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RCampus

T. Poag
P.O. Box AB-6969
Baltimore, MD 21231
443/418-3234
 
OBJECTIVEAn exciting position as a HIMConsultant with emphasis on EHR Implementation in a healthcare environment within a dynamic, growing company or MCO/PPO or insurance organization.
 
Highlights
> Healthcare Enrollment Benefit Consultant               >HCFA-1500and UB04 Claims Processor
> HIT Student in CAHIIM Accredited Program        > Legal Assistant/Litigation Paralegal (UCLA Certified)
> Medical/Legal 3rd Party Claim Representative            > Life & Health/Property & CasualtyInsurance Agent Associate
> Newsletter Editor/Publisher                                      > Member of AHIMA(American HIM Association)
 
Relevant Skills and Experience
 
HIT Student in BCCC’s AHIMA Approved Program
>Completion of CCS Program, spring 2007.                       >Associate/Arts in RHIT Program in fall, 2008.
 
Health Benefit Consultant
>Assist, referred, educated recipients in plan benefits, services and MCO/PPO enrollment broker, including:
·         Effectively instructed recipients, providers and ancillary vendors with recipients’ MCO plan enrollment.
·         Proficiency in aiding member(s) in plan selection, maintaining high rate of quality customer service.
·        Initiated rapid resolution of provider relation issues by revising use of computerized call-note record system.
>Proven ability in computer and medical information, encoder and verification system applications, including:
·           EVS    >   3M  >MS Word 2003/2007   > PowerPoint    > Excel    > Access   > MVA, MVR & Clue
 
HCFA1500 & UB04 Claims Processor
>Process, cull, sort, data and code match verification and input 2-3 100+ batches of HCFA-1500 claims.
>Pre-process, verify system EHR data and input 1-2 100+ batches of UB04 claims.
>Access patient health infoHIPPA issues and ensure proper documentation of information, including utilizing:
  •      Scan records.     >     Fax transmission.                    >    Microfiche review.    > Record research.
 
Medical/Legal 3rd Party Claim Representative
>Review, log, file & schedule allowable hearing requests.    >Contact parties.           >Compile hearing docket.
 
P&C Insurance Agent Associate, CSR
>Electronically assisted insured’s and vendors needs via company’s applied IS system
>Quoted auto, binders, home, Property & Casualty policies for issuance.   (H&L- carved-out/referred.)
      >Increased old trade -15%.  >Average 35%/fee (2% charge-backs) -new trade.    > Fast tier estimation.
>Cashier: collected premiums, bank deposits. >Editor/Publisher: company flyers, newsletter inserts.
> Some bi-lingual (Spanish) CSR.
Work History
2005-Present                 Student, BaltimoreCity Community College, HIT Program, Baltimore, MD
2001-06/2004              Careers USA, Baltimore, MD- Interim Assignments, including:
·         HCFA-1500 /UB04 Claim Processor, J.H.H.C., Glen Burnie, MD
2002-04/2003              Data Entry Operator II,A-84 (Towing Section), Baltimore City, MD                               
2000-07/2001                 Associate Insurance Agent, CSR; P & C Insurance Lead  Verifier, Towson, MD
1997-1999                   MCO Benefits Customer Service Representative, Baltimore, MD
 
 
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Relevant Education and Training / Certifications / Licenses / Memberships
 
Baltimore City Community College, Baltimore, MD, (2005- CCS Complete/A.A. -Student) 410/462-8300
                        HIT, CCS Program and A.A.,            
                                               
California State University (www.csun.edu) Northridge, CA                                                  818/677-1200
                        Bachelor degree, History-Major; and Computer Science I & II.
 
Glendale University of Law   (www.glendalelaw.edu), Glendale, CA                                     818/247-0770
                         Law study 2 years. Also; Assistant Law Librarian.
 
UCLA-AATP Training Program          (www.ucla.edu), Los Angeles, CA                              310/825-4321
                        ABA Certified Litigation Paralegal.

Berlitz Institute of Language - Baltimore, MD          (www.berlitz.us/web/)                           410/752-0767
                        Spanish 2 year Certificate study. (1997-1999).
                        Also, beginner Japanese, (1998-99).
 
State of California Life & Health Insurance Agent
 Former Life & Health agent with Colonial Penn (now) CONSECO - Let expire.
AHIMA (American Health Info. Management Association), Chicago, IL, 2007- Member     312/321-1234 
MD-HIMA (MD HIM Association), City, MD, 2007-Current Member                              443/321-1234                                    
                                                                        References and/or writing samples provided upon request.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
T. Poag, P.O. Box 6969, Baltimore, MD 21231
443/418-3934 - ­tp1001234@yahoo.com
 

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