SUMMARY OF QUALIFICATIONS
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Results oriented professional with over 20 years of diverse administrative, operational, and systems experience in the financial, insurance and medical business office environments. Well organized, self motivated with strong analytical, leadership and problem solving skills. Areas of expertise include:
•Claims processing/Data Entry •Medical Billing, A/R resolution
•Office Management •Accounting/Financial Reporting
2012 - 2012
Sale AT&T Services and equipment over the phone. Data Entry, Customer Service.
2011 - 2011
Close out old accounting/Billing System, Review Accounts Receivables, Reconciliation, Account Review and Reconciliation, Billing, Collections, Rebills, appeals, and Report Writing.
TAHOE FOREST HOSPTIAL
Patient Account Representative
2007 - 2008
Review and billing work list , update and submit claims to insurance, handle and process correspondence, mail, and appeals.
Medical Staffing Network
Biller and Collector
2006 - 2007
My employment was with Resolution Consulting as a temporary subcontractor thru Medical Staffing Network as a Biller/Collector of Medicaid Claims over 90 days, at Carson/Tahoe Regional Hospital and...
1997 - 2005
Consulting for medical and insurance business offices. This included office policy and procedure recommendations and services. Specialized in purchasing, installation, service, maintenance and...
Children’s Hospital of Orange County
Managed Care Claims Coordinator
1995 - 1997
Claims Coordinator. Supervised and administered the medical claims unit of the business department. Responsible for unit hiring and performance evaluations. Also preformed claims review and...
National Healthcare Services
Medical/Life/Disability claims examiner and Member
1992 - 1995
Assignments with Balboa Life & Casualty, Commercial Bankers Life & Casualty and Children's Hospital of Orange County. Investigated, review, and processed life, disability, and unemployment claims...
Claims examiner/Customer Service Rep.,
1988 - 1992
Processed all types of medical claims, including third party, (NEIC) electronically submitted claims, Medicare, welfare reimbursements, and subrogation.
•Excelled at position was transferred from...
Pittsburgh Community Services, Inc
1985 - 1988
PCSI was a 3rd party administrator for 3.5 Million in CSBG, CDBG and other funding grants for the Pittsburgh Area. Established and managed ongoing accounting systems, records, budgets, financial...
1981 - 1984
Redshaw an international software corporation owned by a consortium of insurance companies, such as Hartford, Travelers, and Chubb. Performed general accounting duties. Maintained inventory,...
Microsoft Certified IT Professional
2011 - Present
New Horizons Computer Learning Center
Microsoft Certified Software Engineer 2003
2000 - 2001
Metlife, BCBS, Prudential
Certified Medical Claims Examiner, Customer/Provid
1988 - 1989
Allan Hancock College
Business Admin, and Accounting
1979 - 1981
Community College of Allegheny
1977 - 1977