Objective

To obtain a position in a corporation with advancement opportunities and a professional atmosphere using my knowledge and skills.

Profile

Over 22 years in the field of Medical claims processing. A few years of coding with ICD-9 and CPT4 codes on HCFA-1500’s and UB-92 forms.

Excellent as a Customer Service representative. Meeting and greeting customers with a smile.

Computer literate in trouble-shooting, programming, repairs and networking along with secretarial and Word Processing skills.

Skills Summary

Type 70wpm

WordPerfect 5.1

WordPerfect 6.1

MicroSoft Word

MicroSoft Excel

MicroSoft Corel

MicroSoft Quattro

Lotus 1,2,3

Multimate

FoxBase

D-Base

Medical Billing/Coding

AS400 Hospital System

Facsimile Machine

Xerox Machine

Career-Related Experience

METLIFE, ORISKANY, NY 11/14 – 05/16

Position: Premium Waiver Claims Reviewer

Reviewing insurance claims for accuracy

Verifying medical is current and supports disability

Reinstatement of denied claims when necessary

RANDSTAD (METLIFE) ORISKANY, NY 03/14 – 11/14

Position: Premium Waiver Claims Reviewer

Reviewing life insurance and long term disability claims for correct information, updating, and processing.

Adjudicating claims when necessary.

RANDSTAD (METLIFE) ORISKANY, NY 09/13 – 03/14

Position: Statement of Health Reviewer

Answering phone calls and assisting customer’s with there life insurance coverage.

Data Entry of member’s demographics.

Working on the queue’s in MetLife’s SIR and STARTREK system to review member’s life insurance form, and ensure all information is correct.

Review “Statement of Health” forms for proper information, and send back for correction if necessary.

Career-Related Experience (Continues)

ST. ELIZABETH HEALTH SUPPORT, UTICA, NY 01/06 – 02/12

Position: Customer Service/Durable Medical Equipment Supplier

Data Entry of patient’s demographics, medical information, and arrangement of appointments.

Answering and authenticating phone calls from members/medical providers.

Review and verification of medical benefits with members.

Assisting patients with durable medical equipment supplies

Review of patient’s information in the Hospital System, AS400

Answering telephones, troubleshooting, Filing, Xerox, Faxing documents to physicians when necessary.

LOWES HOME IMPROVEMENT, ROME, NY 11/04 – 06-07

Position: Customer Service/Part-Time

Assisting customers with merchandise

Restocking and reorganizing shelves with merchandise

Nursery of plants in the outdoor department

Education

Manhattan Vocational Technical H.S. New York, New York

Major: Mechanical Drafting (1984)

Diploma

Career Advancement Program, Bronx, New York

Major: Secretarial and Word Processing (1986)

Certificate: 60 hours of hands on training in Word Processing on the Wang WP System 30

University of Phoenix, Phoenix, AZ (Online Campus)

Major: IT Networking (2013)

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