Livecareer-Resume
Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary
  • Strong background in quality assurance, claims analysis principles and practices.
  • Skilled at communicating, organizing and solving problems to raise the stature and rankings of health care facilities.
  • Innovated healthcare professional with history of work expertise within an integrated delivery system.
Education
Expected in Current
Bachelor of Arts: Health Service Administration
Florida International University - Miami, FL
GPA:
  • Coursework in Health Services Administration
Expected in 2012
Associate of Arts: Nursing
Miami Dade College - Miami, FL
GPA:

Expected in 2006
High School Diploma:
North Miami Beach Senior High - Miami, FL
GPA:
Work History
05/2010 to Current
Medical Billing Coordinator Adfinitas Health Wilmington, OH,
  • Accurately post and send out all medical claims for Durable Medical Equipment, Radiology and Home Health Services
  • Submit electronic/paper claims for timely filing
  • Verify CPT and ICD-9 coding using various coding books, procedure manuals and on-line encoders
  • Actively maintain current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Educate department on state and federal statutes, rules and regulations governing home care services.
  • Strategically plan methods to achieve operational goals and targets in the billing department.
02/2008 to 05/2010
Credentialing CareIQ City, STATE,
  • Performed basic clerical duties
  • Validated credentials for physicians at outpatient medical facilities
  • Updated/ terminated placement of physicians in the system
  • Introduced, negotiated and implemented new projects to ensure all paperwork were up to date.
  • Closely collaborated with management team to make necessary improvements and satisfy physician needs.
Skills
  • Strategic planning capability
  • Analytical thinker
  • Accomplished leader
  • Promotes positive behavior
  • Proficient in Microsoft Word, Outlook, Excel and Powerpoint
  • Basic knowledge of Microsoft Access

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Resume Overview

School Attended

  • Florida International University
  • Miami Dade College
  • North Miami Beach Senior High

Job Titles Held:

  • Medical Billing Coordinator
  • Credentialing

Degrees

  • Bachelor of Arts
  • Associate of Arts
  • High School Diploma

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