Customer Service Medical
Resume:
Porsha Fales
Roseville, CA ****7
EMPLOYMENT
Sutter Health – Limited Term Contract – Sacramento Region
Date: 09/13 to 08/2015
Position: Patient Account Representative – Government Contracts
*Claims billing – ER and Outpatient Surgery
*Authorization requests
*Eligibility verification
*Adjustment / write-offs
*Claims follow-up
*Customer Service
Sutter Health (Temporary assignment – Office Team) – East Bay Region
Date: 11/12 to 08/13
Position: Patient Account Representative
*Billing Medi-cal
*Follow-up Government Contract - Medicare
*Authorization requests
*Eligibility verification
*Adjustments / write-offs
*Customer Service
Correct Care
Date: 02/2011 to 11/2012
Position: Claims 3M pricing
*3M Pricing
*Data Entry
Delta Dental of California (Temporary assignment - Select Staffing)
Date: 09/08 to 07/09
Position: Dental Claims Auditor
*Pay dental claims to providers of services according to contract
*Financial Recovery
*Customer Service
Chapa-De FQHC
Date: 10/05 to 01/08
Position: Medical Billing (Medical, dental, vision and mental health)
*Payment posting
*Electronic and hard copy claim submission to Medi-cal, Medicare, and private insurance companies
*Patient accounting (adjustments, write-offs)
*Customer Service
*Claims follow-up
Porsha Fales
3180 Amoruso Way
Roseville, CA 95747
United States Postal Service
Date: 12/04 to 10/05
Position: Customer Service Clerk
*Work front counter selling stamps, mailing parcels and letters
*Put mail in PO boxes
*Sort mail to routes for deliver
*Post PO Box payments
*Bank deposit
UFCW Trust Fund
Date: 10/98 to 11/01
Position: Claims Adjuster PPO/Indemnity
*Pay medical claims to providers of services according to contract
*Customer Service
Health Net / Foundation Health
12/96 to 10/98
Position: Claims Examiner
*Pay medical claims to providers of services according to contract
*Adjustments
*Financial Recovery
Foundation Health
06/92 to 09/95
Position: COB Claims Examiner – CHAMPUS
*Pay medical claims as secondary for CHAMPUS contract
*Customer Service
*Patient Accounting
*Adjustments
EDUCATION
American Academy of Professional Coding – Medical Coding
National Career Education – Medical Transcription
Western Career College – Medical Assisting
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