CLARINE J MCALLISTER GABRIEL

*** ***** ******, *** #*, Newark, NJ 07112

973-***-**** • ac7kwp@r.postjobfree.com

I have acquired over twenty (20) years of professional experience providing managerial / administrative support to senior officials/managers, including management of databases and personnel. Proficient in Microsoft Office -Word, Excel, Publisher, MEDISOFT, EPIC and STAR.

Knowledge of insurance laws, human anatomy, medical terminology and coding using ICD-10-CM and CPT.

Accustom to meeting deadlines, excellent telephone and organizational skills.

Possess strong oral and written communication skills.

Core Competencies

Microsoft Word, Excel

EPIC

Cerner Software

STAR

BEPA

MEDISOFT

EXPERIENCE

Prime Healthcare 01/ 2017 – 12/2017

66 Ford Road, Denville, NJ 07834

Account Resolution Specialist

Reviewed claims for denials and incorrect write off and follow up outstanding claims to ensure maximum reimbursement for services provided

Researched and appealed for underpayment, authorization issues and non payments of claims

Reviewed and adjusted claims in STAR, BEPA and EPIC

Called insurance companies regarding discrepancies in payment

Navigate Navinet insurance sites; Verified eligibility

People’s National Congress Reform 02/1999 – 10/2012

Congress Place, Sophia, Georgetown, Guyana

Administrative and Finance Officer

Prepared weekly financial reports; Prepared payroll and other payments

Coordinated daily staff deployment

Utilized MS Excel to prepare weekly financial reports

Created and maintained a membership database

Coordinated meetings with community leaders

Managed personnel records

Drafted and communicated memos to employees

EDUCATION & CERTIFCATIONS

American Academy of Professional Coders (AAPC) 2018

Certified Professional Coder Apprentice

Certified Billing and Coding Specialist 2016

Essex County College /National Healthcareer Association

The Institute of Commercial Management, England 2002

Diploma – Business Law

University of Guyana

Advanced Auditing and Accounting 1999 Bachelor Degree – Sociology 1995