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Yyyyyy x. yyyyyy
0000
xxxxxx xxxx , xxxx , xxxxx 00000
xxx-xxx-xxxx abc@xyz.com
Summary of Qualifications
Registered Health Information Administrator (RHIA) with more than six years of hands-on experience.
Electronic health records (EHRs) expert regarding billing, collections and pre-certification.
Outstanding knowledge of ICD-9, ICD-10 and CPT codes, as well as medical terminology and coding.
Strong familiarity with the Health Insurance Portability and Accountability Act (HIPPA).
Proficient with Microsoft Word and Excel; QuickBooks; Medisoft; and HER software.
Fluent in English and Russian.
Professional Experience
Billing/Collection/Pre-Certification Specialist, Expert Billing Solutions Brooklyn, NY Dec. 2009-Present
Analyze and process complex insurance claims in an accurate and timely manner.
Demonstrate knowledge of billing and collections for PIP and Workers compensation claims.
Verify patient eligibility and benefits for private insurance.
Maintain patient charts by using a computerized charting system.
Submit medical records for arbitration and litigation.
Communicate effectively with insurance companies and paralegals regarding complaints about claims.
Process collection and negotiate settlements for Workers compensation and PIP claims.
Produce weekly and monthly outstanding and aging reports.
Certificate
Registered Health Information Administrator (RHIA) Certified; July 2015
Education and Training
Bachelor of Science (BS), Health Information Management; earned June 2015
City University of New York (CUNY), School of Professional Studies New York, NY
Associate of Arts (AA), Liberal Arts; earned June 2009
Kingsborough Community College Brooklyn, NY
Affiliation
Member, American
Health Information Management Association (AHIMA)
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