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Summary

Motivated HIM professional with expertise in hospital billing and reimbursement.  Years of experience in an insurance setting, supervising a team of individuals in various locations.  Implemented company-wide standards of procedure resulting in million dollar savings.  Qualifications include:

  • Microsoft Office expert
  • Leadership qualities recognized by upper-level management
  • Strong communication skills
  • Knowledge of ICD-9M coding
  • Extensive computer training in several programming languages including C++

Professional Experience

May 2014Present

Network Acess Team Lead

Qual-Lynx

Piscataway, NJ

  • Monitor intake and workflow to guarantee contracted turn-around times of payment
  • Identify issues in provider contracts and fee schedules to ensure proper reimbursement
  • Maintain member records between several Health Solutions Plus applications
Mar 2013May 2014

Bill Repricer

Qual-Lynx

Piscataway, NJ

  • Analyze physician and hospital contracts to provide accurate reimbursement
  • Serve as a third-party administrator to expedite communications between clients and providers
  • Coordinated a coaching system to counsel veteran and new employees in optimal work practices
Jan 2012Mar 2013

Triager

Qualcare Inc.

Piscataway, NJ

  • Manually input claim information using HSP applications
  • Meticulously oversaw a data entry team to certify all admissions were processed correctly
Mar 2011Jan 2012

Scanning Verifier

Qualcare Inc.

Piscataway, NJ

  • Coordinated the scanning of medical bills
  • Organized all paper received from mail room in a systematic fashion
  • Reviewed information acquired by computer system and verified our records coincided with the data sent by the provider

Education

2015Present

B.S. Health Information Management

Rutgers, School of Health Related Professionals
20132014

B.E. Civil Engineering

New Jersey Institute of Technology
20082010

B.E. Engineering Management

Stevens Institute of Technology
20042008

HS Diploma

Union Catholic Regional High School