Senior Healthcare Claims Specialist Sample Resume Format in Word Free Download -->

Senior Healthcare Claims Specialist Sample Resume Format in Word Free Download

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Sample Template Example of Beautiful Excellent Professional Curriculum Vitae / Resume / CV Format with Career Objective, Job Description, Skills & Work Experience for Freshers & Experienced in Word / Doc / Pdf Free Download
                                  Taylor Spotts
309 South Fourth Street  *  Newport, PA  *  (717) 385-1230  *  taylor@aol.com

Education
Albright College– Harrisburg, PA, Degree expected 5/12
B.S. in Information Systems
●      GPA: 3.89
●      All courses will be complete February 22, 2012

Relevant Coursework:
●      Java Programming I & II
●      Hardware and Software
●      Data Structures in Java
●      Operating Systems
●      Structural Analysis and Logical Design
●      Database Management and Advanced Database
●      Networks and Telecommunications I & II
●      Project Management I & II

Harrisburg Area Community College– Harrisburg, PA, Graduated 5/08
A.A. in Social Sciences
·          GPA: 3.31


Experience
DST Health Solutions – Harrisburg, PA

Senior Healthcare Claims Specialist, (Septempber 2006 - present) 

Selected Contributions:
●       Researching and adjusting medical claims according to medical policy.
●       Training new hires and answering questions.
●       Determining claim pricing based on guidelines, fee schedules, and pricing methods.
●       Coordinating payment with other insurance.
●       Meeting with Business Analysts, Programmers, and Management to discuss requirements for claims systems and programs.
●       Experience with Medicaid, Medicare, HMO, POS, and PPO.

DST Health Solutions (formerly Amisys Synertech) – Harrisburg, PA

Healthcare Claims Specialist, (April 2001 - September 2006) 

Selected Contributions:
●       Processed medical claims to ensure accuracy.
●       Trained new hires and answered questions.
●       Determined claim pricing based on guidelines, fee schedules, and other insurance payments.
●       Coordinated payment with other insurance.

Skills
Software:
·          Microsoft Word, Excel, Access, and Project
·          Eclipse IDE
·          Oracle 10g, Oracle Forms Builder, Oracle Reports Builder, SQL Plus
·          Claim systems: AMISYS Advance, PowerMHS
Languages – Beginner Level:
·          SQL
·          Java
·          HTML
·          CSS
·          JavaScript


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About Author of the Website:

Neetu Singh is the founder of Resume Formats .Neetu Singh holds an Engineering degree in Computer Science with MBA Degree in Finance and Human Resource (HR). Currently she is running a Global Manpower Consultancy. Contact Her Here

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