Abels Resume

Abel Correa

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

Tacoma, WA ***** cell phone: 253-***-****

e-mail: ***********@*****.***

Objective

A position as an office assistant.

Employment

DaVita 06/07 – 11/08

Patient Account Representative

Submit Medicare claims via Direct Data Entry to ensure timely and accurate resolution of new and outstanding claims, understanding of government billing regulations/guidelines and HIPPA laws. Experience with all payers as they relate to dialysis and dialysis ancillary services; Medicare, Medicaid/CA Medi-Cal, Commercial, Contracts, Medicare/Medicaid assigned HMO plans, Indian Health Services, VA, and patient pay. Experience with all product types as they relate to the specific insurance, PPO/HMO/POS/INDIV/Gov't Assigned. Knowledge of ICD-9, HCPC and Revenue codes. Understanding of employer group health plans and how they relate to the coordination of benefits with Medicare. Knowledge of the license and certification process to comply with legal billing practices. Contact insurance companies to initiate collection follow-up of all unpaid or denied claims; research, appeal, and resolve claim rejections, underpayments, and denials; request adjustments to patient accounts as needed to maximize collections. Remained in contact with the RN and AA at numerous facilities making sure all treatments and charges have been entered in properly and in compliance with company policy. Provided detailed analysis as required by department managers which included cash collections, AR reduction, top-level reviews of Account Receivables, outstanding DSO reduction as well as other special requests to improve collections and achieve maximum quality results.

Bargreen & Ellingson Inc. 12/06 – 05/07

Order Selector

Accurately and safely pick materials requested for shipment using hand held RF unit. Safely ship outbound orders with reach-lift into proper trailers.

S.C.S. Refrigerated Services 07/05 – 10/07

Forklift Operator

Accurately picked materials requested for shipment, tracked and recorded placement of materials in Warehouse Management System, offloaded inbound containers and received product into inventory, ensured compliance with regulatory and company policies and procedures (HACCP). Also acted as substitute shift foreman when required, which included supervising 3-6 employees, prioritizing and planning work activities, and setting goals and objectives.

Ishcor & Sons Plumbing 12/03 – 06/05

Plumbers Assistant

Ordered required materials and installed and tested all finished products and water lines. Also read blueprints, completed underground layouts, rough-ins, and finish work, and set all fixtures and machinery as needed per job.

Education

Greenway High School Glendale, AZ

01/94 – 06/94 Diploma

Additional Skills

• Microsoft Office

• Highly motivated/self starter

• Excellent written and verbal communication skills

• Team player

• Procedural driven – ability to follow detailed instructions

• Strong planning and organizational skills

References

Valerie Smith 253-***-**** Previous Supervisor - DaVita

Greg Tainatongo 253-***-**** Previous Supervisor - SCS

Additional references available upon request

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