Medical Billing

Nghia T. Bui

**** ********** ****** **********, ** 17104

Cell: 717-***-**** - E-mail: ************@*****.***

OBJECTIVE

To obtain Data Analyst position will be a challenging career

opportunity which would help me to utilize my academic

background to assist me to gain experience, employ my excellent

interpersonal skills, and enable me to make positive

contribution.

EDUCATION

. Pennsylvania State University Middletown,

PA

Bachelor of Science in Information Science & Technology,

2015

. Harrisburg Area Community College Harrisburg, PA

CCNA - Cisco Certified Network Associate Routing &

Switching, 2011

. Stratford Career Institute Champlain, NY

Diploma in Medical Billing & Coding Specialist, 2011

. PA CareerLink Capitol Region Harrisburg,

PA

National Career Readiness Certificate, 2011

. Thompson Education Direct Scranton, PA

Diploma in Web Page Design, 2001

. Harrisburg Area Community College Harrisburg,

PA

Associate Degree in Math Science, 1997

TECHNICAL SKILLS

Proficiency with Microsoft Office 2007 & 2010 (Word, Excel,

Access, PowerPoint)

Proficiency with Windows: 95, 98, 2000, XP, Vista, Seven & Eight

Programming: Java, C++, SQL

Soft Skills: Project Management, Team Work

PROFESSIONAL EXPERIENCE

DST Health Solutions, Harrisburg, PA 2012 -

Present

Sr. Health Care Claims specialist/Claims Adjuster

. Analyzed/coded/processed/adjudicated complex hospital and

medical claims

. Correcting and completing forms as needed

. Monitored medical bills for errors/evaluated and authorized the

payments

. Processing claims in accordance with contracts and policies

. Preparing rejected claims for re-submission

Highmark, Camp Hill, PA 2002 - 2010

Medical Claims Processor/ Status/Provider Specialist

. Entered source document information into claims processing

system

. Translated coding & understood medical terminology in relation

to diagnoses & procedures

. Corrected & adjudicated for allocation of deductibles, co-pays,

co-insurance maximums

. Resolved claims appeals, researching benefits, verifying correct

plan loading

. Identified & solved all type of complex claim suspensions

Unisys, Department of Public Welfare, Harrisburg, PA 1999 -

2001

IT Tape Operator

. Monitored performance of mainframe running tapes on tape drives

equipment at data center

. Performed system backup operations and system loading duties as

defined by supervisor

. Provided support desk with technical problems, questions, and

issues

. Managed tape inventory, prepared & pulled tapes for off-site

from Robotic Silo Storage, reported missing confidential tapes

REFERENCES Available upon request[pic]

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