Insurance Medical

Leilita J. Cabrera

** **** ******

West New York, NJ 07093

Home: 201-***-****

********@*****.***

Professional Experience

Millennium Practice Management

December 2012 to present

Claims Processing Unit

. Responsible for electronic submission of all medical claims via

multiple different software.

. ERA downloads and uploads.

. Month-end process and Statements imported into many different

practices via remote connections.

. Working on insurance rejections and their resolution in a timely

fashion.

Advanced Data Systems Corporation, NJ July 2003 to

July 2012

Medical Software Support

EDI Specialist

. Responsible for updating and rolling out state mandated updates to

all our customers via remote connections such as RAS, TCPIP, FTP,

Remote Desktop, PC Anywhere, Simple Help, Linktivity and Join. Me.

. Provided hardware and software support, including troubleshooting

modems and programs.

. Responsible for identifying and resolving any rejections from carriers

in all states.

. Responsible for installing and teaching new submission methods for all

of the United States and Virgin Islands via internet.

. Contacted insurance companies and other vendors on behalf of the

customer.

. Maintained all server updates and mapped them to workstations and

corrected syntax errors via DOS.

. Implemented EMC set-ups for all carriers, all states

Medical Resources November 1998

to April 2003

Billing & Collection Specialist

. Responsible for the submission of HCFA 1500, medical reports, itemized

bills, referral forms and Letters of Medical Necessity to Commercial,

Medicare and HMO insurance companies.

. Responsible for the posting of denials, deductibles co-pay and co-

insurance from EOBs to patient's accounts.

. Processed Payment posting for Commercial, HMO, PPO, Medicare/Medicaid,

No Fault and Worker's Compensation. Posting from Lockboxes, live

checks, and credit cards.

. Coordination of Benefits and self-pay.

. Month end reconciliation on Excel for the Accounting Department.

Technical Skills

Medics Premier, Medics 11, Medics Elite, Microsoft Excel, Windows XP,

Windows 7, RISC AND UNIX,Nextech, Allmeds, PCN and Intergy

Contact this candidate