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Medical Billing Customer Service

Location:
Lancaster, California, United States
Posted:
November 05, 2018

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PROFILE

EXPERIENCE

THE HALPERN LAW FIRM, CALABASAS, CA 91302 JAN 2014-PRESENT

Responsible for all court appearance at the Workman’s Compensation Appellate Board and the Civil Court House to attempt to settle client cases before the judge. Handle all the following up on cases and claims with the Defense Attorney office and Workman’s Compensation Carriers with hopes to resolve and or negotiate for clients. Handle further negotiations for personal injury cases or Workman’s Compensation claims. Responsible for the signing up of potential clients, travel to their homes to screen the client and handle all documents for the law office. Handle cases such as personal injury, auto accident, Slip and Fall accidents, Work related injuries and Workman’s Compensation, Wrongful Termination, Medical MalPractice, and more. ALLIANCE COMP. CLAIMS, LOS ANGELES, CA 90029 FEB 2008-DEC 2015 Responsible for high volume of Workman’s Compensation Cases, Personal Injury clients, and third party claims. Filed liens with the Workman’s Compensation Appeals Board. Negotiate the filings to attempt to settle claim with Insurance carriers, Appear to all hearings at the Workman’s Compensation Appeals Board Supervise and manage the medical billing sector of the business with eight employees that handle the medical billing for our clients. Market and Network the office to increase our clients, which are hospitals, orthopedic doctors, chiropractic doctors, medical clinics, and multiple attorney offices. Prepare monthly status reports and set up contractual agreements with written terms and conditions for clients.

FRONTIER MEDICAL, LA MIRADA, CA 90637 JAN 2000 - DEC 2007 Hired as liability analyst and legal subrogation. Reviewed high volume of clients claims of approximately 400 - 600 different accounts of third party liability cases specializing in cases of Personal Injury claims and Workman’s Compensation. Responsible for reviewing contracts between hospitals, Health Insurance companies and the claimant. Responsible for filing all timely claims with the Workman’s Compensation Appeals Board, and Civil Courthouse. Successful in Negotiating and resolving most liens and handled all Court Appearances. COMP/ SPEC. INC. GLENDALE, CA 91201 FEB 1997-SEPT 2000 Trained and experienced in Medical Billing involving Medicare and HMO plans. Reviewed contracts between hospital, Health Insurance companies, and their plans. Negotiated with attorneys, insurance carriers and followed up on the claims with the attorney office and the insurance claims department. Prepared for court hearings on client cases and appeared for the client at the workman’s compensation appeals board and also the hearing scheduled at the civil courthouse.

HEALTH ADVOCATES, SHERMAN OAKS, CA 91403 APRIL 1994 - JAN 1997 Liability Insurance Analyst. Handled up to 600 client accounts and responsible for review each for health insurance claims and the review of the contracts for PPO, HMO, and Medical Group Plans. Responsible for the recovery of Co-Pay Funds. Negotiated and Settled with the Attorney offices or Insurance Claims and appeared in court hearings.

JAMES E. CASTRO

949 Birmingham Drive Corona, Ca 92881 Phone: 323-***-**** PAVILIONS, SOUTH PASADENA, CA 91031 JUNE 1991 - FEB 1994 Bakery Department. Responsible for baking goods for customers every day before the store opens. Kept the shelves stocked and took orders for customers requesting birthday cakes. Handled the inventory and ordered merchandise and supplies to meet the day to day operations and customer demands. Made special orders for the customers, such as cakes, and holiday breads for special occasions. EDUCATION

UNIVERSITY OF CALIFORNIA LOS ANGELES, CA AUG 1994-MAY1996 Bachelors Degree - Political Science

EAST LOS ANGELES COLLEGE, LOS ANGELES, CA AUG 1989 - MAY 1994 Associates Degree - Business Administration

GARFIELD HIGH SCHOOL, LOS ANGELES, CA AUG 1986 - MAY 1989 SKILLS

Over Twenty five years of excellent customer service skills, Supervise and Manage employees with ease and proven high productivity and shown by increased profits. Extremely through and meticulous clerical abilities and office procedure. Motivated and Successful in Negotiating any and all contracts and handle professionally the settlement of client claims to our advantage. Type accurately @45 WPM, Experienced and knowledgable in Microsoft work, excel, and power point. Meda-soft billing program, and many other business applications. Educated and familiar with California Workman’s Compensation laws and regulations. Also, knowledgable of Civil laws and regulations, and West Law.

Proficient and Bilingual in Spanish and English languages REFERRALS

TIM GALINDO 323-***-**** GABRIEL CORDERO 323-***-**** ALEX PEREZ 323-***-**** MARCELO HALPERN 818-***-**** MARCY KENNEDY 562-***-**** DEBORAH COMOUCHE 951-***-**** JAMES E. CASTRO



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