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Medical Insurance

Location:
Las Vegas, NV
Salary:
$18.00 per hour
Posted:
July 20, 2018

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Resume:

ANI DEMIRCHYAN

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

CHATSWORTH, CA **311

*** - ***- ****

OBJECTIVE To secure a career-oriented position with opportunity

for future growth and advancement.

WORK EXPERENCES:

03/20/2007- Present Working at Medtronic as Collector II/ Account Analyst

My duties are:

-Target and identify payer issues and resolve them by creating projects

-Review and F/U with insurance company for claim processing

-Analyze paid DME claims for proper payment and process per contract rates and guidelines

-Submit claims for correction if needed

-Assisting the entire team to navigate the new system

While handling daily work flow and correspondence

-Assisting supervisor with system and payer issues and monthly projects.

Also performed insurance verification projects with duties:

-Verify DME insurance eligibility

-Update FSC flow, visit plan, registration screen, coverage screen and clear all edits for each order

to process.

-Worked on OPS project which included obtaining authorizations for each order and medical documents

-Responsible to train collectors on specific payers and trained most of OPS team

-Lead projects with other teams and ensure daily work completion and accuracy

-Worked with both commercial and government payers

06/27/05-09/27/06 Worked at HCA patient Account Services as

an Overpayment Analyst. My duties were;

-Working with insurance contracts

-Analyzing acct. for overpayment/underpayment

-Identifying and Processing insurance/patient refunds

-Identifying and following up on contract rates and guidelines for multiple payers

-Using multiple online and computer

programs for each account process

01/01/02-01/01/05 Worked at Victory Medical group as an

Office Manager/Biller/collector. My duties were:

-Managing daily flow with pt schedules

-Billing daily claims

-Setting monthly reports

-Setting monthly meetings

-Approving and reviewing time cards

-Follow-up on the claims

-Answering and responding patients complains

-Monitoring employee daily attendants and

production

-Managing daily and monthly productivity

-Review and process payer contracts

-Prepare and follow up audit reviews

06/15/98-02/26/01 Worked at Glendale Adventist Medical Center

as a Biller/Collector/Blue cross specialist.

My duties were:

-Billing daily claims -Follow-up on the claims

-Target payer issue and resolve it

With in payer guidelines

-Follow-up with daily intakes

-Answering patients questions over the phone and in person

01/01/95-01/05/96 Worked at UCLA Medical Center as

a Secondary Collection Supervisor. My duties were:

-Monitoring employee time card system

-Creating daily projects with payors

-Monitoring daily employee attendants and

production

-Verify claims with insurance company

-Creating monthly reports for the meetings

-Monitoring collection daily work flow for collectors with follow up date targets

-Monitoring daily AR report to find trends of denials and create sheet to work with contract department

EDUCATION

06/93-03/94 -EXXEL College of Business, Glendale, California

Graduated as a Microcomputer Operator and Programmer

09/91-06/93 -Glendale High School, Glendale, California

Graduated with High School Diploma

SKILLS -Billing -Collecting

-Office Management -Filling

-Creating graphics

-Telephone communication

-Excellent Customer/Patient communication

-Operating multiple computer programs

COMPUTER

PROFIENCEY -EXCEL 2016 -LOTUS 123 2.4

-DBASE III/IV -ACCESS

-TYPING 85 WPM

-WORD PERFECT 5.5/6.0

-DELUXE PRINTSHOP

-WINDOWS

-MICROSOFT WORD 5.5/6.0

-SAP

-CENTRICITY(IDX)

-RIDSVIEW

-TRAC

-GE (aka IDX)

-Powerpoint

FOREIGN LANGUAGE -Fluent Armenian and Russian



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