Summary of qualifications Proven ability to communicate effectively both orally and in writing. Highly organized with attention to detail and talent for assessing client needs and gaining trust. Knowledgeable in California State guidelines for managed care and private health plans. Detailed knowledge of professional, outpatient facility and diagnostic coding systems including: CPT, HCPCS, ICD-9, HCFA 1500 and others. Working knowledge of Medicare, Medi-Cal, HMO and PPO contracts as they relate to coding, charges, reimbursement and data management. Working knowledge of physician compensation and revenue reporting. * This includes advanced understanding in PPO, HMO, and POS benefits, referrals / authorizations and provider contracting * Advanced knowledge in Microsoft Word, Outlook, Excel, Access, and PowerPoint. 1466 Mount Whitney Dr* San Jose, CA 95126 Phone (408) 687-0681 * E-mail "janieg75@hotmail.com" janieg75@hotmail.com Phone * Process Medicare claims for Ambulance transportation, ran weekly reports, verify and monitor updates clinic service codes and charge entry documents to ensure consistency with government and contractual standards and guidelines Summary of qualifications Proven ability to communicate effectively both orally and in writing. Highly organized with attention to detail and talent for assessing client needs and gaining trust. Knowledgeable in California State guidelines for managed care and private health plans. Detailed knowledge of professional, outpatient facility and diagnostic coding systems including: CPT, HCPCS, ICD-9, HCFA 1500 and others. Working knowledge of Medicare, Medi-Cal, HMO and PPO contracts as they relate to coding, charges, reimbursement and data management. Working knowledge of physician compensation and revenue reporting. * This includes advanced understanding in PPO, HMO, and POS benefits, referrals / authorizations and provider contracting * Advanced knowledge in Microsoft Word, Outlook, Excel, Access, and PowerPoint. 687 - 0681 * E-mail "janieg75@hotmail.com" janieg75@hotmail.com

Highlights:

• Attention to Detail
• Benefits
• Compensation
• Data Management
• ICD-9
• Managed Care
• Management
• Medicare
• Microsoft
• Microsoft Outlook