JOSE A. ALMIRALL

**** *.*. ***** *****

MIAM, FL. 33173

305-***-****

ac23n4@r.postjobfree.com

POSITION OBJECTIVE:

Seeking a challenging position utilizing my abilities developed through my experience and education in the Medical Claim Analysis and Process Field, the Medical Billing Process field and/or Proofreading/Translation Field (English-Spanish)

EXPERIENCE:

1. - Olympus Healthcare Solutions, Miami FL., 16 years’ service.

Senior Claims Examiner

Review data entries and adjudicate claims, including but not limited to

Professional, Facility, TIN, repricing, duplicates and Dental using CPT-4,

ICD 9-10, HCPCS, Accuchecker, DRG, etc., for coding medical claims to

eligibility for reimbursement. Work messages consistent to level of knowledge

and experience; determine when to pend claims to higher Claim associated for

final adjudication

2. - Accentmarketing Communications LC., Miami, FL. - 3 months

Service.

Proofreader and Translator.

Correcting translations (English to Spanish) for Commercial Web sites.

Also perform some translations for the same purpose.

3. - Global Health Claims Inc., Miami, FL. - One (1) year service.

Claims Specialists.

Processing Medical Claims for reimbursement for Insurance Companies

using CPT 4, ICD 9, HCPCS, Merck Manual, DRG, etc., for coding

Medical claims to determine eligibility for reimbursement.

4. - MEDICAL TRANSCRIPCIONIST, Miami, FL. - Eighteen (18) months

Service.

Part-time free-lance.

Transcribing medical reports for Orthopedists

5. - VIVA Semanal Magazine, Miami, FL. - Six (6) months service.

Translator and Editor.

Translating articles to be published (English to Spanish) and editing.

Also wrote articles for the same magazine.

EDUCATION AND SPECIAL TRAINIG COURSES:

1. - Elementary School – Havana, Cuba

2. - Graduated from High School – Havana, Cuba

3. - Two (2) years college in School of Biology – University of Havana, Cuba

4. - High School Equivalency Diploma (G.E.D.), Hackensack, NJ

5. - Twenty eight credits of Certificate in Data Processing, Hudson County Community

College, Jersey City, NJ

6. - Training for Medical Claims Specialist, Miami, FL.

7. - Certificate in Medical Billing g Process (graduated), University of Puerto Rico

8. - Training in FACTS and PLEXIS programs to process and adjudicate medical

Claims

COMMUNICATION AND WORKING SKILLS:

1. - Able to speak, read and write English and Spanish fluently.

2. - Able to translate English to Spanish and proofread in both languages.

3. - Able to work with PCs (Windows XP, Word Perfect, Microsoft Word, Excel

and Standard Office Equipment.

REFERENCES:

Available upon request

Contact this candidate