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Microsoft Office Medical

Location:
San Francisco, CA
Posted:
September 13, 2015

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Resume:

Aniebiet Udo

** ******** *** *****, *******, NY *0703

914-***-****, ***********@*****.***

EDUCATION

Berkeley College, New York, NY

Bachelor of Business Administration

Major: Marketing

Completed: March 2012

WORK EXPERIENCE

MONTEFIORE MEDICAL CENTER – CMO June 2015 – Present

Financial Analyst

Analyze all incoming claims from health home providers and ensure that all claims are genuine and okay to bill

File weekly health homes claims in Emedny and ensure payment receipt

Prepare the weekly reports and ensure providers are reimbursed for all services provided

Prepare monthly health home report; all payment reports are reviewed by the CMO managers and board

TOUCHSTONE HEALTH

Financial Analyst February 2013 – June 2015

Managed the day to day member premium payments received; reviewed and processed all payments batches and posted them to IKA System's billing module

Reviewed the monthly premium billing invoice extract generation and approved all outgoing member bills

Prepared and posted all journal entries related to member batch payments (Part C vs Part D)

Researched and followed-up on premium billing inquires and grievances

Prepared and managed all monthly refund requests for members with EPIC, SSA deduction and LIS assistance

Researched member and provider related unclaimed property

Managed all unclaimed property bi-weekly reports. All updates were reported and reviewed by the company’s CFO

Prepared and managed all check requests and re-issues related to the company's vendor unclaimed property

Research provider check inquiries related to non-receipt of claim payments

ORTHONET

Medical Claims representative October 2012 – February 2013

Reviewed all patient medical claims and ensured accuracy

Worked alongside insurance correspondences in other to ensure that all patient medical claims were properly processed

Followed-up on claims with the patient's providers and disputed claims that were denied in error

Ensured that all patient claims were paid in full and on time

Worked side by side with the claims teams in other to ensure that all assigned projects were worked on properly

Researched and found lost claims and ensured that they were properly reviewed and paid off

MORGAN & UDO, LLC (Litigation and Court Services Firm), Yonkers, NY

Business Development representative April 2012-August 2012

Developed new business relationships with prospective clients and businesses

Assisted the CEO of company with forming relationships and signing quarterly contracts

Assisted CEO of the company with company presentations for new clients

Increased UDO Consulting LLC’s yearly revenue by 5%

Assisted with allocation of tasks among employees

Managed the proposal development process and maintained the time-lines for the proposal teams

AKZAS INC, Jersey City, NJ

Marketing/ Sales Intern September 2011- December 2011

Designed, implemented and facilitated annual marketing plans

Developed new product concepts for Goya Inc.

Assisted with the political marketing campaign of the New Jersey city council runner Imitiaz Sayed

Organized and implemented client relations including client satisfaction surveys, client development activities and special events

COMPUTER SKILLS

Proficient in Microsoft Office (Word, Excel, PowerPoint and Project 2007/2010), Social Media Platform



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