Medical Administrative Assistant/ Medical Coder

MELODY FRYE

*** ************ *****, **

Marietta, GA 30008

Cell 404-***-****

***************@*****.***

Career Summary

Professional Utilization Management Representative II/ Medical Coder with four years experience in medical intake and customer service. Detailed oriented, team player, dependable and enjoys working directly with others.

PROFESSIONAL EXPERIENCE

Blue Cross and Blue Shield of Georgia Atlanta, GA

Utilization Management Representative II / Medical Coder

Manage in coming calls

Opening of cases

Provides authorization for outpatient and inpatient surgery

Obtains intake information from callers

Process incoming mail requests

Verify benefits and or eligibility information

Acts as liaison between Medical Management and internal departments

Responds to telephonic and written inquiries from clients, providers and internal departments

Data entry

Process incoming mail request

Collection of information needed for review from providers

Utilize scripts to screen basic and complex request

Check benefits for facility base treatment

Authorize initial set of sessions to provider ( Psychological Evaluations)

Type letters, memos and correspondence

Knowledge of CPT, ICD9 codes and HCPS codes

SKILLS

Windows XP, Windows 2007, Micosoft Word, Excel, Power-point, Citrix, WMDS, Avaya Phone system, Problem solving, strong organizational, written and oral skills.-

PROFESSIONAL EXPERIENCE

CAREER SUMMARY

Professional Paralegal / Legal assistant with over seven years experience supporting four attorneys and managing a large case load. Very dependable, detail-oriented and personable. Enjoys working directly with clients.

Liberty Mutual Insurance. White Plains, NY

Paralegal for four Attorneys

Managed case load for four attorneys

Maintained heavy litigation case load

Prepared files for Court Conferences (Preliminary and compliance)

Researched issues that involved personal injury - Medical Malpractice

Scheduled medical appointments for Plaintiff’(s)

Prepared various legal documents and discovery

Obtained expert witnesses for trail

Prepared files for trial

Maintained daily court calendar

Scheduled depositions and notified client (s) of depositions

Contact claims representative to give update on file

Maintained diary systems - computerized and manual

Obtained private investigator on high risk files

Extensive client contact - Client intake

Scheduled examinations under oath with SIU department

Type memos, letters, and correspondence, (dictation typing)

Open and closed case files

Maintained billing and recorded billings on files

File court papers

EDUCATION

Mercer University Lithia Springs, GA 5/2006 - present

Major: Criminal Justice ; Minor : Sociology

New York Career Institute, New York, NY 1995/1997

College for Court Reporting and Paralegal Studies

A.O.S. Paralegal Studies

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