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| Desired Industry: Healthcare |
SpiderID: 6402 |
| Desired Job Location: dallas, Texas |
Date Posted: 4/5/2006 |
| Type of Position: Full-Time Permanent |
Availability Date: 04-05-2006 |
| Desired Wage: 36000 |
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U.S. Work Authorization: Yes |
| Job Level: Experienced with over 2 years experience |
Willing to Travel: Yes, Less Than 25% |
| Highest Degree Attained: Other |
Willing to Relocate: No |
Objective:
To utilize my skills in a challenging and rewarding position int the Health Care Industry that will offer advancement and professional growth.
Experience:
02/2006-present Perot Systems, Dallas, Tx
Claims Examiner
Same job description as Blue Cross Blue Shield
Exceed daily processing goals (100-150 claims)
Exceed quality goals
Process new and old claims from start to finish
07/2005-02/2006 Radiology Consultants of North Dallas Dallas, Tx
Medical Billing Specialist
Appealed medical claims to insurance companies
Followed up on appeal decisions
Posted payments to appropriate accounts
Kept up to date on insurance practices and laws
07/2004-07/2005 Concentra Carrollton, Tx
Texas Work Comp. Specialist
Submitted work comp claims to the TWCC deparmtent
Scheduled medical exams for patients
Corresponded with medical doctors, attornies, TWCC personnel and injured workers
11/2000-07/2004 Blue Cross Blue Shield, Richardson, Tx
Claims Examiner II
Reviewed cases, files and records to determine action to be taken
Analyzed, summarized and/or reviewed data, report findings
Made authorized adjustments and corrections to previously processed claims
Researched claims to identify third party resource
Drafted correspondence to providers and members
5/1999-11/2001 Ramada Limited, Palestine, Tx
Night Auditor
Reconciled nightly paperwork
Completed reservatioins
Assisted guests
Coordinated reservations and room assignment
Ensured that guest were treated courteously, complaints and problems resolved and request for services carried out
Adjusted charges posted on guest accounts
Trained and directed the Hotel’s front desk staff
01/2002-07/2002 Occupational Health, Palestine, Tx
Insurance Verifyier
Verified patient insurances benefits
Assisted nurses with admitting
Filed medical folders
Education:
08/1992-12/1995 East Texas Baptist University, Marshall, Tx
Business Administration
Students in Free Interprise
Phi Beta Lambda
04/2006-present Amberton University, Garland, Tx
Human Relations and Business
expected graduation date 12/2006
Skills:
Data entry
Hcfa’s
Ub92’s
ICD9 codes
CPT codes
Customer service
Excel
10-key pad
60 wpm typing speed
Medical Billing
Insurance Appeals
Collections
Microsoft office/word
lotos notes
Additional Information:
Sonya Renee Turner
5809 Forest Ln
Dallas,Tx 75230
Telephone: (972)310-5204/(972)386-1871
Email: srseay@msn.com
Re: Claims Processor III
Dear Mr/Ms Hiring Manager:
My experience and skills are surpassed only by my enthusiasm to effectively meet the challenges before me. I am seeking new and stimulating opportunities within a corporation that offers opportunity for advancement. An organization such as yours that prides itself on empowering its staff would be ideal. The enclosed resume reflects a dynamic achiever eager to put knowledge and expertise to work in a fast-paced environment where performance affects the bottom line.
As you will discover, I am a highly capable individual with years of medical claims experience. I've worked for three major companies in which I quickly trained and advanced through the ranks.
You will find me an excellent candidate with whom a personal interview would be beneficial. I will confirm receipt of this correspondence within the week and perhaps set up an appointment to meet with you at your convenience. In the meantime, thank you for your time and consideration.
Sincerely,
Sonya Turner
Reference:
Available upon request
Candidate Contact Information:
| Name: sonya turner |
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| Street: - |
Phone: 972-386-1871 |
| City: - |
Fax: - |
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