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Health Information Medical

Location:
Saint Paul, Minnesota, United States
Posted:
July 02, 2018

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Resume:

Melissa Ann Barbato

**** ****** **** * ****

Saint Paul, MN 55109 Cell Phone 651-***-****

ac532v@r.postjobfree.com

I am a bright, outgoing woman with a personality that does not know the meaning of the word “can’t”. I will

never give up on anything or anybody. I have a husband and three children that mean the world to me, and I

would do anything and everything for them. RESEARCH IS MY MIDDLE NAME.

Education

Associates Degree in Medical Office Professional - Spring 2018

Classes include Business Applications 2, Introduction to Business, Medical Formatting/Transcription 1, Transcription Documentation 2, Advanced Medical Documentation 3.

Associates Degree in Health Information Technology - Fall 2016

Classes include Business Applications 1, Career Resources, Health Information Foundations, Anatomy and Physiology, Medical Office, Medical Terminology, Computerized Health Information, Billing and Reimbursement, Human Disease, Pharmacology for the Medical Office, Alternative Health Record System, Legal and Ethical Aspects of Health Information, Supervision of Health Information, ICD-10-CM Coding, ICD-10-PCS Coding, CPT-4 Coding, Advanced Coding, Quality Management and Health Statistics, Health Information Technology (HIT) Internship/Capstone Project.

Diploma in Medical Coding Spring 2015

Certificate in Medical Office Fall 2013

I made the Dean’s List in every semester

My next step is to take my CCA or CPC certification and RHIT or RHIA certification

Skill Areas

Technical Skills

Have a strong knowledge of medical insurance practices, ICD-9-CM, ICD-10-CM, ICD-10-PCS and CPT4 knowledge, Diagnosis Related Grouping (DRG) and Per Diem room rates, QA Hiperstation, which is a repeatable testing tool, writing business requirements, testing documentation, TSO, IMS, MS SQL Server, FoxPro, Oracle, Excel, Data Modeling, Mainframe, IBM, MVS, Cognos Reporting, Finance skills, Microsoft Word and can type approximately 80-100 words per minute.

I have a strong knowledge of the 3M Encoder.

Have strong knowledge of Use Case and UML diagramming for gathering & documenting business/technical requirements, structured analysis, creating process & data flows, developing test plans, executing testing, calculating return on investment (ROI) and SDLC methodologies.

Have a strong knowledge of Functional Specification and how to read and use them.

Balancing figures, taking inventory of stock and ordering what is needed, work a cash register and give appropriate change and am mathematically inclined.

Have knowledge of the Rational Tool Testing Suite, COBOL programming JCL and SAS.

Familiar with Mercury Test Director - Quick Test Pro, CMM-1 (Crisis Management Manual One) and Six Sigma Concepts, Waterfall, Agile and Scrum testing.

Greatest Accomplishment

My greatest accomplishment was the Coordination of Benefits Project that my co-workers and I created and implemented into the Blue Cross Blue Shield of Minnesota’s claims processing system. At the time, Blue Cross was not coordinating benefits with primary other insurance. After the project was installed, it saved Blue Cross billions of dollars annually.

ANC Enterprises

Accountant October 2017-Present (20 hours per week)

AR/AP

Bank Reconciliation

Month End

St Croix Hospice

Quality Assurance/Compliance – May 2018 to June 2018 (40 hours per week)

Dr. Attestations given so that I may scan and put into a shared folder

Used SharePoint

File sorted and took out “dummy” SSN numbers for all the branches to fix before going to Medicare

Watched videos and read manuals and put together a training manual for myself

Eliminated position so I was laid off

McDonald’s

Promoted to Operations Manager April 2016-May 2017 (50 hours per week)

Leader of Kitchen Crew

Responsible for stock

Night end reconciliation

Positioned crew

Open/Close store

Cashier

Take orders from customers

Serve Customers

Took hiatus from my professional career from 2014 to 2016 to focus on school.

Steven Scott Management

Co Property Manager/Leasing Agent/Resident Manager May 2009-September 2014 (60 hours per week)

Maintain financial stability and maximize revenue

Maintain a closing ratio that meets the requirement of Steven Scott Management

Comply with all industry fair housing rules

Comply with all OSHA and environmental policies

Blue Cross Blue Shield of Minnesota - October 1994 to June 2007

Information Technology Quality Assurance Specialist/Business Analyst (40 – 50 hours per week)

Responsible for writing business requirements for the claim paying system both Mainframe and Web based applications, verifying software functionality and system integrity, developed Business Requirement, Test Plan, Test Case and Requirement Validation Matrix documents.

Specialty claims – Workman’s Comp, Long and Short-Term Disability Claims, Medicare and coordinating, Government Programs including PMAP, MNCare and many more.

Performed test risk analysis, designed and executed manual and automated tests, analyzed system requirements and validated test coverage for both Mainframe and Web database testing.

Participated on projects and handled multiple assignments with minimal guidance.

Trained the customers and users on how to use the new functionality.

Helped customers with phone inquiries on their policies and other problems and questions they were having.

Was lead on many projects, which made me accountable for the work assignment and direction for others. One of the projects was the accumulation of medical and pharmacy deductibles and or coinsurance dollars to meet one total. Worked very closely with staff from Prime Therapeutics.

Blue Cross Blue Shield of Minnesota - October 1987 to October 1994

Director of

Claims/Executive Administrative Assistant/Benefit Analyst/Claims Processor/Data Entry/Receptionist/Billing (40-50 hours per week)

Director of Claims

Executive Administrative Assistant to the Vice President of Claims for 4 years.

Executed benefits and input them in the system. Made sure that each groups benefits were paying correctly.

Explained benefits to the customers who were having troubles understanding their benefits.

Paid medical claims daily. I became an expert claims examiner and was promoted to a Technical Specialist.

Specialty claims – Workman’s Comp, Long and Short-Term Disability Claims, Medicare and coordinating, Government Programs including PMAP, MNCare and many more.

Audited other examiner’s claims until they passed a certain number of tests.

Trained claims examiners on the processes of how to examine and pay medical claims.

I worked my way up from data entry – which required me to enter information on different screens from claims that I received in the mail.

Filed medical folders.

As a Receptionist, had to answer phones and transfer that call to a specific person or area of the company.

Helped in the Billing Department as needed. Approximately 2 years’ experience.

Took hiatus from my professional career from 2007 to 2009 to stay at home and raise my children and take care of my home responsibilities.



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