SUZANNE MIRZOYAN

***** ***** ****** *******

Sherman Oaks CA 91401

Mobile: 661-***-****

E-mail: adv526@r.postjobfree.com

Dedicated Work Comp professional seeking to bring my technical and administrative management experience, coupled with my acquired education to your business as Medical Biller/Work Comp Collector. Reliable and trusted supervisor with over 10 years of experience in leading 11 and 16 people. Skilled at managing multiple tasks while motivating and leading teams to successful completion of all production goals in fully remote professional environments.

EDUCATION:

Allied Business Schools, Inc., Laguna Hills, CA, Medical Billing, Medical Coding, MedSoft-Certificate(s) in: Electronic Medical Billing, Medical Billing, MTAPPP and Coding

Specialized MTAPPP Training Included:

- Principles for Evaluation and Management (E/M) Services

- Principles of Medical Dictation

- Dermatology, Urology, Gastroenterology, Cardiology,. Pulmonary Medicine, Endocrinology, Orthopedics, Obstetrics and Gynecology, Otorhinoltynology

Ophthalmology, Neurology, Psychiatry, and Pathology

- Radiology Dictation and Medical Readings

- Managed Care Plans and Government Medical Plans

- Urinary System, Female and Male Reproductive System

- Blood, Lymphatic, Immune, and Musculoskeletal Systems

- Pharmacology and Psychiatry

Professional Skills

I possess excellent verbal and written communication skills, as well as excellent analytical skills, strong problem-solving skills, a highly developed attention to detail, and a creative mindset which allows me to approach problems from a unique perspective.

Technical Proficiency

SharePoint, SmartSheets, Office 365, NICE IEX, OTECH, CUBS, Virtual Contact Center, FieldGlass, 3270 HHSDC Session/DOS based systems

- Diagnostic Tests and Procedures

- Ethics and Professionalism

- Critical Thinking and Problem-Solving Skills

- Basic Word Structure

- Prefixes and Suffixes

- Digestive System

- Terms Pertaining to Body as a Whole

- Cancer Medicine (Oncology)

- Nervous System, Cardiovascular, and Respiratory

- Cancer, Radiology, and Nuclear Medicine .

- Sense Organs; The Eyes and The Ear

PROFESSIONAL EXPERIENCE:

Maximus CA UI Call Center Supervisor June 17th,2022 to Present

●Supervise the work of customer service representatives to ensure adherence to quality standards and proper state procedures.

●Conduct interviews and recommend hiring and promotion of call center staff

●Develop work schedules and assign duties to direct report personnel

●Evaluate the job performance of call center employees and recommend appropriate personnel actions, including disciplinary action, performance improvement plans, and termination

●Ensure compliance with company wage and hour policy, ensuring that employees take rest and meal breaks]

●Provide support and identify training needs for coaching

●Participate and conduct weekly as well as one-on-one meetings

●Participate in work subordination

●Facilitate productivity

●Assist with direct reporting of escalating issues or cases

AppleOne-Contract with Maximus on a CA UI EDD Claims Project 2/17/2022 to June 16th, 2022

Fact-Finding Agent

●Analyzing claim information to determine the cause of outstanding issues

●Assessing eligibility requirements based on CA UI Policies and Procedures

●Evaluating wage earnings

●Communicating with claimants and employers by phone to obtain missing information

●Working closely with subject matter experts to gain further understanding of unique issues and how to address them

●Referring more complex issues to supervisor for review

●Notating all contacts and actions taken on a claim clearly and thoroughly

●Demonstrating the ability to make timeline and logical decisions

●All other duties as assigned by management to support claim processing

Intercare Insurance (Temp) CIGA Claims Associate Jan 2021 to February,2022

Assist Claims Adjusters with

●Paying Attorney, Interpreter, Medical Provider, and Med Legal Bills

●Working on Subpoena of records

●Objection and denial letters

●Communicate with employers on work status

●Obtaining Job descriptions and Personal records for employees

●Distribute legal mail to assigned adjusters

●RFA review and forward to UR for Determination

ESIS Claims Adjuster Trainee (Temp) Oct 2019 to May 2020

●Collect and Coordinate information obtained from Claimants, Employers, and Attorneys

●Interview Claimants and Employers regarding new injuries

●Communicate with Employers regarding injured workers LOA Payroll to determine TTD

●Accept, Deny, or delay claims

●Submit letters in a timely manner to injured workers

●Communicate with employers regarding current work status

US HealthWorks Medical Group Valencia, CA - Med Billing/WC Collections Supervisor Feb 2008 to Oct 2018

Manage and train employees, on internal Policy and Procedures and OMFS guidelines. Train new collectors.

• Schedules and organizes work assignments. Prioritizes and delegates job tasks to ensure timely completion. Ensures

work is performed accurately and efficiently. Performs claim audit and refunds to be processed.

• Works with a billing coordinator or supervisor on resolution of accounts.

• Oversees collection activities per policy and procedures.

• Participates in projects as requested.

• Participates in management meetings.

• Keeps Accounts Receivable Manager advised of concerns or compliance issues. Addresses problems as they occur.

Reports delinquent customers and payers to Accounts Receivable Manager’s attention for resolution.

• Prepares required reports or action plans based on results for Accounts Receivable Manage.

Actively follow up and collect on all claims, including resolution of any billing errors assigned following established procedure. Work with insurance adjusters on a daily basis including supervisors on resolving claims to maximize reimbursement. Current responsibilities include working all the insurance claims over 365 days old includes claims investigation, proper registration, billing and settlements. Prepare and submit appeals on claims per OMFS guidelines.

SPECIAL SKILLS and LICENSES:

Bi-Lingual, Armenian and Russian

Electronic Medical Billing Certificate

Paralegal Certificate

Notary (since 1994)

Work Comp Certified (52 week course completed)

Member: Medical Association of Billers (MABl) / American Academy of Professional Coders (AAPC)

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