Posted on: 2008-03-19
Alexandra Ramirez 924 E Agape Ave Hemet, CA 92583 Home: 951-282-3092 Cell: 951-623-6181 [email protected] -------------------------------------------------------------------------------- Experience Century 21 May 2006 - February 2007 Realtor-Associate Hemet, CA Real Estate agent in training. Passed stateboard exam. Waiting on stateboard license. Phoenix House Foundation Inc. June 2003 - September 2005 Department of mental health contracted a /r biller Lake View Terrace, CA Prepared monthly billing ,vouchers and statements for Los Angeles County. Billed Department of mental health for services and processed payments received. Process new admissions,post daily population, verify eligibility,research incomplete client data. Audit client charts to daily billings;reconciling ,making sure documentation matches billable charges. Follow up on documentation of staff credentialing,licensing and other requirements. Prepared reports for internal management. Liaison with DMH contract manager,parole officers and case workers. Coordination with other agencies in transfer of client to our facility.Pursue follow up issues through to resolution and payment. Healthcare Recoveries, Inc. October 2000 - March 2002 Claim preparation analyst Los Angeles, CA Obtain patient stay itemized bills from hospitals and insurance providers. Input itemization\'s into detailed systems program ensuring that sub totals of the charges coincide with the categorized department totals. Constant verbal and written communications with patients in an effort to obtain signed patient authorizations. Research any claim adjustment and make appropriate changes to my final product. Established favorable contact relationships with hospital staff. Health Net Seniority plus. October 1998 - September 2000 Medicare member service counselor Los Angeles, CA Provided members and health providers with appropriate benefit, claim,billing and eligibility information. Review claims and determine payment responsibility based on provider contracts. Maintain accurate records information and helped resolved any member issues or concerns in a timely manner. Explain appeals and grievances procedures and assist members with proper documentation . Arranged medical appointments and medical treatment as necessary. Handled over 140+ calls daily. Education West Valley Occupational Service Other Cosmetology Degree Los Angeles, CA Granada Hills High School June 1995 High School Chatsworth, CA Los Angeles Mission Colleges Other Psychology Sylmar, CA Objective To Obtain a long term permanent position of increased responsibility which affords personal growth and a variety of challenges, where I am able to use and develop my skills and knowledge. Skills Computer literate Excellent verbal and written communication skills, strong organization skills, 10 key, word perfect,peachtreee,paradox. I am able to make important decisions on my own , strong sense of responsibility. Always interested in higher learning.