CHANTAL SEVERE
9175 S.W. 166 PLACE
Miami, Florida 33196
Home:  [Send email to request phone number] 88-5173    Cell:  [Send email to request phone number] 06-1515
Home/Fax:  [Send email to request phone number] 85-5679
Email: [Send email using form at bottom]

OBJECTIVE:	To obtain a part-time evening position in the Healthcare, Insurance,
Finance, Banking, Government or Non-Profit Industries to continue in higher
positions with greater responsibilities, challenge and advancement opportunity.

EXPERIENCE:	Jewish Community Services of South Florida, Inc. /formerly known as
Jewish Family Services of Greater Miami, Inc.
–	Finance and Administration Division

2000-2008  Insurance Medical Coding & Claims Administrator /     Accounts
Receivable Coordinator
•	Responsible for all Behavioral Health, Case Management, Home Health Care and
Adult Day Care Services. Processed all Medical Insurance Claims through all
private insurance companies and government as they related to services and
contracts.
•	Specialized in CMS and AHCA regulations as they related to Medicare and
Medicaid, Evercare, Integrated Health system, managed care programs, HMOs and
PPOs. Contract Billing to funding sources for cost reimbursement project.
Interpretation of all contracts.
•	Used EDI to process of all medical billings using HCFA 1500, CPT code, ICD-9
and 10 codes, via Internet or Modem using Medisoft Patient Accounting for
Windows, Pc-Ace Pro32, Winasap2003 etc.
•	Responsible for Collections, Follow-up and appeals to all insurance claims
accounts.
•	Research, Set up and Administer all networking contracts with Magellan, UMBH
for prepaid Medicaid products and all other products as they relate to Insurance
Carriers
•	Supervised Insurance Verification Clerk, Authorization Clerk and Bookkeepers.
•	Administered & handled accounts receivable of Government grants, Foundation
Contributions and other funds as they relate to the agency such as City of Miami,
Miami-Dade County (CBO, OCD, CDBG, CRW, HHS) programs, School Board of Miami-Dade
County (TOP and EH) programs, State of Florida Department of Elder Affairs
(SCSEP), DCF, SFPC, ACHA /Medwaiver, Fema, Family Lifeline Program, United Way,
Greater Miami Jewish Federation, The Children’s Trust Fund, Funds from Claims
Conference, Channeling, Icheic and others.
•	Funds allocation and reconciliation, Bank Reconciliation.
•	Backup for Fund Developer Coordinator (General, Restricted and Temporary
Restricted Fund).
•	Internal Audit Grants and Clinical Records - Determine compliance with
standards for documentations by reviewing each case.
•	Experienced in Fund-EZ, Peachtree, QuickBooks, MAS-90, MIP, Lotus and Excel,
Word Perfect, Words, etc. 
•	Backup to Accounts Payable Supervisor and Coding.
								
1993-Present	State of Florida Department of Elder Affairs (FDOEA)
		-SHINE Program:	Counselor 
•	Counsel and empower Floridian Seniors within a local SHINE area that have
problems and questions about Medicare, Medicaid, Medicare Advantage Plans,
Medicare Supplemental Insurance, Prescription Assistance (Sunshine for seniors),
Long-Term Care Insurance/Planning and other health insurance issues.			
•	Research, investigate Fraud and Abuse to recipients or beneficiaries, access
information through CMS in respect to HIPAA law to provide direct community-based
services to Medicare, Medicaid beneficiaries and others in Florida.
	
