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Medical Billing

Location:
San Jose, California, United States
Salary:
50000
Posted:
October 28, 2018

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Resume:

CHEKAMEH KAZEROUNI, MBA

**** **** ***. *** ****, Ca. 95123 ac7i5i@r.postjobfree.com 818-***-****

HEALTHCARE MANAGEMENT PROFESSIONAL

SUMMARY OF QUALIFICATIONS

More than 17 years experience in billing and collections. Have dealt with a variety of Insurance Companies such as Medical, Medicare, CCS, HMO's, IPA’s & PPO's. Tremendous expertise in claims processing. Have experience in pharmacy claims.

Experience with CPT and ICD9 and ICD10, ICD10 and CPT compliance officer. Accounts Receivable auditor, Have experience in Accounts Payable, aging reports, trial balance, billing, and collections and clearing credit balances.

Taught college and adult education classes. Managed classroom and motivated students to keep enthusiasm about the subject.

Work with management to better be able to create and prioritize a needs list for each business department and analyzing projects.

Identify and create ways to save money for the business by streamlining data and project analysis

Effectively able to communicate complicated concepts in an understandable manner, matching the message to the audience. Have excellent written and oral (communication) skills.

Adept and experienced in problem solving and providing solutions. Excellent qualifications in leadership and interpersonal communications.

Persuasive, with ability to communicate effectively with culturally diverse audience. Public speaking and executive management briefing experience.

Computer skills include MS Office Suite, Medical Manager, WordPerfect, Centricity, Ezclaim, SMS, Access, AS400, Peach Tree, Rescot, Lotus 1,2,3, Medi-Soft, GE, Quicken, and Prime-clinical.

PROFESSIONAL EXPERIENCE

REVENUE CYCLE/RECONCILE October 10-October 19

ACCOUNTEMPS/ROBERT HALF San Jose, CA

Was hired as a temp to reconcile accounts from 1978-2012

Reconciled bank statements with documentation

Reconciled and calculated interest earned on notes

Reconciled and calculated interest on credit cards

Streamlining data analysis to save money

TREASURER/VOLUNTEER June 2014 – Present

SAKAMOTO ELEMENTARY SCHOOL San Jose, CA

Working on A/P.

Depositing payments(cash and checks)

Reconciling bank statements and quicken.

Creating month end reports as well as loss and profit.

Creating balance sheets

Creating budget for the whole school year

REVENUE CYCLE ASSISTANT MANAGER June 2012 – November 2012

CALPATH MEDICAL ASSOCIATES Los Gatos, CA

ICD-9, ICD10, and Coding compliance officer

Accounts Receivable auditor and aging reports/collector.

Provided back up for posting insurance/patient payments.

Analysis of business processes to save money for the business

Strong communications skills with individuals and management

INSTRUCTOR February 2008 – February 2012

WEST VALLEY OCCUPATIONAL CENTER ADULT SCHOOL Woodland Hills, CA

Prepare lesson plans for medical insurance and billing, anatomy and physiology and coding classes.

Prepare and preset lectures.

Taught management classes and medical office procedures to crate entrepreneurship.

Prepared Curriculums for the courses

INSTRUCTOR November 2006 – June 2008

CONCORDE CAREER COLLEGE North Hollywood, CA

Provided instruction in private technical college. Prepared lesson plans and syllabus for medical department.

Taught anatomy and physiology, medical insurance and billing, and coding, medical billing software.

Prepared Excel spreadsheets for entire department for grade input.

Delmar boot camp training.

MEDICAL BILLER/CODER/COLLECTOR April 2005 – December 2006

FAMILY MEDICINE CENTER/GLENDALE ADVENTIST Glendale, CA

Company consists of 14 physicians and 26 resident doctors. Taught regulatory and legal compliance to physicians and residents.

Contracted physicians with all insurance companies.

Played role in collection of Medicare, Medi-Cal, PPO, IPA’s, patient collection, payment entry from insurances and patients, credit balances, and generating refunds (when necessary) to insurance companies as well as patients.

Worked closely with management to prioritize their list of needs and implementing it for the department

MEDICAL BILLER/CODER/COLLECTOR February 2003 – April 2005

GROSSMAN MEDICAL GROUP INC. Van Nuys, CA

Supervised four personnel for nationally known plastic surgery center.

Cleared all accounts, handled collections, insurance billing, appealed unpaid claims.

Gained extensive knowledge of appeals process achieving a pay rate of 89%.

Reviewed claims before going out. Worked with Medi-care, Medi-cal, PPO, HMO, IPA, Workers Compensation, and California Children Services collection.

MEDICAL BILLER/CODER/COLLECTOR April 2001 – February 2003

UNIVERSITY CARDIOVASCULAR MEDICAL GROUP Los Angeles, CA

Worked on receivables, cleared aging report, performed billing and collection of Medi-care, Medi-Cal, HMO, PPO, IPA, and CCS claims as well as Workers Compensation.

Collected outstanding balances from patients at two other clinics, which were transplant patients.

MEDICAL BILLER/CODER/COLLECTOR August 2000 – April 2001

PRIMECARE PHARMACY Van Nuys, CA

Worked on Accounts Receivable and aging reports.

Collected from responsible parties, interacted with insurance companies on pharmacy claims, collected from nursing facilities and prepared check reconciliation.

MEDICAL BILLER/CODER/COLLECTOR November 1999 – July 2000

PARISA/AFR APPAREL INTERNATIONAL Van Nuys, CA

Worked on Accounts Payable, Aging Report and Accounts Receivable.

Posted payments from Vendors. Deposited Payments.

Researched invoices to send to vendors for payment and collected payments.

Previous Employment

UCLA Family Health Center - Los Angeles, CA

Medaphis/Per Se - Los Angeles, CA

Medi-Claim - Encino, CA

Healthcare Management Resources, Inc. - Los Angeles, CA

Encino-Tarzan Regional Medical Center - Encino, CA

EDUCATION AND TRAINING

MASTER OF BUSINESS ADMINISTRATION

BACHELOR OF SCIENCE IN ACCOUNTING

UNIVERSITY OF PHOENIX Phoenix, AZ

ASSOCIATE OF ARTS IN ACCOUNTING

LA PIERCE COLLEGE Los Angeles, CA

Professional Development

Certificate in Medical Billing/Coding & Medical Terminology

National Institute of Health (NIH) Certificate

Publications

Submitted two articles that have been nominated/approved for presentation in Germany and Ecuador, “How Biodiversity Change Monitoring and Epidemiological Surveillance Systems could Play Role on Disease Control?” and “IRB Role in the North and South Countries”

AFFILIATIONS

National Association of Billers



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