Rosa N. Burgos

120 Ledgewood Drive

East Stroudsburg, PA 18301

570-688-7178

rosanburgos@gmail.com

EDUCATION

Berkeley College, Dover, NJ 9/2012-3/2014

Diploma: Multi-Level Patient Care Technician

Dean’s List

Excellent Attendance

Fordham University 8/1985-12/1987

Liberal Arts

COURSE OF STUDY

• Fundamentals of Patient Care

• Medical Law and Ethics

• Anatomy and Physiology

• Medical Terminology

• Patient Care Procedures

• Introduction to Clinical

• Electrocardiography (EKG)

• Phlebotomy/ Hematology

• Advanced Patient Care Techniques and Clinical

• Long Term Care Techniques and Clinical

• Home Health Care Techniques and Clinical

• Medication Procedures Techniques and Clinical

Clinical Rotation

Mi Casa Es Su Casa, Paterson, NJ Nov 13 – Dec 20, 2013

Chilton Hospital, Pompton Plains, NJ Feb 21 – March 26, 2014

Patient Care Technician

Hands on experience with the following:

• Vital signs on all assigned patients

• Glucose testing

• Wound care

• Transported patients for therapy

• Patient Hygiene/ADLs

• EKG

• Documentation/charting of care given

Certifications:

Patient Care Technician/Patient Care Associate/Nurse Technician 3/2016

CPR 8/2015

EKG 3/2015

Phlebotomy 6/2016

EXPERENCE

ExamOne Allentown, PA 18104

Paramedical Examiner 5/2014 to 1/2015

• Independent contracted examiner completing mobile phlebotomy and

insurance exams.

• Complete insurance exams, draw blood, collect urine specimen, take

physical measurements.

• Prepare patient collection for processing; pack and ship specimens and

insurance forms to corresponding lab.

Sedgwick CMS (formerly CISGI / Xchanging) – Whippany, NJ 07983 2/07-Present

Claim Examiner (1/2015 to Present)

Claim Representative (10/2012 to 1/2015)

• Investigate, evaluate, and settle workers compensation claims.

• Take recorded statements and other duties as assigned.

• File appropriate state forms in timely manner.

• Contact with medical providers, nurse case managers, attorneys.

• Implement appropriate procedures to minimize client’s exposure.

• Prepare claims for settlement and negotiate settlement with best outcome.

• Appropriate review of reserves and settlements.

• Pursue settlements to resolve claims full and final.

Medical Only Claims Adjuster (10/09 to 9/2012)

• Investigated, evaluated, and processed Medical Only Worker’s Comp

claims.

• Thorough investigation of claims to determine compensability.

• Evaluated losses as it pertains to coverage.

• Timely medical bill and records review.

• Entered claims diaries, memos, reserves, and request background checks.

• Kept current with all applicable laws and regulations.

• Timely response to emails, phone calls, projects.

• Other administrative and clerical duties.

Customer Service Rep (2/07 to 10/09)

• Handled incoming calls.

• Obtained loss reports for insured.

• Created worker’s compensation, auto and general liability claims

manually.

• Directed new input of records into system.

• Set up computer files and hard files on new losses.

• Inputted all bills associated with file for payment and requested special

funding if necessary.

• Managed misc financial transactions.

• Completed accurate and timely malpractice payment for various state

boards.

• Updated and maintained computer input on claims; entered claim diaries,

memos, reserves, and request background checks, added bodily injuries and property

damage lines to existing claims.

• Compiled data and produced reports on specific programs as necessary.

• Assisted risk consultants with attach to file and maintenance of claim files

including upgrading status and closures.

• Processed incoming and outgoing mail, photocopied, scanned, and faxed

documents, maintained open files shelving and off-site storage files.

Michael A. Hunt Family Dentistry – Marshalls Creek, PA 18335 2/02 to 1/07

Office Manager

• Managed and implemented a diversity of administrative and supportive

functions.

• Supervised 3 office employees.

• Heavy interfacing with insurance companies for correct preparation of

claims to ensure prompt claim payments.

• Working knowledge of appeals and claim denials.

• Inputted and updated patient financial accounts including Medical

Assistance and Major Dental Insurance transactions and Accounts Receivable/Payable.

• Advised patients of insurance coverage and benefits and offered alternate

financial options.

• Processed notices and collection letters to patients.

• Maintained Excel spreadsheets for tracking collection activities.

• Generated statistical reports, EOD/EOM/EOY financial reports, backed up

files, generated daily deposit slips and money logs.

• Scheduled dentist / hygienist for seminars and Continuing Education

credits and coordinated travel.

• Responsible for miscellaneous office operations.

Joyner's Sports Medicine – East Stroudsburg, Pa 2/01 to 2/02

Receptionist

• Maintained patient scheduling.

• Heavy interfacing with insurance companies for correct preparation of claims to ensure prompt claim payments.

• Inputted and updated patient financial accounts.

Pocono Pediatrics 12/00 to 1/02

Receptionist

• Maintained patient scheduling.

• Heavy interfacing with insurance companies for correct preparation of claims to ensure prompt claim payments.

• Inputted and updated patient financial accounts.

• Welcomed and announced medical vendors.

• Maintained doctor’s ER schedule.

New York University College of Dentistry – New York, NY 10010 9/89 – 11/00

Senior Clinical Aide / Pediatric Department (8/95 – 11/00)

• Managed and implemented a diversity of administration and support

functions.

• Served as liaison for various outreach programs, including Medicaid and

Child Welfare Agencies.

• Operated personal computer equipment utilizing various databases

inputting and updating patient financial accounts including Medicaid, and HMO

insurance transactions, Accounts Receivable / Payable.

• Responsible for miscellaneous office operations including typing, faxing

and scanning.

Senior Cashier / Clerk – Pediatric Department (9/89 – 7/95)

• Utilized customer service skills to greet and register patients.

• Served as clinic cashier.

• Answered multiples phones lines.

• Scheduled and maintained patient appointments.

• Responsible for miscellaneous office operations.

SKILLS:

Certified Phlebotomist, Certified EKG Tech, NY Independent Adjuster License, fluent in

Spanish, Transcription, Member of NJ WC Association.