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Masters Degree Graduate with 28 Years of Experience

Vineland, New Jersey - US

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  • Job Target: Healthcare Management
  • Employment Status: Active
  • Experience Level: Not Specified
  • Seeking: Full-Time
  • Industry: Managed Care Resumes
  • Salary: negotiable
  • Degree: Not Specified
  • Security Clearance: None
  • Travel: Moderate
  • Relocate:: Yes

Objective

Recent master's graduate with 28 years of healthcare experience seeking position commeasurate with experience and education.

Job Target

Healthcare Management

Professional Experience

1988 – present SJ Healthcare
Patient Business Services Representative

*Perform accounts receiveable follow-up
*Handle insurance claims for workmen's compensation, MVA, non-contracted commercial insurances.
*Compose appeal requests
*Contact collections and third party payers
*Trouble-shoot problem accounts
*Perform adjustment/payment review

1988 – 1993 Jersey Health Receivables
Team Lead/Supervisor

*Supervised radiology and cardiology billing
*Credentialed physicians for claim input
*Completed Payroll/Human Resource functions
*Supervised staff of 6
Maintained accounts receivable

1987 – 1988 Omnicare
Billing Supervisor/Coding Specialist

*Performed medical coding for reimbursement
*Supervised billing staff of 4 for coordination of billing submissions
*Maintained cash posting department
*Supervised premium mailing to enrollees

1986 – 1987 Prudential Insurance Company
Provider Services Representative

*Maintained production of claims for Medicare/Medicaid.
*Liasoned with provider community
*Performed company wide presentations
*Wrote policy procedures for provider community
*COB Specialist

1978 – 1986 Elmer Community Hospital
Senior Billing Clerk

*NCR Operator Accounts Receivable
*Inpatient and same day surgery biller
*Coordinator - billing, admissions, switchboard - charge masters.

Education

2006 American Intercontinetal University
– Master's Degree (MA/MS/MBA)

Masters of Business Administration - Accounting/Finance, Healthcare Management
GPA 3.88
Online Degree

1974 Glassboro State nee Rowan University
– Bachelor's Degree (BA/BS)

Teaching certificate - Secondary English Education / minor Library Science
English Honor Society
Treasurer Library Science Society
GPA 3.5

1970 Vineland Senior High School
– High School (Diploma/GED)

Completed College preparatory Program
Member of HS Glee Club
Member of Choral Society
President of Spanish Club
Graduated with 3.5 GPA

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Last updated on: 2006-09-30.