Delisa Dickstein
Naugatuck,CT
Summary
Seeking a medical coder position with a reputable organization, to translate medical terms into
standardized format for accurate and effective transmission of information between health providers
and insurance payers
Authorized to work in the US for any employer
Overview
15
15
years of professional experience
Work History
Medical Case Manager
PRIA Healthcare Management
Torrington, CT
05.2021 - Current
- I support clinics regarding case submission for patients needing medically necessary procedures
- I collect and updates insurance information from Veterans, clinical contacts and other eligible patients
- I prepare correspondence and memos as needed
- I screen/receive phone calls in a courteous and timely manner, determine the nature of request and provide the information desired using privacy rules and established clinic processes
- Ensures data is entered into Salesforce accurately and scans documents into Salesforce Imaging within 24 hours of entering the data into Salesforce if applicable
- Promotes Veterans and other patients registration for and utilization of Salesforce
- Follows procedures regarding provider referrals
- Serves as the initial point of contact for units, clinics, patients, call centers, Care in the Community regarding various aspects of patient procedures and referrals
- Stocks basic office supplies for the executive suite
- Incumbent updates all patient demographics
- Communicates and interacts with the practices in a manner which is appropriate to cognitive, emotional, and chronological maturation needs of the adult and/or geriatric patient
- Assures that all appropriate forms are used correctly and regulations followed
- Additional duties or tasks may be assigned by the supervisor to ensure efficient daily operations.
Group Service Representative
UnitedHealth Group
Shelton, CT
02.2020 - 04.2021
- Handle enrollments
- Handle reinstatements of members and Employers
- Check and assist with appeal status
- Send out insurance cards
- Handles terminations of groups and Members coverage.
Senior Customer Service Representative
UnitedHealth Group
Shelton, CT
02.2019 - 02.2020
- Handles member issues
- Send out insurance cards
- Check on appeal status
- Handle claims issues
- Resolve member enrollment issues and member benefits.
Assistant Central Station Supervisor
United Alarm Systems Inc
Brookfield, CT
01.2018 - 01.2019
- Deliver good customer service and resolve any customer service issues
- Coach staff and provide them with assistance in performing complicated tasks
- Receive and respond to emergency calls and non-emergency calls as needed in a timely manner depending on the situation and in accordance with established procedures
- Record call details, dispatches, and messages
- Maintain access to and security of highly sensitive materials
- Scan status charts, computer screens, and contact emergency response field units to determine emergency units available for dispatch
- Test and adjust communication and alarm systems
- Started as a Dispatcher June 2012 promoted to Inside Sales Support July 2016 and promoted to Assistant
Cashier
Lowe's Companies, Inc
Danbury, CT
04.2011 - 08.2012
- Received payments by cash, check, credit cards, vouchers, or automatic debits and issued receipts, refunds, credits or change due to customer
- Established or identified prices of goods, services or admission, and tabulated bills
- Deliver good customer services including greeting, thanking, and answering any questions along with providing information on procedures and policies
- Maintain a clean and organized environment
Merchandise Associate
TJ Maxx
New Milford, CT
04.2011 - 02.2012
- Deliver good customer service
- Promote sales
- Maintain records related to sales
- Manage inventory and replenish inventory
Pharmacy Representative
Connextions
Orlando, FL
11.2008 - 11.2010
- Operate communication systems, such as telephone, switchboard, intercom, two-way radio, or public address
- Answer incoming calls, greeting callers, providing information, transferring calls or taking messages as necessary
- Route emergency calls appropriately
- Relay or route written or verbal messages.
Education
Certificate in Medical Billing - undefined
Direct
October 2018
High School Diploma - undefined
American InterContinental University-Online
September 2012
Associate - Business Administration
New Milford High School
2004
Skills
- Customer Service
- Microsoft Office
- PowerPoint
- Microsoft Excel
- Microsoft Word
- Retail
- Cashiering
- Merchandising
- Inventory Management
- Data Entry
- Medical Billing
- Medical Coding
- Medical Terminology
- Accounts Receivable
- Microsoft Access
- ICD-10
- EMR Systems
- Medical management
- Analysis skills
- CPT Coding
- ICD-9
- Medical collection
- ICD Coding
- Insurance Verification
- Anatomy Knowledge
- Epic
- Documentation review
- HIPAA
- Phone Etiquette
- Windows
- Time management
- English
- Typing
- Research
- Medicare
- Utilization review
- Continuous integration
- Microsoft Outlook
- Case management
- Data collection
- Salesforce
- Medical Billing and Coding Specialist
- Microsoft Access
- Microsoft Word
- Microsoft PowerPoint
- Microsoft Excel
- Active Listening
- Billing Codes
- Diagnostic Codes
- Phone Inquiries
- Modifications and Adjustments
- Medical Procedure Coding
Timeline
Medical Case Manager
PRIA Healthcare Management
05.2021 - Current
Group Service Representative
UnitedHealth Group
02.2020 - 04.2021
Senior Customer Service Representative
UnitedHealth Group
02.2019 - 02.2020
Assistant Central Station Supervisor
United Alarm Systems Inc
01.2018 - 01.2019
Cashier
Lowe's Companies, Inc
04.2011 - 08.2012
Merchandise Associate
TJ Maxx
04.2011 - 02.2012
Pharmacy Representative
Connextions
11.2008 - 11.2010
Certificate in Medical Billing - undefined
Direct
High School Diploma - undefined
American InterContinental University-Online
Associate - Business Administration
New Milford High School
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