Customer Service Medical

MATTHEW SULCS

**** *. ******** ***. ********, MI 49058 ******@*****.*** 269-***-****/ 616-***-****

PROFESSIONAL PROFILE & QUALIFICATIONS

Ambitious and responsible professional with a proven track record of success in positions requiring

well-developed hands-on skill sets and customer service expertise. Seeking to bring broad-based

experience and comprehensive medical training to a winning healthcare organization.

Types a certified speed of 40 words per minute, while proficiently utilizing Microsoft

Office Word and Power Point.

Received WLC (Warrior Leader Course) and AIT (Advanced Individual Training) for

Field Artillery certifications.

CORE COMPETENCIES

Medical Claims Process Insurance Authorizations Workers’ Compensation

Remittances & Denials Explanation of Benefits (EOB) Account Reconciliation

ICD-9-CM, HCPCS, CPT Government & Third Party Payers Electronic Payment Posting

Insurance Verification HIPAA Compliance Appointment Scheduling

Anatomy & Physiology Introduction to ICD-10-CM Medical Terminology

Medicare, Medicaid, TRICARE Electronic Medical Records Inventory Management

CMS 1500, CM 1450 (UB-04) Greenway Prime Suite EMR Data Entry & 10-Key Skills

Managed Care (HMO, PPO, & POS) Medical Practice Management Systems Medical Office Management

EDUCATIONAL & PROFESSIONAL DEVELOPMENT

Ultimate Medical Academy – Tampa, FL 12/2013

Diploma –Medical Billing and Coding (GPA: 3.0)

Skills acquired through extensive training:

Analyzing and coding surgical procedures and diagnosis using ICD-9-CM & CPT codes.

Collaborating across collections/billing departments to ensure billing-related issues are

resolved

Assisting in the maintenance of medical charts and/or electronic medical records (EMR)

systems.

Verifying insurance and eligibility, and submitting claims to various insurance companies

electronically.

PROFESSIONAL EXPERIENCE

U.S. Army National Guard – Albion, MI 2002 –

Present

Ammo Team Chief

Play a key role in assisting a squad of 6 personal with their daily duties, while assuring the

safety of soldiers and supporting the U.S. Army National Guard’s commitment to service and

integrity.

Perform numerous daily operational duties as required, as well as assist in the completion of

other duties when necessary.

Maintain open lines of communication, seamlessly transferring critical information among all

levels of the organization to promote smooth operations.

Viking Corporation – Hastings, MI 2002 – 2013

General Labor

Performed variety of manual tasks in commercial, residential, construction industry.

Adhered to quality control standards in producing an excellent product.

Built the trimming that surrounds Residential Sprinkler Systems, while operating a Hi-lo

machine.

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