1992-2000	Jewish Family Services of Greater Miami, Inc
                Insurance Billing Coordinator 
•	Participated in the maintenance of the agency’s management information system
as related data accuracy and insurance billing process.
•	 Participated in the design and updating of forms utilized for maintenance of
the insurance billing.
•	Maintained client information and accounts receivable as they relate to third
party (Insurance Payments) for agency services. 
•	Tracked and maintained client demographic information related to insurance
coverage.
•	 Maintained relationships with specific insurance companies to facilitate
billings and collections.
•	Verified eligibility and benefit for each case with insurance carrier.
Coordinated responses to insurance companies and clients upon request for further
information.
•	Be “expert” on the availability of insurance payments for all types of agency
services, including the rules and regulations of all Government and Commercial
Insurance Products.
•	Consulted and communicated with staff, psychiatrists to sign off cases as
pertaining compliance of clinical and insurance revenues. Translation and
Interpretation.
•	Prepared variety of reports, and calculate overpayment refunds when
appropriate.
•	Software: Fund-EZ, lotus, Word Perfect.
1988-1992	Jewish Family Services of Greater Miami, Inc
– Finance & Accounting: Grants & Contracts Billing Associate 
•	Responsibilities included, but are not limited to: Keeps track of expenses
that need to be billed to funding sources for cost reimbursement projects as per
budgets.
•	 Prepared variance report for Vice President to track the Division Financial
Activities.
•	Assisted in clinical records reviews with the clinical staff, case managers
and supervisors as they pertained to completeness and assembles records into
standard order as prescribed in the agency policy and procedure.

1985-1988	Chase Manhattan Bank, N.A – Garden City, N.Y.
-Education Loan Division: Student Loan Specialist & Collections
•	Processed loan applications for students individually or through the school
programs.
•	Analyzed the deferments for approval or denial.
•	Monitored all payments and transfer to collections department when necessary.
•	Ran collections letter to past dues and skip traced students if the
correspondence was returned. 			

1983-1985	Roche Biomedical Lab, Inc., East Meadow, N.Y
-Lab Division: Data Entry Analyst
•	Distributed specimens to the appropriate Cytotechnologist or Pathologist.
•	Handled Pap smear, Urine, and Biopsy and Blood test results.
•	Entered patient’s information and test results accordingly.
•	Ran individual report for Hospital, Clinics and Facilities.

1982-1983	Aetna Insurance Company – Garden City, N.Y
-Claims Department: Medical Claims Specialist
•	Analyzed the procedures, the services rendered, and the diagnostic as related
to benefits.
•	Processed and approved claims for payments using Microfilm system and
forwarded to payables department.
•	Handled occasionally complaints and appeals from patients and providers.

EDUCATION:	
2007-2008 Medical Coding Certifications with AHIMA & FHIMA-Candidate
2006-Present    Ashford University – 
                Healthcare Administration /Accounting (online)
2006-2008	Ashworth University – General Accounting 
2000-2002	Kennedy-Western University-
                Bachelor of Science – Health Administration 
Dec-2002	American Society of Professional Education
		HIPAA Certified – Securing Medical Records
1997-1999	Academic Facility At Home Profession/Mckinley College
                Diploma – Medical Claims and Billing Specialist      Studies 
Sep-1999	Miami Medifest - Medicare of Florida Provider Education Certificate of
Participation: Medicare Mental Health Specialty – Electronic Media Claims –
Medicare & Claims Filing – Reimbursement Efficiency for Providers
April-1998	Miami Medifest - Medicare of Florida Provider Education
Certificate of Participation:  Home Health Care – Behavioral Health Specialty.
1992-1994	The School of Medical and Dental Assistant-               
Professional Career Development Institute
		Diploma – The Professional Medical and Dental        Assisting Program

1984-1987 Hofstra University – Business Computer Information System
1982-1984 State University at Old Westbury –Computer Science
1981-1982 New York University - English
1976-1980 College Fernand Prosper, Haiti - Graduated
 -        International Studies Program
-	  International Baccalaureate (IB) I in General Study
-	  International Baccalaureate (IB) II in Literature &  Philosophy
								
MEMBERSHIPS:			
•	Active Professional Notary Public
•	Member of American Health Information Management Association
•	Member of Florida Health Information Management Association
•	Member of American Institute of Professional Bookkeeper
•	Member of:  PTAs, French Institute of Miami, French Alliance of Miami, St.
Jude Melkite Catholic Church - Good Shepherd Catholic Church.

HOBBIES: Music, Interior decorator, Gardening, Singing, Volunteer in Community
Events, teaching, home-schooling trainer to parents, Research.

FOREIGN LANGUAGES:	French, Creole – Fluently and Spanish – Moderately
REFERENCE:		Furnished upon request.