Insurance Manager
Resume:
Michael W. De Salvo
Henderson, NV 89015
***************@*****.***
Profile
High quality professional capable of bringing creativity, communication and leadership skills to a serious employer enabling
the team to achieve high standards, exceed goals and demonstrate strong work ethics. Special skills in repairing and building
computers.
Skills/Training
CPT, ICD-10, ICD-9, and HCPCS Coding/HIPAA Regulations/Medical Terminology
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CMS 1500/UB-92/Medicare, Medicaid and Insurance Billing
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Insurance Verifications and Prior-authorizations
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Patient Check-in and out/Appointment Scheduling/Medical Records Filing
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E-MD’s/Medisoft/Medical Manager/Windows/Microsoft Office/Type 35 WPM/10-key
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Highly organized with strong patient/customer relations and multitasking skills
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Experience
April ’10 – Present Pulmonary Associates Las Vegas, NV
Medical biller/coder: Translate patient information into alphanumeric medical code; collect, post, and manage patient account
payments; submit claims to insurance; prepare and review patient statements; review delinquent accounts and call for
collection purposes; process payments from insurance companies; maintain strict confidentiality; code patient services and
enter into computer; sort and file paperwork; handle information about patient treatment, diagnosis, and related procedures to
ensure proper coding; know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS; use computers
to read and organize charts; follow up to see if a claim is accepted or denied; investigate rejected claims to see why denial
was issued; investigate insurance fraud and report if found. Obtained insurance verifications and prior-authorizations for visits
and treatments. Researched and coded patient referrals. Scheduled and confirmed patient appointments. Filed both medical
and insurance records and retrieved patient charts. Performed extensive data entry of patient information (addresses,
insurance, diagnostics, etc.). Transfer from paper office environment to EMR, and use of EMR system per HIPAA regulations.
May `08- April ‘10 Blockbuster Video Las Vegas, NV
Manager: Ensure the store is organized and clean according to and above Blockbuster standards. Perform tasks as needed
by upper management for improvement of the store. Receive new products, check them in and stock merchandise. Assisting
customers in locating their entertainment needs as well as cash/credit transactions.
Oct `03- May `08 ISI Communications Las Vegas, NV
Warehouse Supervisor/Tech Dispatcher: Ordered all equipment/supplies needed for cable, internet, and phone installations.
Monitored the stock and equipment used by techs, as well as kept timelines to verify time frames and appointments were met.
Liaison between the techs in the field, other vendors such as Sierra & Cox Communications and customers for support and
feedback. Installed equipment and repaired low voltage equipment; i.e. DVD, VCR, audio systems, computers and laptops.
Aug `97- Oct `03 Pacifica Engineers Las Vegas, NV
AutoCAD Drafter/ Designer: Produced AutoCAD drawings for mechanical and electrical departments. Drew up red-line
revisions provided from engineers, designed as well as drew up the blueprints for plumbing departments. Job site walks to
verify field conditions before building, and after to verify mechanicals were installed according to blueprint specifications.
Relocated from San Diego, CA firm.
July `92- Aug `97 Pet Supply Warehouse San Diego, CA
Operations Manager: Oversee 10 stores, including 300 plus employees and an 800 comment line ensuring customer care and
continued patronage. Visit and walk through each store bi-weekly to verify store managers, grooming departments and all
staff were working to full potential and meeting or exceeding the standards set forth by company. Reviewed a checklist with
managers on each site to work through issues or concerns as well as implement good ideas to use in other stores.
Education and Certifications
Certification: CPC (Certified Professional Coder) through the AAPC Oct. 2011 and ICD-10 certification Feb. 2014
Membership: Current member of the AAPC since Oct. 2011
Diploma: Medical Insurance Coding and Billing, Jan. 2010 – Kaplan College, Las Vegas, NV (4.0 grade point avg. graduated
w/ high honors)
CPR, AED, AND First Aid Certified
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