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Medical Assistant, Data entry, Front office

Location:
Plant City, FL, 33563
Salary:
14.00
Posted:
May 11, 2017

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Resume:

Kimberly Simanteris

**** *********** *****

Dover, FL 33527

acz9by@r.postjobfree.com

863-***-****

WORK EXPERIENCE

Medical Claims Examiner / Insurance / Medical Billing First Source-Tampa, FL – February 2017 – Present

A Medical Healthcare Payer for various insurance companies. Manual reviewing and processing of medical insurance claims. Verifying and determining if medical claims have all correct information and are either paid, denied or reduced. (Ins Active/Termed, No Authorization, Duplicate Claim, Corrected, Timely Filing Deadline 90-120 days, Diagnosis, Procedure or procedures, and to make sure if medically necessary.) EMR- Centralized Care Coordinator

Insight Global - Valrico, FL - February 2015 to June 2016 Processing all patient referrals for all Specialty Services. Assisting other offices with processing referrals, and requesting proper authorization and following all procedures according to each offices protocols. Verifying all patients paperless Medical Records which include (Flow Sheets, Rx's, Allergies, and Medications) were properly transferred properly in system through fax or when conversion was done, within several different offices in Florida. Checking all patients files and making sure they are properly filed, and to make sure they were properly transferred to new system. Entering patients Allergies, Medications and problems directly into the new system. Scanned Electronic Faxes making sure they filed with the correct office. Assisting with other various projects when needed.

(Contracted)

CSR / Administration / Survey

Randstad - Lakeland, FL - July 2014 to November 2014 Preparing all the documents (department sections) to be scanned into system to be analyzed. Monitor E-mail throughout day for any requests sent EAP (Emergency Action Plan) Diagrams or Store Maps. Fire Safety Box monitored, for all store assessments which come in daily and reviewed to make sure all questions were answered correctly and there were no big issues. Monitoring Facsys (Fax Line) throughout the day. Updating Time Tracker spreadsheet for (Employees) that are working in the field. Answering Incoming calls (employees-internal, various Publix stores or Sales Calls). Entering Job Invoices onto a spreadsheet after they are approved. Also checking Incoming Mail Box several times a day.

(Contracted)

Credit and Collections Clerk I/Admin

PMSI - Tampa, FL - June 2008 to March 2014

Tracked progress of payments and also resolved unapplied cash issues. Managed all billing, re-billing, and manual bill corrections that were needed. Other miscellaneous projects as needed. Provided excellent Customer Support.

(Laid Off)

Insurance Verification Clerk/CSR/Admin

Rehabilicare - Tampa, FL - May 2003 to June 2008

Obtained needed information from patients and medical facilities. Contacted insurance companies for all benefit information and any authorizations needed. Documented all benefit information in computer. Notifying Customer of outstanding balances, researching payment discrepancy. Ensure collection of Past Due Accounts with a Timely Follow-Up. Posting Payments and processing credit batches in SFRD. Provide primary overflow support for internal and external customer support lines. Resolving collection issues. Provide communication with suppliers and sales force. Perform other work related duties and special projects as assigned.

(Sold/Closed)

Medical Assistant

Dr Doshi - Tampa, FL - March 1986 to April 2003

Answered Phones and assisted with inquiries. Interacted with insurance companies for eligibility, authorizations, and claims. Obtained vitals, drew blood, performed EKG's and administered injections. Office Administration. Scheduled patients provided medical transcription for multiple rehabilitation centers. Prepared charts for billing and collections, also audits. (Externship as well for MA)

(Retired)

EDUCATION

Medical Billing and Coding

Meridian Career Institute - Tampa, FL

2010

Moffitt Cancer Center-Externship

Medical Assistant

P.T.C. Career Institute - Tampa, FL

1986

Dr Doshi – Externship

SKILLS

Microsoft Office (Word, Excel, Access), Word Perfect, Harvard Graphics, LT Corp, AS400, PTS01, Road Net, SharePoint, State Licensing, 10-Key, Fax, Printers, Copier, Scanner, Switchboard, Transcription.



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