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PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional Summary Over 15 years customer service and claims research in many different administrative environments. Good interpersonal skills working with people of diverse age groups and cultures. Well-developed skills in computer, communication, and CPT ICD-10-/CM coding.Education CCA Certified Coding Associate Feb 2018AHIMAMedical Billing and Coding Certificate June 2017 Rasmussen College, Fargo, MNAmerican Sign Language Certificate May 2014Minnesota State Community and Technical College, Moorhead, MNBachelor of Arts - ArtMoorhead State University, Moorhead, MNSkillsICD-10-CM & CPT CodingComputer Information SystemsMedical Insurance and BillingMedical TerminologyMedical Claims ResearchMedical Law & EthicsHealthcare Info TechnologiesHIPAAQuantum EncoderDMEPOS Billing and ClaimsElectronic Health RecordsOrganizationTime ManagementVerbal and WrittenCommunicationsWork Experience Associate Claims Representative October 2017-October 2021Sanford Health Plan, Fargo, NDAdjusted inpatient and outpatient claims including private and government insurance.Investigated discrepancies to reduce rework and appeals.Sent verification to other departments for research of authorization denials.Skilled in researching CPT ICD-10 CM data and solving multiple claims issues.Customer Service Representative September 2015-October 2017Corwin Auto, Fargo, NDWorked with customers to set appointments and inquiries.Took stats for employee daily service orders in customer service department.Provided reliability by opening department for prompt service to customers.Inbound/Outbound Customer Service Representative August 2014 - August 2015Kelly Temporary Services, Fargo, NDResearched claims tax information and entered data for coordinating benefits.Updated and verified financial issues with skills in teamwork and timeliness.Candidate's Name
5119 8th Ave. S., Fargo, ND 58103PHONE NUMBER AVAILABLEEMAIL AVAILABLEWork Experience Customer Service/SalesTec Mahindra/Info Nero, Fargo, ND October 2013-July 2014Successfully handled payment, shipping, and return inquiries.Resolved customer issues and handled new clients for new sales and orders.Participated in idea-oriented planning processes.Customer ServiceNoridian Administrative Services April 1997-September 2012Verified medical claims data from providers to resolve payment issues.Researched calls on medical policies for multiple types of providers.Took 70-100 call inquiries daily to meet standards and customer needs.Worked as team player with other employees in meetings, and training. |