yyyyyy x. yyyyyy

(615) 945-6400 5353 cane ridge rd, # 708 - antioch, tn 37013

christine trice

dynamic team player with solid administrative and medical background in the health care industry.  eager to contribute talents toward supporting the employer in optimizing performance.

 

profile

  offer over 6 years progressive experience in the health care industry, with comprehensive background in insurance, coding, billing, radiology and accounts receivable.

  effectively define, develop and implement targeted action plans to maximize operational productivity, efficiency and profitability.

  proven value and dedication as a team member, as demonstrated by longevity and progression throughout career.

  dynamic communication, presentation, relationship building and problem-solving abilities.

  excel at interacting with broad populations including senior management and staff as well as clients and external contractors.

 

professional experience

community health systems/ppsi                                                                                          present

medicare a/r representative specialist - brentwood, tn                                                                

  contribute industry expertise and financial skills toward determining appropriateness of refunds, calls on unpaid patient accounts and claims, finding and interpreting their status and subsequently refiling claims if needed.

  conduct comprehensive review and analysis of listed accounts on a daily bases to ensure accurate and efficient charge posting.

  promote superior service and exceptional patient satisfaction by promptly resolving account balance issues and preventing escalation.

  exhibit detail orientation and technological abilities in posting adjustments on medical manager, monitoring accounts for revenue and submitting paper/electronic claims.

 

radiology affiliates/central billing services of central n.j., p.a.                                                       2004-2007

accounts receivable representative - hamilton, nj

  applied solid knowledge of workers compensation practices and guidelines toward efficiently following up on, troubleshooting and resolving claim issues.

  thoroughly reviewed each unpaid claim for correct insurance code and billing format for submission address to obtain hcfa 1500 form as necessary for secondary, tertiary, and resubmission for clean claims.

  demonstrated exceptional organizational and multitasking abilities in working from an assigned gpms (webmd) and analyzer reports, systematically contacting insurance companies and accessing online claim status for restitution.

  solved billing issues by collaborating directly with the credentialing officer and data information specialist to ensure valid data billing through electronic webmd clearhouse error reports.

 

aetna                                                                                                                                  2002-2003

medical claims benefit specialist - cranbury, nj                                                                

  relied upon to manage, research and verify patient eligibility of insurance, coding, billing problems while maintaining member confidentiality to hippa guidelines.

  effectively prioritized and coordinated medical claims according to timely filing policy and state mandates.

  gained valuable knowledge and experience in ub92, hcfa 1500 form, paper and electronic claims.

 

 

 

 

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mcgraw-hill companies f.w. dodge division                                                                       1991-2001

credit service representative, financial/credit and collections (1996-2001)

  supported enterprise-wide operations by providing overall administrative support for accounts receivable collection team.

  illustrated strong attention to detail and strong written communication skills in preparing memos and letters.

editorial support construction unit - hightstown, n.j. (1991-2001)

  received the 1991 f.w. dodge construction information medallion for excellence for exceptional performance.

  contributed advanced communication skills in interfacing with field reporters and private/public sources in order to gather and analyze updated data.

  successfully managed time sensitive bulletins by developing, testing and implementing an electronic system.

 

education & professional development/training

  bachelor of science in health administration (in progress) - university of phoenix (frankli n, tn), graduating in 2011.

  select courses - mercer county community college (west windsor, nj), 2004-2007; courses included: advanced medical terminology, basic anatomy, cpt-4 medical coding i and ii, icd-9 coding, medical billing, medisoft, medical insurance, law and ethics, mandarin chinese, computer science, desk top publishing.

  computer skills training/certificate - twin rivers (nj), 2002; completed: web master program, web site administration, web site security, e-business, e-commerce, and web authoring/publishing.

 

technical skills

windows, excel, internet/intranet, encoder pro expert, adobe illustrator 9.0, java, javascript, ssi, cgi & perl frontpage and dreamweaver.

 

community activities

womens self defense community program - shaolin kung-fu institute                                1995-2003

instructor - received honor s in participation and leadership.

 

 

 

 

date

 

 

 

hiring agent name

company

address

city/state/zip

 

dear _______________________________:

 

i am currently exploring new opportunities, and am interested in joining your team.  to acquaint you with my qualifications, i m submitting my resume for your review.  in advance, thank you for your time and consideration.

 

from supporting high performance teams and facilitating superior client servicing to streamlining operations and executing proactive processes/procedures, i have continually excelled in maximizing performance as a dynamic team member.  i excel in identifying and resolving inefficiencies, introducing solutions instrumental to boosting performance and strategically utilizing resources to generate optimal results.  as illustrated by my career background, i have continually advanced in the health care industry, assuming increasing levels of responsibility.  i have extensive experience in insurance, coding, billing, radiology and accounts receivable.  to complement my experience, i have taken numerous professional development courses in medical billing and insurance as well as advanced computer skills.

 

as a member of your team, i will consistently exhibit a strong commitment to quality and a dedication to playing a large role in achieving and surpassing goals.  i am eager to meet with you to discuss how my qualifications support your current and prospective needs, and welcome the opportunity to interview at your earliest convenience.

 

professional regards,

 

 

 

christine trice