ARTHUR PARKMOND

*** ****** ****** *** *****, CT *6515 475-***-****

WORK EXPERIENCE

YALE UNIVERSITY, New Haven, CT 04/2004-07/2013

Account Assistant 4

Filed claims using Epic

Validated and edited claims using Epic

Followed up with insurance carriers

Reviewed claims for ICD-9 and CPT code errors

VETERANS ADMINISTRATION MEDICAL CENTER, West Haven, CT 12/2002-07/2003 Medical Biller/Accounts Receivable Specialist

Submitted and followed up on claims with healthcare insurance companies in order to receive payment for services received

Determined usual, customary and reasonable charges to determine what amount of medical bill the insurance company will cover

Followed claims or any additional work to optimize revenue performance

Corrected any rejected claims due to incorrect ICD-9 or CPT codes TRAUNER, COHEN AND THOMAS, Atlanta, GA 11/2001-09/2002 Collection Specialist

Collected debt owed to organization using a variety of means to contact individuals who have defaulted on debts

Reviewed open accounts

Made outbound collection calls in a professional manner while keeping and improving customer retention

Collected customer payments in accordance with payment due dates

Identified issues attributing to account delinquency and discussed them with management

Reviewed and compiled collection reports for commercial and personal loan accounts WINDSOR GROUP, Alpharetta, GA 08/2000-08/2001

Claims Account Representative

Processed claims and performed customer service functions at insurance call center

Serviced accounts and rate changes for agents

Gathered and documented loss information

Handled large volume of calls in a collaborative team setting CRAWFORD AND COMPANY, Atlanta, GA 10/1996-07/2000

Supervisor, Claims Processing

Supervised 20 data entry/claims processors, 12 document prep workers and 4 scanning personnel

Position involved multiple administrative and customer service layers including: review, investigation, adjustment when necessary, remittance or denial of claim

Processed new insurance policies; modified existing ones and obtained information from policy holders to verify the accuracy of the accounts

Analyzed and processed insurance claims, checking for validity

Reviewed claims to ensure there were no missing or incomplete information

Maintained meticulous records of claims and followed up on lapsed cases

Communicated with doctor offices or insurance companies if there was a problem with claim

EDUCATION

STRAYER COLLEGE, Washington, DC

Coursework in Business

UNIVERSITY OF CONNECTICUT, Storrs, CT

Coursework in Business

WILBY HIGH SCHOOL, Waterbury, CT

High School Diploma

COMPUTER SKILLS

Microsoft Word, Excel (formulas), PowerPoint, Epic CERTIFICATIONS

HIPAA certified