KRIS BALSHAN

* ***** ****

Tewksbury, MA *****

Phone: 714-***-****

Email: acq4fp@r.postjobfree.com

OBJECTIVE Experienced Medical Bill Review Specialist with analytical skills and a desire to learn. A team oriented individual to contribute to the success of your organization through skills gained in providing exceptional customer service.

SPECIAL SKILLS

Knowledge of multiple fee schedules

Knowledge of PPO networks

Varied knowledge and experience in multi-disciplinary healthcare settings

Award-winning customer service skills

Typing evaluations, progress and discharge summaries through WordPerfect

10 key by touch

WORK EXPERIENCE

2008 – 2014 Client Support Specialist Strata Care, Irvine, CA

Point of contact for clients to ensure accuracy of reviewed Worker's Comp medical bills

Knowledge of fee schedules, PPO networks, client specifics and company software

Ability to work independently and efficiently with multiple clients

Resolved issues with time-sensitive claims

2000 – 2008 Medical Claims Analyst/Provider Relations Specialist Fair, Isaac Inc. Irvine, CA

Knowledge of multiple state fee schedules, PPO networks and client specifics in order to review and re-evaluate Worker's Compensation bills while using Comp Advisor and Innovent systems

Promoted from Bill Review Specialist to Provider Relations Representative to Product Support Representative to Lien Trials Representative

Provided customer service to providers, claimants and insurance carrier examiners regarding bill reviews, and assist in re-evaluation of bills when necessary

Possess excellent verbal and written skills, as well as teamwork skills

1997 – 1999 Medical billing/collections A-Med Healthcare Center Huntington Beach, CA

Billing and collections from Medicare, Medicaid, HMO’s and private insurance in over 20 states

Extensive verbal communications with insurance carriers and customers as well as research of proper billing forms, insurance updates, and coordination of insurance to bring in revenue for this DME company

Created lien documentation packets for lien trials specifically for Medicare

1996 – 1996 Physical Therapy Aide/ Rehab Aide Team Rehab at Rose Villa Bellflower, CA

Assisted Physical & Occupational Therapists in the treatment of patients as well as various departmental tasks

1993 – 1995 Pharmacy Technician CVS Pharmacy Tewksbury, MA

Assisted pharmacists with processing prescriptions, patient record maintenance

Customer service of monetary transactions and phone support

1991 – 1993 Physical Therapy Aide/ Back Office Supervisor Advanced Health Sports Medicine Center Orange, CA

Assisted Physical Therapist in treating patients with modalities such as hot & cold packs, massage and therapeutic exercises, Interferential & Phonophoresis

Back office supervision and coordination of other back office personnel, purchasing supplies, payroll and scheduling employee hours

1990 – 1991 Physical Therapy Aide Orange Grove Rehabilitation Hospital Garden Grove, CA

Rehabilitated patients under the supervision of a RPT with the use of whirlpool treatments, gait training, therapeutic exercises, bed mobility, and transfer training

EDUCATION

2009 Lincoln Institute School of Massage completed 100 hours

2008 Mesa Academy School for Massage completed 425 hours

2006 - 2007 Esthetician training and certification through R.O.P CA Licensed

1996 ROP Medical Assisting Program Santa Anna, CA

ROP – Computerized Medical Insurance Billing Garden Grove, CA

1985 – 1987 Santa Monica College

Pre-Med, General Education

1981 – 1984 Tewksbury Memorial High School Tewksbury, MA

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