Customer Service Insurance
Resume:
Fritz R Dorce
Apt. D***
Miami, FL 33169
********@*****.***
Profile
Passionate, empathic, self directed individual with strong leadership skills,
•
and presentation capabilities; Industrious, reliable, highly motivated and
thorough; Fluent in Haitian Creole, Proficient in French,extensive
background in medical billing and coding, always exceed expectations,
Work Experience
Adpi intermedix
Miami, FL
10/2000 – 02/2013
Customer Service/Data Entry/Insurance Follow up Claim Verifier/Medical
Liaison Auditor/Coding Specialist
2000 2003 Customer Service/Data Entry
Process over a 100 calls from patients inquiring about their statement, denial from
their insurance, payments from their insurance, about billing, complaints about
services they received, and payment plan….Data entered over 200 runs a day with
an accuracy of over 98%.
2003 2004 Insurance Follow up/Claim Verifier.
Follow up with insurance companies on over/under paid claims. Provide Insurance
companies with additional information needed. Work denials claim and follow up
with insurance companies for reimbursement or action to take. Verify claims for
clean billing and/or make corrections if or when necessary. Contact clients/providers
for additional information upon request by third payer. Work diligently with both
patients and insurance companies until claim get paid.
2004 2013 Coding Specialist.
Review more than 200 claims a day, and always obtains no less than 95 % in claim accuracy. I
always exceeded my quota and always have to review the most difficult claims or clients. I’ve won
a lot of awards and recognition as a medical coder. I was always assigned the most difficult client,
and I worked closely with Managers and IT in solving, improving, any coding issues we’ve had in
our day to day operation. I’ve sat with many clients, managers, and VP, in solving, improving, and
explaining the way we code. I was a vital part in helping the company in making changes for
quicker process and more accuracy in the way we do our billing and coding.
Education
Miami Dade Community College
1994 1996
Miami, Florida
Major: Computer Science
National School of Technology
1999 2000
Miami, Florida
Major: Health Service Administration
Graduated.
Kaiser Community College
2005 2006
FT Lauderdale, Florida
Major: Medical Coding Certificate
Graduated.
College Canado Haitien/Emil Romeurt
1987 1992
Port au Prince, Haiti
Degree: HS Diploma
Community Involvement/Volunteer Experience:
Youth Department Assistant Director for church …
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2012 present
o Directed a Youth department responsible for 100 + youth involved in
church related activities; Identified and recruited potential volunteer
workers; Come up with programs and assign them to individuals
that have to present to the congregations every week; Counseled
individuals regarding interpersonal, health, financial, and religious
problems; Analyzed member participation and changes in
congregation emphasis to determine needs for religious education;
Collaborated with other ministry members to establish goals and
objectives for religious education programs, and to develop ways to
encourage program participation.
Homeless Ministry AssociateTabernacle SDA
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20010 present
o Responsible for co coordinating outreach homeless ministries where
we provide homeless individuals warm clothing, food, and other
necessities.
Food Distribution personnel Tabernacle SDA
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2010 present
Security Personnel Tabernacle
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SDA 2010 2012
References are available upon your request.
Contact this candidate