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Medical Records Auditor

Location:
Eastpointe, MI, 48021
Posted:
February 02, 2017

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Original resume on Jobvertise

Resume:

DeAndre Stokes

***** ******** ***.

Eastpointe, MI 48021 Contact Number: (313)

***-****

E-mail address:

acyl5c@r.postjobfree.com

Objective

To obtain a responsible position in a company in which would offer the

opportunity to utilize my skills and hands on experience with room for

advancement.

Education

Edwin Denby Technical and Preparatory High School- June 2004

Golightly Career & Technical Center- June 2004

WCCCD- December 2015

Computer and Technical Skills

. Microsoft Word Adobe

Illustrator

. Microsoft Excel Adobe

Photoshop

. Microsoft Outlook

Quark Express

. Microsoft Power point S.M.S Host

Pro

. Microsoft access

Records Management and Databases

. BlueConnect MOS

. Nasco Microsoft Project

Manager

Employment

Ciox Health 09/2016

Medical Records Auditor

. Travel to various doctors' offices throughout the state to collect

medical files

. Learn Various EMR systems and become knowledgeable about them for file

retrieving

. Inspect charts by date, file types, procedures, and properly

documented information

. Effectively upload various records for Insurances, Federal agencies,

and Law offices

. Being able to effectively communicate findings with management with

findings from each office

Five Brothers Property Default Management 06/2015-01/2016

Results Analyst/Property Manager

Sends orders to contractors so that they can maintain properties that are

in Foreclosure, also maintain properties in accordance to various lenders

qualifications and regulations for conveying.

. Responsible for initiating and transferring utilities for properties

. Report Violations if they derive from local city ordnances

. Adjust invoices and bids supplied by the contractors

. Maintain communications with HUD, Fannie Mae, Freddie Mac, VA

regarding property information

. Coordinate tasks for the contractor to complete in a timely manner

Accretive Health 03/2012-04/2015

Disability Specialist

Research, analyze and bring account balances to final resolution by

performing necessary transactions as required. Typically, these

transactions are defined as:

. Establish Patients with governmental insurance (Medicaid/disability)

. Handling of HIPPA information

. Representative of patients during appeal process

. Bill the award of the patient's claim in the hospital system

. Utilization of the Microsoft Project manager to coordinate tasks for

High Dollar accounts for the Hospital.

. Follow-Up

Blue Cross Blue Shield of MI-October/2011-02/2012

Sr. Rate Control Specialist-Temp

. Online Rate Requests

. Matrix Key Loads BCN/BCBSM (groups that are processed outside of

BlueConnect)

. Factor File Update, Multi-year (early renewals)

. Renewal records (groups that are processed outside of BlueConnect)

. New Business Benefit Selection

. Area/Industry (non-standard benefits)

. ERS/ASC (all)

. Group Wide Changes with and without benefit changes

o Rating pool changes (all)

o Rating change (rating records only)

o New Segments (rating records only)

o Linking/Unlinking customers

o 50-99 (non-reform Area/Industry transition)

. Appeals

o Renewal cert

o Re-rate (membership)

. Rate Sheet distribution back-up



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