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Medical Accounting

Location:
Palmdale, CA
Salary:
$17.00/hr
Posted:
December 19, 2020

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Resume:

Enthusiastic Cash Applications clerk eager to

contribute to team success through hard work,

attention to detail and excellent organizational

skills. Clear understanding of Word, Excel, Adobe

Acrobat, and AS400 mainframe system. Motivated

with experience successful with exceptional typing and data entry abilities. Anticipating a position to telecommute from home, due to World Wide

Pandemic

PROFESSIONAL SUMMARY

Shield HealthCare Inc. - Cash Application Clerk

Valencia, CA • 01/2013 - 06/2020

WORK HISTORY

Worked in high-quality documents, and

spreadsheets for internal usage

Handled high-volume paperwork and

collaborated with Accounting/Finance

department to resolve payments for customers

• Provided clerical support to Controller and CFO

Provided quality clerical support through data

entry, document management, email

correspondence.

Kept physical files and digitized records

organized for easy updating and retrieval by

authorized team members

Used Excel worksheets, Alchemy web, and AS400

for daily updates.

Verified live customer checks for daily deposits.

Collected and processed payments.

Validated existing accounting problems and

reported into systems to assess quality and

implement corrective actions.

• Established and enforced internal controls,

SKILLS

• Telephone etiquette

• Administrative support

• Customer satisfaction

• Effective communication skills

• Documentation and paperwork

• Resource information

• File and database management

• Mail handling

• Bookkeeping

Proficient In Windows, and Microsoft

Outlook

• Inbound and Outbound Calling

Marysivile Pilchuck High School

Marysville, WA • 06/1984

High School Diploma

EDUCATION

ALOHA KAWAA E: aditqk@r.postjobfree.com

P: 661-***-****

A: Palmdale, CA 93551

Shield HealthCare Inc. - Documentation Clerk

Valencia, CA • 04/2007 - 01/2013

Shield HealthCare Inc. - Claims Adjudicator

Valencia, CA • 04/2002 - 04/2007

workflows and policies for tracking, reconciling

and reporting on accounting activities.

Performed routine closings, maintained clean,

accurate and accessible records and kept close

eye on transaction updates throughout each

quarter.

Handled day-to-day bank downloads and used

Adobe Acrobat to format daily work folders.

Filed and maintained back-up copies of

documentation in system

Updated end-user documentation to support

system changes.

Contacted doctors and professional healthcare

to obtain prescriptions and authorizations.

Transmitted documents within Enterprise

Workflow system and tracked changes.

• Prepared documents for renewals

Collaborated across departments and levels of

management to gain consensus on procedural

documentation.

• Documented pertinent information into AS400

Maintained information to stay compliant per

HIPPA guidelines.

Collaborated with team members and

management to meet goals.

Reviewed questionable claims to correct

omissions and errors.

Managed large volume of medical claims on

daily basis.

Used administrative guidelines as resource or to

answer questions when processing medical

claims.

Collaborated with claims department and

industry anti-fraud organizations to resolve claims.

Evaluated accuracy and quality of data entered

into agency management system.

Paid or denied medical claims based upon

established claims processing criteria.

Reviewed provider ICD-9, and Diagnosis coding

information to report services and verify

correctness.

Maintained knowledge of benefits claim

processing, claims principles, medical

terminology and procedures and HIPAA

regulations.

Examined claims forms and other records to

determine insurance coverage.



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