TinaMarie Chartrand

**** ******** ** #***

Niagara Falls, NY 14304

727-***-****

adfyan@r.postjobfree.com

Summary

With over 20 years of experience, my skills vary from processing claims for insurance companies and TPA’s to billing for a doctor’s office and surgical facility. Dean Vaughn medical terminology trained. Full knowledge of CPT, HCPC, ICD-9 and ICD-10. Experience with UB04 and CMS1500 forms. Knowledge of HMO, PPO, Medicare & Medicaid. Experienced with pre-existing conditions, subrogation, physician liens, cost management, fee negotiation and preferred provider organization networks. Experience billing from operative reports, radiology reports and chart notes. Management experience in billing department. Proficient in Microsoft Outlook, Work and Excel.

Education

Tampa College Graduate – Certified Medical Assistant

Seminole High School Graduate

Systems

Rims, Trizetto, Diamond, Eldorado and Parallon

Experience

2019 – 2020

ASM Research

Duties: Call center contracted with the Federal Department of Education. Assisted students and parents with applying for federal student loans and maintaining existing loans.

2013 - 2017

Xerox

Hunt Valley, MD

Recovery Analyst

Duties: Contracted locally in the Tampa Bay area with various insurance companies to audit claims paid to recover overpayments.

2011 – 2012

Coordinated Benefit Plans

Clearwater, FL

Claims Analyst

Duties: Processed claims for short term medical plans as well as high volume customer service calls for multiple plans. Processed health, dental and death claims.

2007 – 2011

ADM Medical Supplies

Seminole, FL

Director of Operations

Duties: Oversaw office staff of 8 including 60 outside sales reps. Handled all payroll and reports. Managed all orders, insurance billing, obtaining authorizations, verifying patient insurance eligibility and product shipping. Resolved denials and appeals to Medicare including ALJ hearings.

2005 – 2007

ARC Billing Services

Clearwater, FL

Duties: Created in house department for outside physician to handle all sales of his 40 person sales staff. All sales were faxed to my office where I approved each patient’s insurance coverage, ordered product, dropped shipped product to patient. Prepared invoices for billing to Medicare and reported payroll. Originally hired as a biller then given this department to develop with no previous experience. All self-taught and very successful.

2003 – 2005

North American Health Plans

Claims Analyst

Duties: Lived in Niagara Falls, Ontario and telecommuted. Processed claims for multiple groups. Complete knowledge and ability to handle multiple plans. Later promoted to Senior Analyst for designated groups. Primary contact for client relations. Processed claims, overpayments and adjustments. Customer service calls.

2003

Medical Staffing Network

Various Temp Positions

Collections & Billing

2000 – 2001

Joliet Oncology

Business Office Manager

In a 6-physician office-maintained physician credentials for HMO & PPO contracts.

Closed daily and monthly business. Ran all reports to maintain a close eye on A/R. Ran monthly patient statements. Ran all electronic billing, posted electronic Medicare payments. Used Medic billing system and was the Medic system manager for entire office. Held weekly billing meetings to maintain awareness of staff and their responsibilities and to resolve any issues they may have.

1997 – 2000

Concentra Preferred Systems

Fee Negotiation Specialist

Duties: Contacted physician offices, hospitals and DME companies to negotiate discounts in return for prompt pay of the claim.

1995 – 1997

OakBrook Surgical Center

Billing Coordinator

Duties: Performed all billing for OBGYN practice and surgical facility. Kept all billing up to date. Charges were billed out within 3 days of service date. Billed off chart notes and operative reports.

1993 – 1995

OBA Midwest

Benefit Specialist

Claims Examiner

Third party administrator, processed claims for health & welfare funds. Processed medical, long- and short-term disability claims. Customer service calls

1989 – 1993

Third Party Administrators

Claims Examiner

1986 – 1989

The Travelers Insurance Company

Claims Examiners

Professional references provided upon request.

Contact this candidate