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billing and claim specialist ( volunteer)

Location:
Cleveland, OH, 44129
Posted:
January 31, 2017

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Original resume on Jobvertise

Resume:

Razika Bouziani

**** ********* **** *****. **** Parma, OH 44129 216-***-****

acykh8@r.postjobfree.com

PROFESSIONAL SUMMARY

Motivated Medical Billing graduate looking to utilize education and training in the healthcare field.

Knowledgeable in Microsoft Office software programs including Word, Excel, and PowerPoint.

Administrative professional with 6 years of experience in an office setting, assisting team members in

working with suppliers and service providers. Responsible, organized, enjoys challenges, and can work in a

diverse team environment.

EDUCATION

Cuyahoga Community College, Parma, Ohio

Medical Billing Specialist Certificate - December 2015

GPA: 3.68

Polaris Career Center, Middleburg Heights, Ohio

Certification of participation for successfully completing the English and Pathways for Healthcare Professionals

Program- March 2014

University of Saad Dahlab of Blida, Blida, Algeria

State Engineering Diploma, Specialty in Electronics - November 2002

WORK HISTORY

Cleveland Department of Public Health/ OMHSA, Cleveland, OH 02/2016 Present

Billing Specialist (Internship)

Assume primary billing and claims responsibility for CDPH's Office of Mental Health and Substance Abuse

programs. This includes the CenterPoint Adult Substance Abuse Treatment Program and the Prevention

Services prevention program.

Maintained treatment clients' Behavioral Health (BH) data on the State's Behavioral Health web

portal.

Attained proficiency in all claims formats in use currently by OMHSA (EZ Claim, MACSIS and

MITS Medicaid portal).

Accessed Remittance Advice (RA) reports from ADAMHS' secure website and from MITS in order to

reconcile paid claims, identify denied claims, and make corrections and revisions as indicated.

Maintained records of claims by appropriate means, including hard copies, screen shots, etc. to

provide a clear trail of activities associated with claims for the purposes of confirmation and/or problem

solving.

Provided a "Longitudinal Customer Survey" to program manager for each client who has successfully

completed treatment services.

Assisted program manager in compiling statistics, available via the online databases and billing

platforms currently in use.

Identified emerging issues to discuss with program manager.

Razika Bouziani Page 2

MFG Subsidiary of Cevital, Arbaa, Algeria 2007 2012

Chief Service Management Stock 2009 2012

Responsible for all the inventory aspects in the factory such as stock location and availability of spare parts

and primary materials.

Supervised team of up to 30 workers including inventory managers, storekeepers and machine

operators.

Maintained optimal stock levels to ensure timely availability of products.

Prepared and generated weekly, monthly and annual report of stock situation.

Prepared and submitted yearly budget plans.

Managed all inventory count procedures including control and daily counts.

Compared physical counts with electronic database Sage 100 to check for differences.

Investigated and resolved maintenance and production department complaints.

Set operational standards for all staff to follow.

Programming Engineer 2007 2009

Scheduled preventive timely maintenance of the equipment.

Coordinated work flow between different sections of the factory.

Ensured the availability of spare parts for maintenance.

TRAINING/ Technical skill / LANGUAGES

The Ohio Council of Behavioral Health & Family Services Providers, Columbus, Ohio

Attended a training Clinical Practice Change: Coding & Documentation for Behavioral Health Providers

2016.

Cleveland Public Library, Cleveland, Ohio

Completed Online Learning Courses: Medical terminology: A word association Approach; Explore a Career

in Medical Coding; Explore a Career as an Administrative Medical Assistant; and HIPPA Compliance.

Cuyahoga Community College, Parma, Ohio

Award of recognition for demonstrating Outstanding Academic Achievement

Computer software: Word- Excel- PowerPoint- Outlook- Accounting and billing systems Sage 100,

MITS, MACSIS

Trilingual: Arabic, French, and English



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