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Customer Service Medical Billing

Location:
Westfield, NJ
Salary:
open
Posted:
December 14, 2018

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Resume:

ROBERT ANDREW KNOREK

*** ****** *******

Westfield, NJ 07090

908-***-**** ac7y0r@r.postjobfree.com

SUMMARY

Business Professional with extensive Customer Service and Medical Billing background in diverse industries. Successfully establishes excellent rapport with people from varied backgrounds and effectively addresses customer needs. Ensures accuracy through verification of data and policy interpretation. Well organized able to set priorities and meet aggressive deadlines. Work independently and as a cooperative member of a group. Possess strong technical skills including: Clinstar and Medstar, Lotus, Windows 95 & 97, Windows XP, Windows 7 Pro, CyCare 3000, Medisoft, Copia, Telcor, Navinet, Availity and Lytech, all Microsoft Office products.

EDUCATION

BA, Public Administration/Criminal Justice, Kean College of New Jersey, Union, NJ

Completed 18 credits towards the Masters in Public Administration

AA, Criminal Justice, Union County College, Cranford, NJ

PROFESSIONAL DEVELOPMENT

Medical Coding and Billing certificate received, Completed 160 Hour Externship at Complete Care, Scotch Plains NJ – Issued by Fairleigh Dickinson University

Help Desk, Cittone Institute

Medical Coding and Billing, Kean College

Medical Terminology Course, Union County College

Notary Public

Certificate of Paralegal, Horizon Institute of Paralegal, Linden, NJ

PROFESSIONAL EXPERIENCE

ACCURATE DIAGNOSTIC LABS, South Plainfield, NJ 2013 – 2018

Billing Associate

Answer questions from patients and doctors on individual accounts, obtain payments and make adjustments on accounts as needed setup payment plans as needed, send out medical records to attorneys and insurance carriers. Obtain demographic and insurance information from doctor offices and submit for billing. Submit and resubmit claims as needed.

AIG FINANCIAL, Berkeley Heights, NJ 2008 – 2010

Billing Associate

Answered questions from insured and agents on individual accounts, obtained payments and made adjustments on accounts as needed.

ROBERT ANDREW KNOREK

Page Two

908-***-**** ac7y0r@r.postjobfree.com

MCKESSON HEALTHCARE, Somerset, NJ 2005 – 2007

Customer Service, A/R

Answer questions from patients, insurance companies and doctors on individual patient accounts and collect account balances. Setup payment plans as needed. Obtain demographic and insurance information from doctor offices and patients and submit for billing.

AP DIAGNOSTICS, Edison, NJ 2004 – 2005

Precertification Representative

Obtained precertification from insurance companies on radiological tests.

CAREADVANTAGE (Company dissolved 12/31/02), Iselin, NJ 2001 – 2002

Precertification Representative

Received calls from doctors, patients, and facilities for Precertification requests of inpatient and outpatient medical procedures for Horizon Blue Cross Blue Shield verifying enrollment and requirement status.

NATIONAL HEALTHCARE RESOURCES, Woodbridge, NJ 2000 – 2001

Medical Billing Allstate Auto Insurance

Received UB92 and HCFA 1500, checked for accuracy and entered claim per NJ State Fee Schedule guidelines. Specialty: Chiropractic and Physical Therapy.

MERRILL LYNCH, Somerset, NJ 2000

Branch Service Representative

Answered questions from branch offices of Merrill Lynch regarding client’s accounts.

OTIS SPUNKMEYER, Kenilworth, NJ 1999 – 2000

Order Entry/ Customer Service

Received orders from clients for Otis Spunkmeyer products.

I.T.S., Elizabeth, NJ 1997 – 1999

Scheduler

Scheduled inspections for return of leased vehicles.

VOLUNTEER EXPERIENCE

OVERLOOK HOSPITAL, Summit, NJ 1995

Health Promotion Department

Created schedules for entire hospital on current/upcoming meetings and/or events.

Assisted in clerical functions.

J.F. KENNEDY MEDICAL CENTER, Edison, NJ 1992 – 1994

Rehab Patient Representative

Liaison between staff and patient to ensure patient was satisfied with services entitled to and provided.

ROBERT ANDREW KNOREK

Page Three

908-***-**** ac7y0r@r.postjobfree.com

Assisted at the Information Desk; providing patient information on incoming ‘phone calls; i.e., room number, phone number.

Assisted visitor's in directions to patient's room, and other services within the facility. Out-patient testing -- guided patients to applicable testing areas. Acute Care patient representative input data into computer, same duties as Rehab Representative.

Admitted patients to rehab, explained what the patient was entitled to; i.e., programs, services, etc. Performed general clerical.



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