Reena Sharma
Palo Alto, CA ****3
Email- acgf1v@r.postjobfree.com
OBJECTIVE:
Administrative Support/Workers Compensation-claims professional experienced
working in fast paced environments demanding strong organizational,
technical and interpersonal skills. Trustworthy, ethical and discreet,
committed to superior customer service. Confident and poised in
interactions with individuals at all levels. Detail-oriented and
resourceful in completing projects. Able to multi-task effectively.
Capabilities include:
.Customer Service & Relations .Accounts payable/Receivable
.Telephone Reception . Workers Compensation .Office Equipment
operation .Word Processing & Typing .Filing & Data Archiving
.Computer Operations .Problem Solving
WORK EXPERIENCE
CARITAS BUSINESS SERVICES - FELLOW UP REP 04/2013 -
PRESENT
Early billing of receivables (whether insurance or patient
responsibility)
Ability to appeal and pursue underpayments by
insurance/contracts.
Researches and resolves all assigned outstanding balances.
Starts appeals and sees through to completion, including follow-up for
resolution.
Maintains strictest confidentiality. Performs other related duties as
assigned
Responsible for collection and follow-up of all accounts assigned
prior to during or after admission and discharge.
Communicates the universities or clinical/healthcare financial
policies to all patients. Identifies patients who require early
financial counseling intervention. Provides information regarding
resources for patients who needs financial help. Coordinates
classification for bad debt and charity. Verifies, researches and
completes all paperwork and forms to bill all types of claims for
reimbursement via electronic system and hard copy. Serves as a
patient advocate during the cycle of the account
ARGONAUT INSURANCE - CLAIMS ASSISTANT 07/2011 -
03/2013
Perform all Claims Assistant duties. Complete all State WC DWC
Notices. Filing California Legal form thru Eams. Handle complete
Utilization Review thru Genex. Handle EOBs, including CPT codes
related questions. Answer various questions for medical
providers. Prepare approval/denial authorization letter to
medical providers. Prepare Proof of Service. Handle EDEX/EDI.
Complete ISO on all new claims. Call Doctor's offices for
update reports. Handle special project as needed. Print &
inventory WC checks. Handle hearing calendars for all WC
Adjusters. Index all new incoming mail. Audit & Monitor all work
for outsource.
CRAWFORD & COMPANY - ADMINISTRATIVE SUPERVISOR 01/2000 -
12/2010
WC/LIABILITY
ADJUSTER
Perform administrative and secretarial support functions
for Managers and
Supervisors for large Insurance Company. Provided
telephone support.
Investigated and resolved billing problems. WC Adjuster-
Investigate new workers Comp and liability claims. Obtained
recorded statements. Handle complaint calls.
Data entry. Train new clerical staff and learn new software
programs and special projects as needed. Handle major project
for west Marine Dolphinte Paint Claim. Generated weekly and
monthly computer update. Enrolled new staff in the system.
Resolve inquiries. Analyzing and preparing reports on doctors'
bills. Travel as needed. Prepare and type office reports. Act as
a liaison to supervisor. Worked overtime as needed. Maintain
supervisor and staff member's appointments and travel calendars.
Verify, revise, and arrange appointments, conferences and
meetings. Maintain control, records and follow-ups on work in
progress. Establish file-coding system and learn new software
programs. Maintain time and attendance record as well as
instructional and reference manuals. Responsible of recording
and assigning job duties for employees. Operate all office
equipments. Handle complaints/trouble shooting problem on office
equipments. Demonstrated ability to maintain composure and work
efficiently in a fast paced environment while preserving strict
confidentiality. Conducted patient interviews to elicit
necessary information for registration. Special events and
reservation managed customer relations and provided exemplary
service to all customers. Read and match EOB's. Arrange Company
functions .Attended Lien, Status Conference/Trial hearing for
WC.
Reena Sharma
2100 Salas Court
Palo Alto, CA 94303
CRAWFORD & COMPANY- ADMINISTRATIVE ASSISTANT 08/1989 - 01/2000
.
Responsible for administrative duties
Investigate new workers Comp and liability claims
Generate weekly and monthly bills on claim files.
Prepare check inventory for clients
Train staff on new client instructions, data entry, and
special projects as needed
Handle time cards, vacation and sick log for employees.
Updated branch policy folders, Handle central index
bureau search for new claims.
CRAWFORD & COMPANY - RECEPTIONIST/SECRETARY 07/1988 -
07/1989
Distributive Computer Operator/Dispatch Computer Operator
Answering phones PBX (33 inbound lines)
Managed customer relations and provided exemplary service to all
customers
Receiving and issuing orders, Recording orders, 10 keys touch,
operating all business machines. Filing, typing, distributes mail
and scheduling appointments. Created claim file folders. Handling
resident/non-resident adjuster license.
.
COLONIAL WAR MEMORIAL HOSPITAL - CLERICAL 12/1982 - 04/1986
Medical records clerk, Prepare billing invoice for patient.
Scheduling appointments, filing, generate new files
for new patients
Answering phones, gathering information on patient.
Education & Training
WC Basic, IEA, On-Line 03/08 - Present
Liability Investigation for UPS, Dallas, TX
05/05 - 06/05
IEA WC Classes, On-line 03/98 -
04/00
Training for AS/400 system Administrator, Atlanta, GA
12/91 - 03/92
Worldwide Educational Service 04/98 - 06/98
D.A.V. Girl College, Fiji Island 02/82 - 12/84
Skills
PBX, Supervisor, Customer Service, 10-Key by touch, Right Fax.
Technical Programs
Lotus 1-2-3, Word, Excel, Windows 95/98/XP, AS/400 Mainframe/MS4,
IBM- Main Frame, Microsoft Outlook, Discoverer, AIS/GSIC. Oracle
Financial. Chartmaxx, Cirius, Trac.,
.