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Customer Service Medical Billing and Data Entry

Location:
Tallahassee, Florida, United States
Salary:
15.00
Posted:
December 26, 2018

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Resume:

Sharon Franklin

**** ******* **** *** ** Tallahassee, FL 32304 850-***-**** ac711m@r.postjobfree.com

A dynamic, highly motivated professional seeking to utilize my education and experience in regulatory compliance, medical insurance coding & billing and health care management. Adapt in human relations, medical analysis, as well as medical billing software. Provide superior customer service managing multiple priorities in a fast-paced environment.

Education

Bachelors of Science–Healthcare Management

August, 2011-Anthem College; Phoenix, Arizona

Associates of Science - Medical Billing and Coding

March, 2009 -Anthem College; Phoenix, AZ

Coursework included:

Cultural Diversity in Healthcare

Supervision in Healthcare Settings

Strategic Planning & Development Advanced Financial Principles

Quality Improvement in Healthcare

Technical Writing in the Health Industry

Decision-making in the Health Industry

Advanced Business Communication

Health Information Systems

Principles of Management

Environmental Design Trends Public Policy Making

Experience

DXC Technology Tallahassee, Florida

Insurance Healthcare Representative III November 2017 – April 2018

Reviewed Medicaid recipients demographic and benefit data to determine Buy-In program eligibility.

Updated beneficiary eligibility, demographics and data.

Entered Buy-In accretions, deletions and changes transactions in the Florida Medicaid Managed Information System for Buy-In recipients.

Drafted memos to CMS for reimbursements of premiums erroneously billed to Florida Medicaid program.

Developed and implemented general insurance and departmental policies in accordance with state and federal laws.

State of Florida Tallahassee, Florida

Regulatory Specialist II - Department of Financial Services, Unclaimed Property Claims Section August 2005 – February 2017

Met all time deadlines for processing and evaluating legal documents and contracts for estates, trusts and wills relating to unclaimed monies according to current Florida Statues.

Maintained accurate financial records for public access.

Analyzed, reviewed and authorized applications for refunds and payments in the FLAIR accounting system.

Provided excellent customer service in a call center environment.

Trained new employees.

State of Florida Tallahassee, Florida

OPS Senior Clerk - Department of Financial Services, Unclaimed Property Reporting Section April 2005 – August 2005

Analyzed, processed and updated Unclaimed Property Reports.

Assisted holders with inquiries about Unclaimed Property Reports.

Performed imaging and indexing process to ensure quality control standards are being met.

Assisted in correcting the deficiencies during the indexing process.

Verified accuracy by sampling completed batches.

Prepared reports of findings and recommended for corrective action.

State of Georgia Tallahassee, Florida

Data Technician (Seasonal) June 2004 –November 2004

Compiled and recorded information on public tax forms.

Ensured accurate information by paying close attention to details and self-auditing.

Kelly Services (Temporary Agency) Tallahassee, Florida

Claims Examiner July 2000 – May 2003

Analyzed insurance claims to determine extent of insurance carrier liability.

Settled claims with claimants in accordance with policy provision and provider agreements.

Processed claims and resolved problems for provider contracted services.

Utilized knowledge of medical terminology, procedures and diagnosis codes.

State of Florida Tallahassee, Florida

Customer Service Representative – Department of Banking and Finance July 1989 – May 1999

Senior Clerk– Department of Banking and Finance

Secretary Specialist– Department of Banking and Finance

Clerk Typist Specialist– Department of Banking and Finance

Data Entry Operator– Department of Banking and Finance

Administrative Secretary – Office of the Governor, Florida Black Business Investment Board

Senior Word Processing Systems Operator - Department of Elder Affairs

Awarded Employee of the Month for the Department of Elder Affairs

Skills: Microsoft Word, Microsoft Outlook, Microsoft Excel and Microsoft PowerPoint



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