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Manager Medical

Location:
Soddy Daisy, TN, 37379
Posted:
October 19, 2010

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Resume:

A ngie W. Fontana, AL HC

**** **** ***** *****

Chattanooga, Tennessee 37379

423-***-**** ( C ) 423-***-**** ( H )

abiwzv@r.postjobfree.com

OBJECT I VE:

Seeking opportunities to utilize my expert problem solving abilities,

technical skills, dynamic, friendly and outgoing personality, in ways

w hich will contribute to the success of your business. Now is the

t ime for your business to secure a highly motivated and

p rofessional permanent part t ime employee who will provide you

w ith the highest possible degree of professionalism!

Key Strengths:

Dynamic Personality, Team Extensive Medical Terminology

O riented, F riendly, Flexible a nd Coding Experience

Expertise Utilizing M icrosoft

O ffice

Superior Technical Writing

Ability Analytical/Detail Oriented

Angie W. Fontana

Page 1

Exhibits Creative Problem Enjoys Problem Solving

Solving Abilities Mature/Professional Attitude

Strong Work Ethic

Outstanding Written/Verbal

Communication Skills

EDUCAT ION:

University of Tennessee, Chattanooga, Tennessee 12 /1992

Bachelor of Science, Business Administration

Minor, Economics

U num

Lead Disability Benefit Specialist/Technical Consultant

7 /2010-7 /1999

$ 11 years experience within Unum =s Short Term and Long Term

d isability areas

$ Performed detailed eligibility analysis, benefit calculation, policy

i nterpretation

$ Exhibited proven leadership and negotiation skills

$ Responsible for simultaneously analyzing multiple sets of complex

i nformation as a basis for making an initial/ongoing benefit

determination

$ Ut ilized labor market data, prior work history and educational

i nformation to determine the present and future gainful

employability for the insured based on the current restrictions and

l imi tations

Angie W. Fontana

Page 2

$ Extensive knowledge of medical terminology, understanding of

various physical and mental health conditions, frequency of

t reatments, therapies, pharmaceutical therapy, medical testing and

i nterpretation of the results was required to assess the disability

condition as well as any complications or comorbid conditions along

w ith the expected duration of recovery

$ Thorough knowledge/ability to apply and interpret contractual

p rovisions was required along with knowledge of statutes and case

law, with legal input from in house attorneys

$ Solid communications skills were required with the ability to

p rovide employees, employers and brokers a wri t ten and/or verbal

explanation of the above analyses for highly complex liability

determinations

The Center for Plastic & Reconstructive Surgery, P.C.

Business Manager/Education Director

5/1999 B 1/1993

$ Performed all Office Manager duties

$ Evaluated and negotiated reimbursement contracts

$ Coded electronic health insurance claims with CPT with modifiers

and ICD-9, analyzed claims payments for accuracy

$ Responsible for all weekly and monthly financial reporting

$ Researched, evaluated and negotiated reimbursement utilizing

Resource-Based Relative Value Scale (RBRVS) based fee schedule for

health care contracts proposals

$

$ Performed detailed patient education sessions with

patients to outline specific medical information related to the

surgical procedure, pre-surgery forms, informed consent, r isks and

complications

$ Maintained extensive medical terminology knowledge and

exhibited a highly detailed understanding of mult iple

medical/surgical procedures

Angie W. Fontana

Page 3

$ Researched, purchased and coordinated implementation of

i nstallation of paperless medical office software

$ Created and designed multi-media public education and

m arketing programs

$ Responsible for t raining for all staff positions

$ Designed/developed and implemented cross t raining

p rogram to increase productivity

$ Created all job development materials (job

descriptions/employee handbook)

$ Coordinated initial office start up including personnel

selection, and other related start up tasks include office machines,

supply requisitions and other tasks as needed

$ Performed surgery scheduling functions including

coordinating surgery time for multiple procedures and surgeons

George McMillan I nsurance Agency

Business Manager/Agent Associate

11/1992 - 6/1992

$ Processed insurance applications by proofreading for

accuracy

$ Coordinated Medicare benefit payments and secondary

i nsurance

$ Researched and resolved unpaid Life, Health and Disability

claims

D a r ryl Hubbard I nsurance Agency

Business and Sales Manager

6/1992 - 11/1989

$ Developed and implemented marketing programs.

$ Created client databases, enrolled and updated pension

benefits and cafeteria plan participants

$ Prepared and presented insurance proposals to corporate

g roups and private school administrators

$

Angie W. Fontana

Page 4

$ Negotiated with underwr iters on insurance applications,

P rovided technical assistance for health insurance claims

$ Educated clients on contractual provisions

NON-PROF I T ASSOCIAT IO NS:

American Cancer Society Regional Team Lead

American Heart Association Regional Team Lead

Susan G. Komen Foundation R ace for the Cure

St. Jude School Volunteer

University of Tennessee, Chatt Teaching Assistant

Angie W. Fontana

Page 5



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