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Proactive and Professional Candidate who is capable of setting and managing priorities, seeking a position where I will utilize my education skills, and past experience to benefit both employer and myself. Keen understanding of business priorities, genuine team player committed to managing projects flawlessly while contributing to revenue-producing activities. Build and maintain positive working relationships with Operations, employees, and upper management while advancing organizational goals through effective communication and leadership skills.

Work experience

Aug 2014Present

Configuration Analyst

Care 1st Health Plan

Responsible for the integrity of provider records maintenance. Accurate and complete understanding of Contracts between Health Plan and Providers to configure into the system accordingly. Maintenance on Fee Schedules from Medicare and Medicaid for proper compensation . Ability to interpret and translate of Division of Financial responsibility matrix into standard medical codes. Perform system testing of contracts configuration to validate the set up produces an accurate result. Review and process provider updates to allow for UM Department activities.

Aug 2009Jul 2014

Medical Coder Team Lead

American Medical Response

Team Lead for the San Bernardino and San Diego Area. Demonstrated outstanding leadership, communication, and team building skills, by successfully training, mentoring, and providing clear billing instructions to staff. Created open lines of communication with Operations. Provided analytical support by tracking error trends, reducing billing delays, caused from missing or conflicting documentation provided in Patient Care Reports. Read medical records assign appropriate ICD-9 codes for billing. Coded Government claims and determined Medical Necessity. Verified Health Insurance and updated Patient Demographics as required. Review Patient Care Reports, hospital Face sheets, ambulance dispatch notes, searched for patients accounts and other necessary information to code claim accordingly.

Aug 2005Aug 2009

Senior Sales Representative Lead

Nuworld Business Systems

Senior Sales Representative Scheduled Trainings for Sales Representatives. Trainee of New Hires as well as other Sales Employees to maintain a high Sales Quota. Experience in  dealing with Exporting customers, reviewed other sales Representative orders for accuracy.  Accounts Receivable, Posting Cash payments, Collection Calls Worked on Month End Reports for Accuracy of Sales.  Responsible for research, study of new products. Worked closely with President/CEO to approve current as well as new customers for credit accounts. Reviewing aging and trial balance reports to identify past due accounts, daily collection calls and oversee over 600 accounts. Responsible for preparing routine entries and post financial transactions

Sep 2004Aug 2005

Claims Examiner

NHIC Medicare Center

Processing of Medicare claims, monitoring for any duplicates, assisting surgeon claims. Familiar with unbundling and itemized billing. UB-04 claims processing as well as CMS-1500.


Sep 2014Present

CIC Certification

  • Currently Studying to get CIC Certification (Certified Inpatient Coder)
  • ICD-10 Training in Process for future certification
Aug 2008Nov 2009

Medical Billing and Coding Program

American Career College

Introduction to Computer and Health Care Systems, Anatomy and pathophysiology. Coding Diagnosis, Reimbursement Procedures.

  • Perfect Attendance
  • Honor Roll
  • Student of the Module


  • CPT Coding
  • Medical Terminology
  • ICD-9 Coding
  • ICD-10 Coding in process
  • Microsoft Office; (word, excel, access)
  • Medicare Billing
  • AB1629
  • Type 55+ WPM
  • Fluent Bilingual: English/Spanish