Customer Service Medical Assistant

Michelle's InformationLocation: PALMDALE, CAExperience: 0-1 yearsWork Types:

Willing to Relocate: YesWilling to Travel: Do not mind travellingCareer Level: StudentWork Status: U.S. CitizenMember Since: 2010-10-07 Helpful Links

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Michelle Y ******************.********@*****.********: (661) 526-4012Cell: (818) 620-9672P. O. Box 6052Woodland Hills, CA 91365

Education

2005 - 2008

Pierce Junior College, Woodland Hills, CA

Major: Addiction Couselor

Minor: Psychology

1987 - 1987

Graduate Medical Assistant, Bryman Medical School, Los Angeles, CA

Major: Medical Assistant

1981 - 1983

Certified Secretarial Performance course, Johnson Space Center

1978 - 1981

Graduate, Ross Shaw Sterling High School, Houston, TX

Major: Required graduate academic classes

2008 - 2008

International Child Abuse network

Major: Chat Room Facilitator Training www. YES I CAN. Org

Professional Experience

1993 - 1994

Workers Compensation Bill Reviewer

Zenith Insurance Company, Woodland Hills, CA

Employed by a contract company called Comp- Review/audited and authorized Workers Compensation claims based on the state criteria and state fee schedule. Worked directly with Zenith Insurance Company examiners, answered calls from attorneys questioning discrepancies regarding individual cases. Researched issues concerning these individual cases. Alternated with the daily auditing process.

1993 - 1993

Claims Inquiry representative

Pacificare Insurance Company, Cypress, CA

Employed by a contract company called All's Well Health Care Services in Anaheim, CA. Performed customer service responsibilities supplying answers to questions and inquires from providers and members regarding medical claim payments and adjustments. Closed cases by contacting the IPA's for claim payment status and resolution.

1989 - 1993

Claims Processor/Clerk Typist

Pediatrics - Infant/Children/Adolescents, INC.,Westchester, CA

Claims Processor/Clerk Typist Performed customer servies reponsibilities supplying answeres to claim inquires. Processed claim forms for HMO and PPO billing. Responsible for productin of all mid-month and end-of-month billing resports. Intercepted detail messages for administrator in response to claims inquires. Transcribed weekly neuroglogical reports.

1988 - 1989

Medical Recepptionist

Santa Monica Plaza Medical Group, Santa Monica, CA

Medical receptionist for a staff of 18 physicians. Performed various front office administrative duties. Verified insurance coverage for patients with Medicare, HMO's and PPO insurance. Data entry processing for individual patients profiles.

1987 - 1988

Office Clerk

M. Joesl Scheinbaum Psychiatric Clinic, Hawthorne, CA

The clinic handled psychiatric Workers Compensation cases for major corporations in Southern California. administered psychological testing to patients. Prepared patients individual Med-Legal packages to submit to attorneys offices (required for court cases). Updated patients Workers Compensation files on a weekly basis.

1984 - 1987

Customer Service/Sales Representative

Texas Art Embroidery, Houston, TX

Took Customer orders, priced and quoted bids, audited and expedited orders by following -shipping and receiving production. Managed with president/owner overall financial production and contacted company-clients on daily status of their orders or changes.

1982 - 1983

Legal Assistant

Legal protection Law Firm, Houston TX

oversaw office while the attorney and the paraglegal were in court. Duties included preparing and maintaing legal work sheets on cases, typed all legal documents, answered incoming calls, handled the incoming mail and acounts receivable. Introduced the office as well established Legal firm to all first-time clients and evaulated with our legal office-face-sheet the types of legal services we handled to individual clients before schedule appointments with our lawyer.

03/1995 - 03/2010

Sr. Liaison Advocate Health Indust

WellPoint Pharmacy Management, West Hils, CA

Act as a liaison representing the following departments- Networks, Clients services Internal and External-Clients and their Marketing department. Senior Unit Advocate to our Operations Pharmacy department Managers on projects to increase a positive overall daily internal work flow for both our membrs and our representatives.

Reference

Name: Richard Potter

Title: Head Counselor

Company: The Salvation Army Rehalbilitation Services Name: Randall W. Counselor

Title: Manager

Company: The Salvation arym Adult Rehalbilitation Services Name: Gigi Preston

Title: Manager

Company: WellpointWellpoint Pharmacy Management

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