Medical Insurance

GERRARD CECIL RHODES *

*** ******* ***** ******, *** Air, MD 21015

410-***-**** 443-***-**** *********@*****.***

EDUCATION

Master of Science in Law (MSL)

CHAMPLAIN COLLEGE, Burlington, VT

Accredited by New England/ABA Association of Law Schools 3/10 – 8/12

Graduated in August, 2012 with a GPA of 3.692

Coursework in state and federal government legal system and legal principles, integrated and reflective practice

relating to the Department of Health and Mental Hygiene; the interpretation of statutes, regulations and development

of health law policies relating to the Affordable Care Act, Medicaid, Medicare, Social Security Services and

Compliance. Power-point presentation on “Best Practices”, business organizations, defense contractors dealing with

regulatory requirements and constraints, (information, privacy and security) employment law for human resource

practice contracts and commercial/paralegal law, intellectual property law, employment, racial, sex and age

discrimination laws as in “Massachusetts Board of Retirement V. Murgia,” or the civil rights act as in “Ledbetter Fair

Pay Act,” or affirmative action as in “Brown v. Board of Education,” and various other issues involving (ADA, ADEA,

Title VII, EEOC, FMLA, USERRA, OSHA, HIPAA,) hiring, promotion, harassment, tort and personal injury law,

litigation, common law/stare decisis, constitutional law (act of state doctrine), manager’s roundtable, etc.,

Residency Forum: Practical workshop programs in Learning Style Inventory (LSI), Practitioner-Researcher,

Myers-Briggs Type Inventory (MBTI), Ladder Inference & Team vs. Group, Action Learning, Emotional Intelligence,

Building Graduate Study Plan, Integrated Reflective Practice Case Study, Lominger-Competencies, Individual

Reflective Art, and Reflective Synergy. (Accessing Westlaw and Lexis/Nexis).

Master of Science in Law (MSL) program educates non-lawyers about the law. It is designed to help meet the needs

and opportunity to work confidently with lawyers. It is a comprehensive program embodying a variety of issues that

involve complex legalities. The MSL program prepares graduates to address these issues making use of their

expertise in legal language and analysis on how to find and interpret legal issues that affect various professional

activities.

Bachelor of Arts in Sociology (BA)

THE CITY UNIVERSITY OF NEW YORK, New York, NY 5/92

Coursework in social pathology as a sensitizing concept embracing case studies relating to Grounded Theory in

identifying social issues, social problems and public policy. The root of modern sociology reflects the ideas of

nineteenth/twentieth century and contemporary theorists such as Karl Marx and Talcott Parsons. Sociology examines

political order and types of governmental policies impacting the economic, demographic, political and social trends

addressing rural and urban problems, affiliated with the public and private sectors. Social change in developing

countries as applied to industrialization and changes in occupational structure; urbanization, internal migration and

population growth; changes in class structure; revolution and reform. Immigration that examines ethnic families in the

United States evaluating male/female values, power, conflicts and achievements of families from ancestral origins

from Europe, Africa, Asia, Latin America and the Caribbean. Fieldwork in social science, qualitative, quantitative,

empirical and tutorial research involving placement with “Graham-Windham,” a special agency, dedicated to the

educational and moral enrichment of homeless and orphaned children. The relevance attached to the Scientific

Method in evaluating data in sociological research.

EXPERIENCE

Tutor 12/11 - 10/12

Providence Service Corporation (A-Z In-Home Tutoring)

9701 Apollo Drive, Suite 441, #3

Largo, MD 20774

Phone: 866-***-****

Teaching Math and English.

In English, students developed an oral presentation or writing sample, after guided instructions, assistance

and additional support, adapting grade appropriate skills using a Dolch word assessment exercise. In Math,

students demonstrated an understanding of goal appropriate activities involving various methods, skills and

tools using numbers, operations, algebra, geometry, measurement, data analysis and probability problems in

a multiple- choice format.

Insurance Coordinator

R.J. WILSON AND ASSOCIATES, Forest Hill, MD 7/02 – 9/08

Identified and qualified individuals for financial assistance (pre-certification).

Pre-authorization and pre-certification are two methods used by health insurance companies to limit

unnecessary spending by making sure the payer understands that a service is medically necessary before a

claim will be paid. A patient can be held liable for not providing accurate or timely information to the payer or

provider of the appropriate insurance, medical condition or improper reimbursement adhering to ERISA and the

Equal Protection Clause of the Fifth Amendment to the United States constitution. This brokerage firm also

catered and offered help-lines to industrial clients interested in property, casualty, life and health insurance

annuities.

Registration Coordinator for Patient Financial Services

UPPER CHESAPEAKE MEDICAL CENTER, Bel Air, MD 7/00 – 7/02

Captured and managed information through efficient and timely registration methods. Processed

demographics, insurance verification and bed assignments required to meet State, Federal and Accreditation

standards for inpatients and outpatients.

Insurance Coordinator (part-time)

MARYLAND BUSINESS ASSOCIATION/ R.J. WILSON AND ASSOCIATES, Abingdon, MD 7/98 – 7/02

Manually filed and digitized medical records.

Administrative Secretary

ST. JOSEPH MEDICAL CENTER, Towson, MD 7/96 – 7/98

Transcribed doctor's orders and transported medical equipment (Medical Escort Services).

Unit Administrative Clerk for Department of Medical/Surgical Nursing

THE NEW YORK HOSPITAL, CORNELL MEDICAL CENTER, New York, NY 3/88 – 7/96

Coordinated different tasks and functions between the ward and other departments, transcribed doctor's orders

for nurses and kept patient files updated with pertinent information.

SKILLS

Interpret and transcribe descriptive or numerical data to automated Meditech Hospital Information System

Positively communicate with patients, medical staff and insurance companies

Operation and maintenance of medical equipment, computers, telephones, printers or copiers

REFERENCES

Dr. John H. Meyer, Adjunct Faculty, Champlain College, 802-***-****

Erin Bennett, C.E.O., R.J. Wilson and Associates, 410-***-****

Prof. Phil Cykon, Adjunct Faculty, Champlain College, 802-***-****

Contact this candidate