Livecareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

To obtain a position capitalizing on the background of Business Administration, Accounting, Operations Management and Finance, in order to contribute to the productivity and profitability of the organization. Action-oriented with strong ability to communicate. Creative professional with extensive project experience from concept to development.

Core Qualifications
  • Billing & Coding
  • MS Office (including Word, Excel, PowerPoint, Access and Internet Explorer)
  • Meditech system Sorien.

  • Quick learner
  • Results-oriented
  • Experienced in production scheduling
  • Accounts Payable/Receivable
  • Creative Problem Solving,
Education
Anna Maria College Paxton, MA Expected in May2005 Bachelor of Science : Business Administration - GPA :

Business Administration Coursework in Accounting 1&2, Finance 1&2, Leadership, Marketing, Management, Entrepreneurship, Economics, Diversity in the Workplace and International Business.

*Member of the Anna Maria Business Club.

Assumption College Worcester, MA Expected in May 2012 Certificate of Completion in Medical Terminology , Coding & Billing : - GPA :

Medical Terminology, codding (ICD-9 ), Billing (1500 claim forms and UB-04)

Experience
Pace Life Sciences - Sr. Legal Rep Specialist
Greenfield, IN, 08/2011 - 09/2015
  • Responsible for complying with requests from outside sources for hospital and physician bills.
  • Accountable for overseeing timely completion of attorney requests for certified copies of their clients' medical bills and subpoena requests.
  • Coordinating efforts with the Medical Record Department to ensure that Hospital and Medical Group billing departments have received notice of same subpoena.
  • Completing and returning all certified mail requests within the legally required (10) ten -day of receipt to ensure a current lien remains in force.
  • Making appropriate FSC (payer) changes in the Hospital and Group billing system to bill health insurers and switching them back to the responsible parties after requesting claims.
  • Responding to internal requests for hospital claims (UB's), physicians claims (1500's) and itemized bills as needed for both group practice and hospital requests.
  • Maintaining professional telephone etiquette when working with attorney offices complying with request.
  • Setting reminders in the Hospital and Group billing systems for the auto/liability department when an attorney letter of representation has been received.
  • Mailing general correspondence, liens, medical records as well as all correspondence noted above.
  • Complying with established departmental policies, procedures, and objectives.
  • Organized and coded all documents related to due diligence for acquisitions.
Umass Memorial Medical Center - Sr. Account Patient Representative
City, STATE, 06/2007 - 08/2011
  • Knowledge of regulations with multiple major third party insurance carriers.
  • Responsible to follow up claims for payment.
  • Experience in hospital accounting, account receivable, following up on past due accounts, and adjustment due to contracts with many insurance companies; such as (HMO, PPO, Neighborhood Health, Tricare, Network, but specializing in Medicaid and Blue Cross Blue Shield).
  • Electronic claims submission to available online payers, access allows verification of eligibility and claim status.
  • Comprehensive knowledge of patient accounting procedures and handling of receivables as well as dealing with denials.
  • Ability to organize and prioritize work to meet strict deadlines.
  • Organized and coded all documents related to due diligence for acquisitions.
Price Chopper - Supervisor
City, STATE, 04/2000 - 08/2007
  • Supervisor of front end, overseeing up to 35 various employees.
  • Duties included delegation of front end task, resolving customer complaints; performing money transfers (western union) settling lottery and cashier drawers, and cashing customer checks.
  • Other duties included running a cash drawer when short staffed, assist customers with questions and concerns, calculating daily sales for the store.
  • Led sales calls with team members to establish sales and customer retention goals.
  • Hired and trained all sales staff for new store location.
  • Determined merchandise price schedules and discount rates.
  • Monitored customer preferences to determine focus of sales efforts.
Anna Maria Business Office - Business Office (marketing)
City, STATE, 2005 - 04/2005
  • Researched and ordered inventory (by shopping for best possible price) for office supplies.
  • Researched stock market and collected marketing data.
  • Other duties included data entry, tracking timecards and calculating payroll, expense calculations as well as other basic administrative tasks.
  • Defined project deliverables and monitored status of tasks.
  • Collaborated with cross-functional teams to draft project schedules and plans.Served as the single point of contact for project scheduling and changes.
Professional Affiliations

Family Heath Center (Administrative Office Work)

Languages

Albanian (fluent), Italian (intermediate), English(fluent).

Skills

Accounting, Administrative, Attorney, Billing, Contracts, Resolving Customer Complaints, Data Entry, Economics, Finance, Insurance, Internet Explorer, Inventory, Leadership, Marketing, Medical Terminology, Meditech System, Access, Excel, MS Office, PowerPoint, Word, Payroll, Coding, Supervisor.

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Resume Overview

School Attended

  • Anna Maria College
  • Assumption College

Job Titles Held:

  • Sr. Legal Rep Specialist
  • Sr. Account Patient Representative
  • Supervisor
  • Business Office (marketing)

Degrees

  • Bachelor of Science
  • Certificate of Completion in Medical Terminology , Coding & Billing

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