Rick D. Misitano Email & Phone Number

Littleton, Massachusetts, United States

Methuen, Ma

Senior Paralegal for a well-established general practice law firm involving: *Arbitration & Mediation* *Employment Law*Wrongful Termination*Pregnancy Discrimination*Special Education Advocacy* EEOC and MCAD Claims Facilitation*Real Estate Conveyance Law*Adverse Possession Claims*Quiet Title Petitions* *Breach of Contract Actions*Adoption Matters*Probate Proceedings*Divorce Petitions*Child Support Enforcement*Court Appearances*Bankruptcy*Debt Collection*Judgment Recovery*Foreclosure Law*Loss Mitigation*Mortgage Short-Sale Negotiations*Mortgage Loan Modifications*Business Formations*Wills, Trusts and Estates*Probate Law*Landlord/Tenant Issues*Pre-Bankruptcy and Pre-Foreclosure Workouts and Negotiations*Consumer Law AdvocacyI also serve as a Notary Public in Massachusetts and Commissioner of Deeds in New Hampshire.

Medford, Ma

Responsible for the processing of administrative referral & authorization requests by working directly with patients, physician office staff, patient accounts department and insurance companies. Ensured that data and all documentation were collected accurately and sensitively in order to provide a patient data base that supports the clinical and financial needs of the hospital. Goal was to maximize reimbursement while serving the needs of internal and external customers.

Billerica, Ma

National outsource receivables management company responsible for self-pay medical account collections. In-bound/out-bound call center/customer service department responsible for working with both insured & uninsured patient’s hospital and physician billing issues. Determine eligibility for public assistance programs (Medicaid) and guide patients through the application process. Establish budget plans within set guidelines. Review applications and determine eligibility for in-house financial assistance. Follow-up experience on medical billing, claims and direct contact with insurance companies and various third party payers. Extensive IDX Systems user experience. General knowledge of HCFA & UB92 billing and CPT/ICD9 coding.

Tewksbury, Ma

Self employed/partnership as a licensed Independent Business Associate/Certified Financial Analysis for a division of CitiGroup, offering financial analysis, income protection, debt elimination, asset management & protection, educational savings, life insurance, long term care, mutual funds, variable annuities, securities, 401K & employee retirement plans, small business retirement plans, debt consolidation loans, first & second mortgages, mortgage refinancing and new home construction programs.

Waltham, Ma

Provider Relations Specialist - Responsible for responding to inquiries regarding provider issues such as requests regarding the addition of providers & hospitals to the network, fee schedule research, physician fee complaints and claim appeals for increased payments. Acted as a liaison for contracting and credentialing staff by facilitating physician background checks and expediting complaints against contracted physicians or facilities. Worked closely with the corporate legal team to ensure compliance of re-credentialing mandates for over 387,000 providers and 4,800 facilities nationwide. Resolved issues within set timeframes and worked within established corporate policies & procedures. Maintained continuous communications with all relevant parties until issues were resolved. Customer Service Trainer/Auditor – Responsible for the training and development of the customer service department to provide continuing education and job training for existing employees and management staff and to ensure the proper initial training for all new hirers. Utilization Review Intake Coordinator – Obtained initial clinical information for elective or emergency admissions or procedures for the medical review process via Optimed & Facets systems. Obtained and verified all demographic and insurance information pertaining to the patient and all service providers. Verified network participation for all providers and initiated referral process on behalf of the patient. Customer Service Representative – Answered incoming calls in a very high volume call center which serviced over 150 insurance companies nationwide representing over 8.5 million enrollees. Responsible for directing patients to appropriate medical providers and/or verifying a provider’s participation within their particular PPO, HMO, PCP, EPO or POS network of providers by utilizing the PAS system. Educated patients about their healthcare policies, provisions and pre-certification requirements.

Boston, Ma

Responsible for maintaining, controlling and regulating sensitive classified government material, projects and information. Monitored and directed both in-coming and out-going calls and served as a customer service support liaison. Working closely with the local field office of the DOD, processed government security clearances and conducted investigative background checks for government contracted companies and their employees as well as all visitors and outside contractors and vendors. Operated and maintained various government sensitive computer programs and was responsible for the filing, maintenance and security of various DOD classified documents. Was granted and maintained a Level III security clearance from the United States Government, Department of Defense.

Framingham, Ma

Supervised the daily activity for a high volume call center and loan processing department which included 25 customer service representatives. Responsible for interviewing, hiring, payroll, various reports, scheduling and training. Responsible for an extensive AT & T phone system to enable optimum usage and up-time in order to ensure maximum results for the company’s heavy call volume. Customer Service Representative – Processed all phone inquires for various client’s financial needs including the processing of business, residential, construction/development and venture capital loans. Drafted and developed various client’s business plans for a variety of start-up business ventures. Loans underwritten in-house or funded through a broker capacity. Numerous venture capital placements for new business start-ups.

Education record

Successfully obtained a paralegal certification with a concentration of studies including: Civil Litigation and Procedures, Criminal Law.

Education record

Education record