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Customer Service Medical Billing

Location:
Aguadilla, PR
Posted:
June 27, 2018

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Resume:

HC ** Box ***** Aguadilla, PR. *****

Phone: 787-***-**** / ac51qv@r.postjobfree.com

OBJECTIVE

Self-motivated individual with strong analytical and problem solving skills, seeking a position with an industry leader where my banking, sales, customer service and managerial experience, can be fully utilized.

SUMMARY

Experienced professional with over twelve years of demonstrated effectiveness in customer service, sales and workforce management.

Supervisory and project management experience.

Self-starting, goal-oriented individual whose perseverance and vision promote success.

Strength in recognizing, analyzing and solving problems.

A hands-on professional with a proven record of success.

Thrive in a dynamic environment, excellent team-worker; work well under pressure.

PROFESSIONAL EXPERIENCE

Medhealth Hospice, Corporation – Human Resources Director, Cabo Rojo, PR (2017 – 2018)

Plans directs coordinates and supervises the implementation and administration of the human resources policies.

Analyze the human resources needs in accordance to the institutional goals, financial situation and operational needs to provide recommendation to the agency.

Create policies norms and procedures related to the administration human resources and follows throw their implementation.

Develops an employee orientation program on the organization chart, attendance, contracts, duties and responsibilities, evaluation, credentialing, institutional policies and norms related to human resources.

Establishes and maintenance and open communication that allows regularly informing employees of policies programs norms and procedures related to the administration of human resources.

Makes sure that pay roll complies with labor laws and the legislation.

Prepares and maintenance an annual employee development and training program.

Evaluates candidates for employee and coordinates interviews with managers for selection and recruitment of candidates.

Establishes and documents disciplinary actions in accordance with norms, policies and law legislation.

Orients, trains and evaluates supervised.

Prepared annual reports of activities and programs.

Centro de Curacion de Heridas y Medicina Hiperbarica- Medical Billing/Coder, Aguadilla, PR (2015 – 2016)

Assign appropriate billing codes for medical services following industry coding standards such as ICD-10 and CPT.

Review physician notes for accurate file updates.

Prepare, submit and maintain medical claims.

Review patient records for proper documentation and signatures.

Post and reconcile insurance and patient payments.

International Service Corporation Cementerio Porta Coeli-Site Manager, San Juan, PR (2015)

Responsible for managing all business aspects and cemetery operations, new personnel (hiring and training), workforce (26 employees), site/grounds (maintenance/upkeep) and burial services.

Formulated and administered cemetery business plans and policy under governing board authority.

Coordinated and implemented budgetary item estimates and expenditures.

Managed payroll, accounts receivables, payables, inventory and daily deposits.

Oversaw sales staff to ensure monthly and annual financial and marketing goals were met.

Developed a cooperative teamwork environment to foster a respectful, communicative, accountable and service-oriented workforce.

Hospicio Santa Rita, Inc.-, Accounts Payable Manager, Aguada, PR (2009 – 2015)

Managed special projects as assigned, met ever-changing business environment with adaptability and competence.

Established and monitored the implementation and maintenance of accounting control procedures.

Managed accounts payable to ensure accuracy and timeliness.

Resolved invoice coding, discrepancies and irregularities.

Improved customer vendor relations and accounts payable disbursement procedures.

Utilized accounting software to generate monthly, quarterly, and year-end close reports.

Directed and coordinated all accounts payable activities and daily problem-resolution in the following areas: vouchers, vendor payments and expense reimbursements activities.

Recommended, developed and implemented new processes to continually improve departmental effectiveness and efficiency.

Effectively managed team by recruiting, training and providing clear direction to employees.

Provided overall leadership to staff to ensure deadlines were met and customer issues, concerns and questions were resolved in accordance with company and state’s policies and regulations.

Western Bank-Operations Manager, San Sebastian, PR (2003 – 2009)

Managed all banking operations and activities.

Resolved customer complaints and issues with the ability the grow and nurture client relationships.

Performed periodic risk assessments, internal audits and related documentation.

Ensured compliance with regulatory guidelines.

Developed network relationships within local business community.

Effectively managed staff to ensure outstanding customer service.

Western Bank- Cashier Officer, Aguadilla, PR (2001 – 2003)

Maintained appropriate cash limits, cashed checks, processed deposits and issued cashier’s checks, cash orders, traveler’s checks, money advances, and funds transfers.

Processed loan payments and opened new accounts.

Performed cash management, customer service, balanced cash drawer and petty cash management.

LANGUAGE PROFICIENCY

Fluent in English and Spanish.

EDUCATION

University of Puerto Rico, Aguadilla Campus

Bachelor Degree in Business Management and Human Resources (2003)

Asociacion de Facturadores Medicos de Puerto Rico, Inc.

Medical Billing, Coding and Auditing (2016)

REFERENCES

Furnished upon request.



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