* *** ** ** *** TAMARAC, FL *****
acxumd@r.postjobfree.com
SOPHIA RENEAU
Objective
TO FIND A JOB WITH GROWTH AND POTENTIAL
Experience
2008PRESENT BROWARD HEALTH FT LAUDERDALE, FL
THIRD PARTY CLAIM SPECIALIST
1. Review research and submit third party UB04 (hospital billing) to various health insurance payers to ensure
timely reimbursement and consistent cash flow.
2. Investigate incomplete claim and appropriately correct claim forms prior to third party submission.
3. Process daily electronic transmission of third party claims to processing clearinghouse and directly to payers
ensuring proper file balancing and controls.
20012007 BROWARD HEALTH FT LAUDERDALE, FL
THIRD PARTY CLAIM SPECIALIST
4. Review research and submit third party UB04 (hospital billing) to various health insurance payers to ensure
timely reimbursement and consistent cash flow.
5. Investigate incomplete claim and appropriately correct claim forms prior to third party submission.
6. Process daily electronic transmission of third party claims to processing clearinghouse and directly to payers
ensuring proper file balancing and controls.
7.
19992001 CENTRAL BILLING OFFICE METAIRIE, LA
ADJUSTMENT REPRESENTATIVE
8. Responsible for timely review and processing of all correspondence, denials and adjustments relating to all
patient accounts.
9. Posting and adjusting payments on accounts.
19981999 EAST JEFFERSON GENERAL HOSPITAL METAIRIE, LA
RADIOLOGY LIBRARIAN
10. Prepare reports, files and films for radiologist and hospital units.
19981999 West Jefferson Vocational HARVEY, LA
11. Accounting Clerk Certificate
12.
Computer Skills
SMS INVISION, IMAGING, DDE, MEDICAID HP. CIRIUS. POWER CHART. OUTLOOK