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Manager Customer Service

Location:
Ripon, CA
Posted:
January 07, 2014

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Resume:

CLAUDINE MANUNGA

**** ********** **., *********, ** 94513

Cell: 925 - 783 - 3030

acb08t@r.postjobfree.com

PROFESSIONAL SUMMARY

Ten years of medical office healthcare experience, Executive Assistance including 5+ years of hospital billing, cash posting, refunds and insurance follow-up and special projects from my managers.

Highly determined individual who sets and exceeds a very high personal bar of expectations.

Adept at using logic and reasoning to identify strengths/weaknesses and issues and providing

creative solutions. Reliable, professional, organized and very detailed oriented. Experienced in

typing and data entry. Demonstrates excellence in communication and customer service skills.

Achieved Bachelor's Degree in Hospital Administration

In process of completion of B.S. in Business Administration and Management

CORE QUALIFICATIONS

Cirus DDE

MS Word, SAS Cirius

Excel and PASSPORT

PowerPoint Meditech MS4

SUN RISE Star System

Fluent in English Fluent in French

Fluent in Lingala Fluent in Kikongo

EXPERIENCE

Patient Accounting Representative, 10/2012

Sutter Health Concord, C A

Responsible for secondary claims, CCI Edits, various reports and multiple special Excel Spread

Sheet projects assisting my director and my manager.

Responsible for cleaning all the edits on claims and multiple issues, then release claims for billing.

Responsible for billing secondary claims and maintaining the log.

Volunteer, Billing Department, 02/2011 to 08/2012

Occupational Health Center Stockton, C A

Responsible for physician billing of commercial insurance claims.

Processed refunds of insurances and to patients.

Followed-up on insurance claims.

Cash posting from insurance to companies and patients.

Patient Accounting Rer. II, Team Leader to Supervisor, 06/2005 to 12/2010

John Muir Health Walnut Creek, C A

Responsible for billing Medicare, Medi-Cal and commercial insurances.

Process refunds of insurances and patients, reconcile items, match daily cash in John Muir

system with the one from the LockBox (Bank)

Followed-up on insurance claims.

Cash posting from insurance companies to accounts and patients.

Performed knowledge of finance, accounting, budget, payment rate, insurance contracting

process, cash management principles and information systems.

Wrote appeal letters for denied claims, over/under paid accounts.

Supervised credit, collection, insurance, and billing clerks in both, inpatient and outpatient

accounting office. Coordinated activities and scheduled work assignments to meet billing

deadlines. Deal with employees issues like; counsel, discipline or dismissed if possible. Worked

with a variety of the field's concepts, practices, and procedures. Depend on experience and

judgment to plan and accomplish goals. Performed a variety of tasks. Leads and directs the

work of others. Reports daily activities to my manager.

Patient Accounting Registration Rep. / Unit Secretary, 01/2004 to 05/2005

Alta Bates Cancer Center Walnut Creek, C A

Welcomed patients and registered their insurance card information in the system.

Scheduled future appointments and provided patients with explanation of Alta Bates services.

Educated patient with HIPAA law.

Performed clerical work assigned by the Nurse Manager and Charge Nurse. Maintained patient

records, communication and also in charge of inventory control.

Executive Administrative Assistant, 01/2002 to 01/2004

San Leandro Hospital Walnut Creek, C A

Maintained CEO's schedule, screened phone calls, emails, visitors and prepared invoices and

expense reports.

Renewed physicians and nurses contracts.

Assisted managers with projects.

EDUCATION

Associate of Science: Business Administrative, 2013

College of Alameda A lameda, C A, A lameda

B.S. Degree - Business Administration, CSEB, Hayward, CA (in progress)

AS-Certificate Business Admin & Management, College of Alameda, CA

SAS Certificate, U.C. Berkeley, CA

AA-Certificate Art & Computer Info. System, Laney College, Oakland, CA

Certificate Administrative, Clerical, Executive Assistant, & Medical Terminology, Berkeley, CA

Certificate, Patient and Hospital Billing, Brentwood, CA

Bachelor's Degree - Hospital Administration, ISTA, Ndolo, Congo

References upon request.



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