Medical Billing and specialists
Resume:
Michelle Gregoire
Nashua, NH 03062
Phone : 603-***-****
E Mail : ************@*******.***
Summary of qualifications :
o Pro-active, able to identify problems and find solutions, able to face challenges head-on.
o Able to work one on one, committed team player, with proven ability to meet and exceed goals and deadlines.
o Able to set priorities to achieve immediate and long- term goals.
o Ambitious and hardworking, detail oriented, exemplary
o organizational skills, and committed to excellence.
o Proficient with numerous computer environments and applications.
Professional experience :
[ April. 2005 to Current ] [ Untied Health Care Northeast Region ] [ Nashua, NH]
[ Provider Ops Analyst , Claims processor I , UNET process, UNET rework]
o Update and enter provider information accurately in multiple systems such as PULSE,FORTE,MCKESSON,PICK.
o Knowledge of business products, services, CPT codes, HCPCS codes, ICD-9 codes and medical terminology.
o Process physician, hospital and ancillary claims in an accurate and timely manner.
o Consistently exceed productivity by 30% while maintaining 100% financial accuracy.
o Reviewing, researching and resolving member and provider issues, complaints and appeals.
o Reversal and reprocessing of health insurance claims.
o Multitasking, updating spreadsheets, sending correspondence, applying applicable health insurances polices and conforming to state statutes with health insurance regulations.
[ December 2000 to April 2005 ] [CHZ Services Group, previously Granite Bank ] [ Milford, NH]
[Item Processing Clerk, Research ]
o Process and encode all incoming work and resolve transaction proof problems.
o Research customer accounts and print out bank statements via request.
[ July 1999 to July 2000 ] [ Stop & Shop Inc. ] [ Weymouth, MA ] [ Cashier ]
o Check out customers groceries and return draw accurately.
Education:
[ March 1992 to February 1995 ] [ YoungRan Womens High School ] [ Seoul, South Korea ] : Graduated
[Computer skills] P.C., Windows 95/98/XP, MS Word, MS Excel, MS Power Points, MS Office, MS, Outlook
Languages: Fluent in Korean.
Contact this candidate