Customer Service Medi-Cal

NORMAN D. FREDELUCES

**** ******** **** #**,**********, Ca. 95823.Tel# 916-***-**** Email:************@*****.***

OBJECTIVES: TO OBTAIN A RESPONSIBLE AND CHALLENGING POSITION WITHIN YOUR COMPANY. EXPERIENCES

Medi-cal/Medicare billing and follow up, medi-tech, cerner, bill/pro, MS 4, customer service, and SSI knowledge of EPIC SYSTEM, NORIDIAN, CITRIX, Customer Services, Research, type correspondence letter, appeals letter, medical terminology, icd-9 coding, knowledge icd-9 coding CPT codes book, and much more.

Medi-cal Claims processing such as Inpatient claims, Outpatient claims, CIF’s claims, Medicare Appeals hard copy documents and attachments, Adjustments claims, weekly and daily processing and RTD claims. Ability to process a different insurance claims from a different providers such as Kaiser Permanente, Blue shield Blue cross, Aetna, Anthem, Cigna and many more. Following a guidelines and manuals for proper adjustment of denials and payments. Knowledge of EOMB’s, EOB’s, Denial letters, Remittance Advices, Icd-9 Coding, CPT Code, HMO, PPO, CCS, and Medicare attachments for calculations of payments and adjustments of the claims.

Warehouse duties such as Shipping/Receiving, Loading/Unloading trucks, Packing orders, order picking, Stocking, put away items, assist customers for ordering products, assembles, dismantles products, knowledge of SAP cutting, Verifying customers order, inventory control, stooping, lift and climb. Ability to operate a Power machine tools, Hand tools such as electric drills, floor buffer, hand lift truck, pallet jack and ability to operated a forklift, varnish, scraps, and using a spray gun. Sweeping, vacuuming, buffing floors, cleaning bathrooms/dusting furniture and areas, taking out trash can/garbage, Fills work area, determines the quantities of stock needed to replenish warehouse supplies toilet tissues, paper towels, weighs or count items before packing or boxing and ready for shipping, labeling, tagging items and more.

Healthcare field, as a Medical Assistant, knowledge of medical terminology, patient care, patient positioning, taking pulse count, charting, medical records, collecting patient specimen, color and number coding and pulling patient charts. EMPLOYMENT

PT BILLER III- UC DAVIS- 4900 BROADWAY SACRAMENTO, 04/25/2016 TO PRESENT SR PATIENT FINANCIAL ACCT ASSISTANT –OPTUM 360- 3215 Prospect Dr. Rancho Cordova CA 5/2012-04/20/2016

AMERISOURCEBERGER PHARMACEUTICAL CO.— STRIKER AVE.West Sacto. Ca. 12/18/2017-01/11/2018 .

MEDI-CAL CLAIMS EXAMINER—HP ENTERPRISE Services (FORMERLY EDS),- 3215 Prospect Dr, Rancho Cordova, Ca. 95670, 05/19/1999 - 09/19/2011.

WAREHOUSE ASSOCIATE-SIGN OF THE CRAB LTD (warehouse), 3556 Omec Cir, Rancho Cordova, Ca. 95670. Employed 02/12/1994 -11/20/1998.

SAMS CLUB—Power inn road Sacramento, CA, EMPLOYED from NOV 2017-MAY 2021.

ACARA SOLUTION STAFFING, ASSINGED TO SEIMENS MOBILITY, MECHANICAL ASSEMBLER, FRENCH ROAD SACRAMENTO CA. APRIL 2021-AUGUST 2021.

EDUCATION REGIONAL OCCUPATIONAL PROGRAM (ROP).—CERTIFICATE AS A MEDICAL ASSISTANT, Sacto. CA 95823

HIGH SCHOOL DIPLOMA- Northern Bataan Institute. Located in the Philippines. MEDICAL TERMINOLOGY- Consumnes River College in Center Parkway, Sacramento, Ca. 95823.

MEDICAL CODER AND ABSTRACTOR- In the CODING CLASS PROGRAM FROM UCDAVIS. SKILLS

MEDICAL ASSISTANT

TYPE 25-35 WPM

EPIC SYSTEM

WORD PROCESSING

MICROSOFT EXCEL

ALPHA NUMERIC FILING

IN CODING CLASS PRGM

CPT, HCPCS, ICD-9-CODING

DEPENDABLE

TEAM PLAYER

HARDWORKING

FAST LEARNER

REFERENCES UPON REQUEST

Contact this candidate