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Medical Engineer

Location:
Rockville, Maryland, 20852, United States
Posted:
October 22, 2018

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Resume:

NINO BEGALISHVILI,

*** ******* **., *********, ** 20852; mob: 202-***-****; ac7gsi@r.postjobfree.com

SKILLS AND QUALIFICATIONS

Utilizing 19+ years of professional experience, including Procurement/Logistics, Accounting and

Technical (Water and Energy)/Medical Oversight; Payroll/Benefits/Financial reporting;

Contracting/Inventory Planning and Material Control; Medical Billing/Coding; Staff Training/Policy &

procedures; Health Insurance Relations & Negotiations; Audits on all internal financial controls.

WORK EXPERIENCE

Medical Biller Specialist (01, 2017 – to present)

Jessa Medical Supply, Gaithersburg, MD

Processed and submitted medical insurance claims using specialized software.

Assist patients with questions regarding their bills.

Maintain administrative paperwork in an organized filing system.

Entering patients’ demographics and added notes to patients’ files.

Medical Supply coding.

Claim submission to Medicare/Medicaid/BCBS - paper and electronic

Payment posting, retrieving EOB's for secondary claims and preparing refund requests

Check the status of filed claims via on-line portals

Work closely with supervisor to resolve claim issues/denials.

Audited, entered, and batched final documents for submission to collection agency.

Submitted claims to the insurance companies and patients’ attorneys.

Medical Coder for Billing Office (01, 2015 – 12, 2016);

Maryland Healthcare Clinics, Hyattsville, Maryland, MD

•Back up biller for a high-volume medical office including physicians’ examinations,

physical therapy and medical supplies.

•Responsible for day-to-day business office activities including receptionist duties: filing,

scanning, copying, faxing.

•Answering and transferring incoming call to appropriate personnel.

•Medical appointment scheduling.

•Entering/updating data to the corporate web portal.

•Update Patients’ personal information on a weekly basis.

•Maintain supporting documentation files and current patient addresses.

•Transition to ICD-10 diagnostic coding system.

•Managing of Patients’ accounts at the corporate web portal.

•Submission of claims to the insurance companies and patients’ attorneys

Teachers’ Assistant (09. 2014 – 01. 2015);

The Winchester School, Silver Spring, Maryland

•Organized the classroom and planed intellectual activities for children.

•Assisted children with special educational needs in mathematics.

•Chaperoned field trips and other activities (theatre, sightseeing, etc)

•Organize snack, play, and sleep time.

PROFESSIONAL APPOINTMENTS

Purchasing and Supply Management Specialist (1st grade Specialist)- (07.1999 -10.2014)

JSC Inter RAO Telasi (Georgian-Russian Power Distribution Company), Tbilisi, Georgia

• Negotiate with potential suppliers.

• Provide contracts and support Warehouse plan.

• Prepare purchase orders, review requisitions for goods and services .

• Analyze price proposals, financial reports and other data and information to determine reasonable prices.

• Storage zones plan and special software (SAP) logistic documentation process.

• Monitor documentation such as certificates of origin, customs invoices, packing lists, and certificates of insurance.

• Arrange warehouse materials flow and their information.

• Produce, analyze and review information for accuracy.

Material Control Administrator

JSC Inter RAO Telasi (Georgian-Russian Power Distribution Company), Tbilisi, Georgia

• Current assignment input of all JSC Telasi service and commodity invoices with receipts, into the Software Program (SAP).

• Supply Chain Management (SAP SCM) and support all the processes within the logistics chain.

• Company’s commodity and service invoices monitor and reconciliation against contracts and receipts.

• Stock control experience.

• Support issued and processed contracts and integrat Purchase Orders.

• General Procurement Support and interdepartmental support (coordination of departments: Financial, Procurement and Warehouse); all material (with secondary and scrap) control and database application of Central warehouse.

• General procurement and inter-department support.

• Additional Database controlling of Central and Lilo Warehouses.

• Track all warehouse receipts.

Assistant of Procurement Manager in Contracts/Procurement

AES Telasi (Georgian-American Power Distribution Company), Tbilisi, Georgia

• Conducted general procurement and administrative support, inclusive of Purchase Order Entry into the Software program (Exact Globe for Windows).

• Track and expedite of all Purchase Orders and Procurement Responsibilities.

• Examine Domestic and International Orders.

• Processing Commodity and Service Order Agreements, Task orders, Lease agreements and Umbrella Contracts.

• Provide Software program training (Exact Globe for Windows).

• Supervise/Coordinate technicians work in various aspects of procurement study.

EDUCATION

Visiting Fellow; Climate Change, Humans, and Nature in the Global Environment (C-CHANGE) of the National Science Foundation Integrative Graduate Education and Research Training (IGERT) program (interdisciplinary climate change studies program). Center for Research on Global Change. Institute for Policy and Social Research; University of Kansas

M.Sc. Engineer-Hydrologist; Department of Geography and Geology, Tbilisi State University, Georgia

Bachelor of Hydrology; Department of Geography and Geology, Tbilisi State University, Georgia (Diploma with Honors of Engineer-Hydrologist)

Research Grant Project Relevant to Industry/Position

The Legal Entity Appointed Representative (LEAR) of the Institute of hydrometeorology of the Georgian Technical University for EC 7th Framework Programme “Up-Grade Black Sea Scientific Network” (Up-Grade BS-Scene). LEAR - the authorized person of the Hydrometeorology Institute for signing the contract and all hereto related official letters and Scientific-Researcher

Scientific-Researcher; EC 7th Framework Programme “Up-Grade Black Sea Scientific Network” (Up-Grade BS-Scene). Obtain, Input or update metadata to the MIKADO and NEMO software for SeaDataNet ; scientific negotiation with other participants of this program.

Certifications/Licenses

HIPAA

EMS

Basics of Financial and Tax Accounting Course

Project Management

Landscape Ecology and Biodiversity

Water and Sanitation

Additional Skills

English - fluent

Russian – fluent

Georgian – Native

Computer Skills

Outlook; Window Office Suite (Excel, Word), Access, PowerPoint; Internet and e-mail; Financial programs SAP Material Management (MM, MIGO and MIRO) and EXACT Globe for Windows – Warehouse Management and Stock control; CortexEDI/Medisoft System, Importer and FTP upload programs; MEdicAID Software; MIKADO and NEMO software (for SeaDataNet metadata)



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