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Database Specialist Resume

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Houston, TX

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OBJECTIVE
Seeking a permanent full-time position with a dynamic company in which I can utilize my skills, and expand my knowledge. A place where one can use their analytical skills and express creative ideas, to perform efficiently and effectively.

EXPERIENCE

Confidential, 6/2008-7/2010
Billing Representative

  • Confirm and verify all required billing documentation is available and verified prior to creating invoices.
  • Quality Assurance Specialist.
  • Access, investigate and resolve provider issues and inquiries.
  • Meditech
  • Create credit and debit memos as necessary.
  • Load Providers into SB-WEB/A104.
  • Handle customer inquires on invoices and resolve any problems.
  • Additional duties as required.

Confidential, 11/2006-4/2008
Medical Enrollment Coordinator

  • Verified insurance eligibility and benefits.
  • Quality Assurance Specialist.
  • Process basic claims and adjustments.
  • Access, investigate and resolve provider issues and inquiries.
  • Interface with providers by phone and/or correspondence regarding enrollment of Medicare PFFS
  • (Advantage Freedom).
  • Add/update system on provider demographics and electronic funds transfer.
  • Load Providers into IDX.
  • Additional duties as required.
Confidential
Provider Database Specialist(2004-2006)
  • Load Providers into TXEN/GBAS.
  • Update return mail/w-9\'s for incorrect address from provider.
  • Load Provider orgs into system, enter administration providers into system for Accounting.
  • Assist with Credentialing of Providers within the Premier Network.
  • Add/update system on fee schedule changes & send fee allowables to providers upon request.
  • Create client directories in access database.
  • Assist others with various projects.
  • Additional duties as required.

Workmen\'s Comp Asst.(2003-2004)

  • Assist Worker\'s Compensation Director with business letters, end of month billing and new business proposals.
  • Prepare bills for audit process.
  • Maintain approved doctors\' list.
  • Audit exception messages and other bill audit documents.
  • Research & process complaints from the Texas Worker\'s Compensation Commission Compliance and Practice division.
  • Served as back up for claims assistants, set up & enter TWCC 1 \'s and other related.
SKILLS
Microsoft Word, Excel, Access, PowerPoint, Navigator, Internet, Visio, InfoPath, Meditech, Realmed, IDX

REFERENCES
Available upon request

SALARY REQUIREMENT
Based on current market value

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