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Reimbursement Specialist Medical Records...
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Title Reimbursement Specialist Medical Records
Target Location US-CT-Meriden
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Billing and Reimbursement SpecialistStreet Address DWest Main Street. Meriden CT Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEEXPERIENCEAware Recovery Care, Inc. [Wallingford, CT]  Billing and Reimbursement Specialist II04/18/2022 - 08/14/2023Scrubbed and submitted claims to the clearinghouse. Follow-Up on All Anthem BCBS Claims for the states of ME, NH, MA, RI and CT and helped team members with their own A/R, Implemented Powerpoint presentations, payment disputes, reconsideration and Appeal Levels 1 and 2. Pulled and submitted Medical records.Waterbury HospitalBilling and Reimbursement Specialist I08/18/2018 - 03/24/2022Manually entered Medicaid claims [Inpatient and Outpatient]. Followed up on Technical denials and deferred clinicals denials to Case Management. Supported Team Members with Technical issues. Supported HIM Department with Medical records and ABNsComprehensive Orthopedics Billing and Reimbursement Specialist07/12/2015 - 11/17/2022Manually keyed All Medicaid claims on the CT DSS Portal, POsted all Workers Compensation payments + Commercial and Patient payments, balanced the A/R at the end of the day.TypeHouse GroupGraphic Artist and Prepress06/23/1986 - 07/01/2015Color Corrected images, page layout and developed film via dark room. Type Set verbiage with hot lead and with Macintosh computer. Billed jobs after delivery. Worked on vehicle Graphics and Wall Graphics + Step and Repeats. Designed Page Layouts with color bleeds, worked on Scientific America, Golf Digest, Weekly Reader, Scholastic, installed wall graphics.EDUCATIONBranford Hall Institute CPC Degree08/24/2014 - 06/15/2015Studied CPT HCPC ICD9 Pathology Hospital Billing Legal HIPAA rules.

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