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Title Medical Records Auditor
Target Location US-MI-Eastpointe
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
      Street Address  Sprenger Ave.      Eastpointe, MI Street Address                          Contact Number: (313)Street Address -6599                                                   E-mail address:EMAIL AVAILABLEObjectiveTo obtain a responsible position in a company in which would offer theopportunity to utilize my skills and hands on experience with room foradvancement.EducationEdwin Denby Technical and Preparatory High School- June 2004Golightly Career & Technical Center- June 2004WCCCD- December 2015Computer and Technical Skills    . Microsoft Word                                           Adobe      Illustrator    . Microsoft Excel                                          Adobe      Photoshop    . Microsoft Outlook            Quark Express    . Microsoft Power point                                     S.M.S Host      Pro    . Microsoft access      Records Management and Databases    . BlueConnect                                        MOS    . Nasco                                              Microsoft Project      ManagerEmploymentCiox Health 09/2016Medical Records Auditor    . Travel to various doctors' offices throughout the state to collect      medical files    . Learn Various EMR systems and become knowledgeable about them for file      retrieving    . Inspect charts by date, file types, procedures, and properly      documented information    . Effectively upload various records for Insurances, Federal agencies,      and Law offices    . Being able to effectively communicate findings with management with      findings from each officeFive Brothers Property Default Management 06/2015-01/2016Results Analyst/Property ManagerSends orders to contractors so that they can maintain properties that arein Foreclosure, also maintain properties in accordance to various lendersqualifications and regulations for conveying.    . Responsible for initiating and transferring utilities for properties    . Report Violations if they derive from local city ordnances    . Adjust invoices and bids supplied by the contractors    . Maintain communications with HUD, Fannie Mae, Freddie Mac, VA      regarding property information    . Coordinate tasks for the contractor to complete in a timely mannerAccretive Health 03/2012-04/2015Disability SpecialistResearch, analyze and bring account balances to final resolution byperforming necessary transactions as required. Typically, thesetransactions are defined as:    . Establish Patients with governmental insurance (Medicaid/disability)    . Handling of HIPPA information    . Representative of patients during appeal process    . Bill the award of the patient's claim in the hospital system    . Utilization of the Microsoft Project manager to coordinate tasks for      High Dollar accounts for the Hospital.    . Follow-UpBlue Cross Blue Shield of MI-October/2011-02/2012Sr. Rate Control Specialist-Temp    . Online Rate Requests    . Matrix Key Loads BCN/BCBSM (groups that are processed outside of      BlueConnect)    . Factor File Update, Multi-year (early renewals)    . Renewal records (groups that are processed outside of BlueConnect)    . New Business Benefit Selection    . Area/Industry (non-standard benefits)    . ERS/ASC (all)    . Group Wide Changes with and without benefit changes         o Rating pool changes (all)         o Rating change (rating records only)         o New Segments (rating records only)         o Linking/Unlinking customers         o 50-99 (non-reform Area/Industry transition)    . Appeals         o Renewal cert         o Re-rate (membership)    . Rate Sheet distribution back-up

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