Mataniu Tualaulelei
**** ******* ***, **********, ** 916-***-**** ad1nbm@r.postjobfree.com
Professional Summary
Accurate, precise industrial reporter with over 20 years experience in the medical field. This experience has afforded me a well-rounded skill set that includes strong verbal and written skills which makes me a valuable asset to my organization.
Skills
Verbal and written communication
Self-starter
Proper phone etiquette
Time management
Good Customer Services
Team liaison
Attention to detail
Problem solver
Work History
Industrial Reporter, February 2000-March 1, 2023 (retired)
Kaiser Permanente Hospital - Occupational Medicine Clinic Sacramento, CA
Obtain all necessary patients, employer and carrier information needed to complete required industrial medical reports: Doctor's First Report of Occupational Injury or Illness, Form DLSR 5021 (''DFR'') and Primary Treating Physician's Progress Report, Form PR-2 (''PR2'')
From physician's notes, abstract information necessary to prepare industrial medical reports
Notify the appropriate Business Office personnel of industrial services not previously billed
Investigate notification of previously unidentified industrial cases from insurance claims administrators, Business Office personnel, employers, patients and others`
Review medical records to identify services related to the application
Create industrial medical reports necessary to support KP's lien claim
Medical Biller, October 1993-Nov. 1999
Genex Services, Workers Compensation Bill Review
Analyze, review and process payment on medical bills from providers, hospitals, ancillary medical providers Rehabilitation services and pharmacies, to significantly reduce costs to clients. Responsibilities include System entry, utilizing medical bill review software, adjudicate and process Workers’ Compensation Medical bills payment according to California Workers’ Compensation fee schedule and beyond.
Education
High School Diploma: 1985
Samoana High School Pago Pago, American Samoa
Sacramento City College 1988-1991