Medical Claims Specialist
Resume:
Sunsarae Galvan
Cudahy, CA 90201
*******@***.***
OBJECTIVE: To obtain a permanent Reimbursement Specialist position with an organization that will utilize my skills and experiences, while promoting continuous growth.
SKILLS:
Medical Terminology ICD-9/CPT-4/HCPCS
Anatomy/Physiology Insurance Codes/Policies
Pharmacology Appeals/Denials
Record Keeping Business Calculating
Customer Service Interpersonal Communication
Oral & Written Expression Telecommunication
EXPERIENCES:
Shields for Families Los Angeles, CA
Job Developer Assistant June 2009- Present
Responsible for the following; Answering the phones, recording and relaying messages, data entry, assists job seekers with job leads and updating their resumes, creating spreadsheets via excel pertaining to training techniques of preparing for the workforce. Also attends local Job Fairs to acquaintance myself with employers whom are recruiting employees for upcoming employment.
Mckesson (formerly Per-Se) Cypress, CA
Reimbursement Specialist September 2006-September 2007
Duties included but not limited to A/R list, electronic billing, paper claims, corrected claims, EOB correspondences, LOA, APPEALS with a 97% of payment in full and special projects via management cases.
Lakewood Primary Care Lakewood, CA
Front Office Medical Assistant November 1999- October 2000
Greeted patients for an Internal Medicine Clinical Private Office, answered switchboard, recorded and relayed messages, alpha/numerical paging via Physicians, set up charts, scheduled appointments, collected co-pay, researched authorizations/referrals, light billing, filing (alpha/numeric), and charting.
EDUCATION:
CEC Los Angeles, CA
Certified Medical Coder Present
ELASC Los Angeles, CA
L.A. County Certification Typist Clerk 2008
Referrals available upon request
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