Insurance Manager

Pierre A Dorfeuille

** ******* ****** ********, ************* 02368

561-***-****: **********@***.***

Objectives

To obtain a position in rental property management that would allow me to

utilize my skills to help run and manage properties in a more courteous and

efficient way.

Education and Certification

Bunker Hill Community College :: Boston MA

Associates Degree in

Science

May 1987

Certificate in Business Computer

Programming May 1985

Employment History

Credentialing Coordinator

Multiplan

Waltham,

Massachusetts

September 2013 - January 2014

Prescreened provider applications using various software applications

(Filebound, MP3 Practitioner, MP3Facility and ECHO).

Verified, researched and evaluated credentialing data.

Coordinated and ensured complete and accurate provider files for review by

Credentialing Committee.

Maintained a positive and friendly customer atmosphere.

Property Manager

Self Employed

West Palm Beach,

FL

October 2003 - September 2012

Maintained rental property units which includes: running background checks

on all clients and investigating on their rental history.

Disclosed all rental rules and regulations to clients upon approval.

Collected all funds from clients.

Made bank deposits.

Paid out all necessary expenses

Responded to all client inquiries in a timely and courteous manner.

Provider Relations Representative

Healthcare Value Management

Boston,

Massachusetts

October 2000 - June 2002

Processed provider applications for credentialing and re-credentialing.

Coordinated and ensured complete and accurate provider files for review by

Credentialing Committee.

Provided support for billings, claims and payment issues.

Responded to all patient, attorney, hospital and insurance inquiries.

Maintained an accurate provider database.

Patient Accounts Representative

New England Baptist Hospital

Boston,

Massachusetts

December 1990 - August 2000

Maintained patient history sheets and ensured accuracy of all insurance

information.

Maintained insurance benefit files, verified ICD-9 coding for federal rules

and regulations regarding fraud and abuse, CPT-4 coding for rules and

regulations for proper reimbursement on individual insurance.

Checked all bills signed, dated and mailed daily.

Responded to all inquiries from patients, attorneys and insurance companies

on a timely manner.

Reviewed all statements on a monthly basis and made appropriate changes in

financial classes as necessary.

Ensured accuracy of all payments and provided support for payment posting.

Maintained a positive and friendly customer atmosphere

Volunteered in admitting as a translator to help the non-English speaking

patients.

References

Furnished Upon Request

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