Graziella Scales

Professional Services Consultant at Mitchell International
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Contact Information
us****@****om
(386) 825-5501
Location
Bradenton, Florida, United States, US
Languages
  • English Native or bilingual proficiency
  • Spanish Native or bilingual proficiency
Skills

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Bio

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Credentials

  • Medical Coding and Billing Specialist
    -
    Jul, 2013
    - Nov, 2024

Experience

  • Mitchell International
    • United States
    • Software Development
    • 700 & Above Employee
    • Professional Services Consultant
      • Jul 2018 - Present

  • FCCI Insurance Group
    • United States
    • Insurance
    • 700 & Above Employee
    • Manager Medical Management Services
      • Jul 2014 - May 2018

      Responsible for implementations and system improvements. Provider contracts and audits. Manage my team, as well as educate them in order to succeed as a department and company. Manager of bill review. Oversight of our providers channeling tools for PPO Networks. Create system efficiencies and procedural guideline improvements. Responsible for state disputes, EDI, bill review software and claims implementations. Coordinate testing of existing systems and fee schedules. Train staff on fee… Show more Responsible for implementations and system improvements. Provider contracts and audits. Manage my team, as well as educate them in order to succeed as a department and company. Manager of bill review. Oversight of our providers channeling tools for PPO Networks. Create system efficiencies and procedural guideline improvements. Responsible for state disputes, EDI, bill review software and claims implementations. Coordinate testing of existing systems and fee schedules. Train staff on fee schedules, EDI, bill review system, claim system and state billing rules.

    • Medical Administration Supervisor
      • Jan 2005 - Jul 2014

      Responsible to lead and manage my team, as well as educate them in order to succeed as a department and company. Manager of bill review. Oversight of our providers channeling tools for PPO Networks. Create system efficiencies and procedural guideline improvements. Responsible for state disputes, EDI, bill review software and claims implementations. Coordinate testing of existing systems and fee schedules. Train staff on fee schedules, EDI, bill review system, claim system and state billing… Show more Responsible to lead and manage my team, as well as educate them in order to succeed as a department and company. Manager of bill review. Oversight of our providers channeling tools for PPO Networks. Create system efficiencies and procedural guideline improvements. Responsible for state disputes, EDI, bill review software and claims implementations. Coordinate testing of existing systems and fee schedules. Train staff on fee schedules, EDI, bill review system, claim system and state billing rules.

Education

  • California Coast University
    Bachelor’s Degree, Health/Health Care Administration/Management
  • US Career Institute
    Medical Coding and Billing Specialist, Medical Office Assistant/Specialist
    2012 - 2013

Community

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