Team Member Dedicated
Resume:
STEPHEN FRISON
OAKLAND, CA *****
OBJECTIVE
To apply my proven interpersonal skills within an organization that provides a challenging and rewarding work environment.
STRENGTHS
Experience in Healthcare Finance; excellent organizational, verbal/written communication, and analytical skills; independent decision maker; dedicated team member; proficient problem solver
PREVIOUS EMPLOYMENT:
09/15/23 to 10/30/24 Unemployed
11/11/24 to 01/06/25
Costco Wholesale
Temporary Holiday position in the sales department.
Duties included jewelry and electronics sales, television, laptop, IPad’s, smartwatches, stocking, merchandise rotation, greeting Costco members, explaining and demonstrating home appliances, other duties as needed.
9/06/22 to 09/15/23
RenKriss Medical Staffing, Oakland CA
On assignment with Golden State Orthopedics and Spine
As the Abstraction Specialist my duties include reviewing the patient’s past medical history, using the data provided each patient is entered into the NextGen system as follows, Patient Medical History, Previous Surgeries, Family Medical History, Tobacco Use, Alcohol Consumption, Allergies, Symptoms recent or current only, as follows: Constitutional, Head, Eye, Ear, Nose and Throat, Respiratory, Cardiovascular, Hematologic, Gastrointestinal, Neurological, Metabolic, Immunological, Pharmacy Name/Number/Add. Medication Record, enter all prescriptions, Name of Medication, Dosage/Frequency
03/01/20 to 09/06/22 Unemployed during Pandemic
12/02/19 to 02/07/20
Medix Medical Staffing, Oakland, CA
Reimbursement Specialist on assignment with CareMedics
Tracked and followed-up on prior authorizations, communicated,effectively with payers to insure accurate medical, reviewed denied medical claims as assigned,
Nexgen/Epic
02/28/19 TO 06/28/2019
RenKriss Medical Staffing
Telephone Systems Supervisor
On Assignment with Webster Orthopedics San Ramon CA.
Received inbound calls, discussed the callers/patients concerns routed calls to the appropriate claims representative to address their needs, processed credit card payments using the online payment system, routed payments to the payment posters, contacted patients as a courtesy regarding their overdue accounts.
Sought employment 10/01/18 - 02/28/19
Recovery Services, INC.-San Leandro CA
Medical Claims Specialist:
05/13 to 09/18
Contacted Worker’s Compensation carriers regarding outstanding lien matters; contacted employers to obtain current claim information; pursued Third Party liability lien recovery aggressively and pro-actively until an equitable recovery was collected; responded to client inquires; negotiated settlement agreements; identified additional claims through EAMS, performed Claims analysis; participated in on-going educational programs and conferences calls; stayed well-versed on publications regarding legal terminology, NOR,DOR,AOE/COE, OTOC, C&R, Stip and Award and applicable legal requirements in the industry, HFMA, AAHAM; entered newly assigned claims into the Proprietary Trust system; performed high volume phone and data entry.
Officeworks Medical Staffing -San Francisco CA
03/11 to 10/12
Performed medical claim recovery on assignment for California Pacific Medical Center, San Francisco; contacted contracted and non-contracted group insurance carriers using online tools such as QMS and Sunrise Medical Billing Systems under minimal supervision; processed in-bound calls from patients, carriers, and primary care physicians; reviewed and processed correspondence from group insurance carriers; made account adjustments to reflect the correct balance; researched insurance payments; updated insurance details and carrier information; followed-up, re-sub-mitted claims and appealed unpaid claims; performed month end close; created HCFA 1500, and UB92 claim forms using Surgisource Software; prepared and sent correspondence via USPS as needed; Proficient in Word and Excel
Surgery Center Partners, Los Altos CA
Insurance Collector
04/08 TO 12/20/10
Under minimal supervision, advised, directed and implemented collection efforts per provider contract guidelines; had daily contact with group insurance carriers by phone and online websites concerning accounts receivable, claim processing and contract guidelines; confirmed subscriber benefits; intercepted inbound calls from patients; processed credit card and check payments; processed any credits due to group insurance or patients; ran month end reports; fully participated in month end close; contacted patients to discuss past due balances.
SKILLS: Epic (EHR), Microsoft Office, Insurance Verification, Xerox, Scanning, Fax, HIPAA trained/compliant and Transcultural Competent.
Strong Communication skills
Strong Computer skills
Good Verbal and Written Communications
Excellent Analytical and Organizational skills
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