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in maintaining an exceptional rate of productivity and accuracy. Dedicated to maintaining strict patient confidentiality.
Key Skills
ICD-9, CPT and Medical Terminology
Proficient in Allscripts, E-Medsys and IDX
Excellent Interpersonal Skills
Charge Entry and Payment Posting
Computer Fluent
Electronic Remittance Advice
Excellent Phone Skills
Work Experience
October 1999 to Current
Capital Region Orthopaedics Albany, NY
Medical Billing Specialist
Medical Billing for 30 providers specializing in CDPHP and MVP.
Electronic and manual payment posting.
Charge entry.
Follow up of Insurance claims, reviews and denials utilizing knowledge of carrier policies and billing guidelines.
Maintain an excellent rapport with Insurance Provider Representatives enabling a 98 percentage successful outcome in favor of the physicians.
Maintain an impeccable AR time frame for assigned insurances.
Write and ensure accuracy of training materials and assist in training of employees.
Incorporate procedures and protocols to ensure teamwork and increase productivity.
Establish payment contracts for patients to increase accounts receivable.
Counsel patients with delinquent balances in office and over the phone.
Access various insurance carries web-sites checking claim status, eligibility and referrals.
Maintain knowledge of and implement office procedures, referral and timely filing requirements.
March 1999 to November 1999
Capital District Physicians Health Plan Albany, NY
Provider Correspondence Specialist
Interacted with providers regarding correspondence by supplying written and verbal responses to provider inquiries.
Responsible for administering/following plan policies and procedures so as to assist providers with interpretation, application and compliance of external policies and procedures.
Researched incoming correspondence for accuracy prior to distributing claims for adjustment.
Investigated claim denials and performed necessary research using group health contracts.
Completed all Internal and Correspondence Service Forms within 10 days of receipt or initiation.
Maintained quality and quantity of 98 percentage or above on a consistent basis.
Provided backup coverage for telephones as needed.
June 1997 to March 1999
CSC Healthcare Cohoes, NY
Quality Assurance Analyst/Claims Examiner
Performed daily individual quality review audits along with random monthly audits on claims processed.
Provided training and guidance to inexperienced colleagues to ensure proper processing of claims and referrals.
Prepared monthly statistic reports and provide proposals on quality improvements for management.
Developed Strategic Action Plan to improve the Auditing Department policies and procedures making recommendations to management so as to increase department performance.
Data entered and processed Medicaid claims per Pennsylvania state law.
May 1996 to June 1997
United Healthcare Albany, NY
Customer Service Representative
Processed large volumes of insurance claims and correspondence.
Acted as a liaison with other insurance carriers, physician's offices and policy holders.
Provided team members and other personnel training on proper claims processing per company guidelines.
Performed special assignments with internal auditing on the accuracy of claims processed.
Answered high volume of phone calls.
Education
1996 Bryant & Stratton College Albany, NY
Associate of Science Administrative Assistant
President of Collegiate Secretaries International
Deans List 3.87 GPA: Perfect Attendance
Candidate Resume - Melvin McNeil
Contact Information -
Email: aboupb@r.postjobfree.com
Address:
City: Washington
State: DC
Zip: 20017
Country: USA
Phone: 202-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Seeking entry-level position within a child-care facility. Enthusiastic and committed to becoming a team member dedicated to the physical, social, emotional, and cognitive development of children from age three months to kindergarten.
Educational Background:
High School Dipolma from ., Wash DC 1/2001 to 10/2012 Job History / Details:
Summary
Seeking entry-level position within a child-care facility. Enthusiastic and committed to becoming a team member dedicated to the physical, social, emotional, and cognitive development of children from age three months to kindergarten.
Core Qualifications
Strong collaborator
Positive learning environment
Active listening skills
Effective time management
Experience
June 2005 to June 2006
Kathy Joyce and Associates Washington, DC
Landscaping; Interior Painting
Education and Training,
Matriculating through General Education Degree program
Expected graduation date: January 2013
Certifications
Seeking to obtain CDA (Child Development Associate Certificate)
Community Involvement
Server and acolyte with St. Patrick Catholic Church, Washington, D.C.
Contact this candidate