PAINIE ALIMOESTAR

Floral Park, NY *****

718-***-****

ad43y9@r.postjobfree.com

OBJECTIVE

To obtain a TSA agent role within your organization that will allow me to grow, take on new challenges and responsibilities. Exercise effective judgment, decision-making, and problem-solving abilities. A fast learner with organizational and multi-tasking skills. Detail oriented with strong ability to work independently.

EXPERIENCE

Optum Care/ProHealth Revenue Cycle, Lake Success 2019-March 2024

Claim Analyst

No Response Unit-Review and research unpaid claims with insurance carriers,

locating checks and explanation of payments.

Review and resolve rejected claims from insurance carrier

Calling insurance carrier to research outstanding claims payment.

ProHealth Ambulatory Surgery Center, Lake Success, NY July 2007-2019

Medical Biller /Collector

Performing all aspects of a medical biller including charge entry for Multi-Specialty Surgeries,

Anesthesia, and Pain Management.

Update patient profile information to ensure claims are billed correctly.

Initiated and responded to inquiries and requests for additional information and

outstanding balance resolution in a professional and positive manner.

Perform various collection actions including contacting patients by phone, correcting,

and updating payment information and resubmitting to third-party payers.

Resolve scheduling and other discrepancies.

Monitored and collected on accounts receivable in accordance with policy and procedure.

Harry Krantz Company, Edgewood, NY July 2001- Nov 2006

Administrative/ Sales Assistant

Handling high volume of incoming calls, screening and processed accordingly.

Posting and processing all orders and invoices

Creating spreadsheets for reporting of all orders and invoices processed

Clear View Theater, Hempstead, NY Oct 2000 - Jun 2001

Assistant Manager

Reconciling daily receipts and deposits.

Managing movie and employee schedule, concession stands, and inventory.

Resolving all customer relations issues.

EDUCATION

ProHealth Medical Management - 2015 Lake Success, NY

12-Weeks CPC Coding Course -no certificate

Computer Career Center Inc - 2002-2003 Garden City, NY

Medical Billing/Coding and Office Technology Certificate

I.M.E.O. College - 1987-1991 Suriname

Major: Administrative and Economics Stream

SKILLS

CPT Coding, ICD-10-CM, ICD-9-CM, Medical Terminology, Medical Manager, Centricity, Epic,EMR and Medical Insurance Policies.

Experience on procedural and diagnosis coding, third party regulations, proper completion of HCFA 1500 Form, analyzing and solving claims issues.

Type 60 wpm.

Proficient with MS Office Applications (Microsoft Word, Excel, Power Point, Outlook).

Contact this candidate