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Claim Processor l

Location:
Los Angeles, CA
Posted:
December 21, 2022

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Resume:

Melinda Rogers

*** *. ******* ***.

Compton, CA *0220

323-***-****

adt597@r.postjobfree.com

Office Associate seeking a position that will allow me to utilize my experience in the healthcare industry, as well as increase my knowledge of and skill set in various types of business and healthcare practices.

Career Experience

Kaiser Permanente – Los Angeles, CA September 2000 – Retired- Nov 2021

Claims Processor I

●Answer and screen incoming phone calls for the department

●Receives and filters messages to provides /clinicians/case managers or coordinators through the health connect system and reply as appropriate

●Greet patients/visitors and determine nature of visit

●Assists patents in completing required forms

●Request for internal/external records

●Creates Accounts in the KP internal system

●Check patents in for appointment

●Transfers charges to the appropriate KP health connect patient account

●Schedule appointment for worker's comp

●Enter account notes on patient’s cases

●Review subpoena request / send subpoena to appropriate department

●Complete transfer of care forms

●Clear designated health connects work queues daily

●Open and distribute, match bills to report and mall to worker's comp carrier and along with any other documentation as necessary

●Entry level billing and coding extensive data entry

●Provide status to insurance carrier, adjuster and nurse case manager

●Request for outside medical record

●Type various documentation as required n our KP system

●Prepare office supply orders

●Payment and collection for occupational health services as required

●Performs other related duties as required to maintain efficient departmental operations

●Communicate with outside vendor

●Multi- Level problem solving

●Assisting with interviews and training new employee

Central Staffing/Kaiser Permanente – Los Angeles, CA April 1998- September 2000

Medical Assistant

●Prepares examination and treatment room for use by physician

●Clean, stock and arrange supplies, equipment also instrument

●Prepare special procedures using knowledge sterile technique as required

●Review and communicate to physician and other provider’s appointment schedule to determine patient visit order

●Take patents vital signs, blood pressure, check pulse, height and weight

●Record information in the medical chart

●Perform routine clerical and reception duties as required, such as completing patient visit record, maintain departmental logs, answering phones and taking messages checking in patient and scheduling appointments

●Worked in the urgent care departmental as needed

Education

ICT College 1993-1994 - Certification of Medical Assistant

UEI College 2000-2001 - Certification Business of Administration

Compton Community College 09/84-06/85 - Child Development

Paramount High School 1982-1984 - Diploma

Skills

Microsoft Office - Word, Excel, Outlook

Health Care Knowledge - ICD and CPT Coding (lite), Medical Terminology, Workers Compensation

Typing Speed - 35 WPM

Kaiser Applications - OHSM, Health Connect and Lotus Notes



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