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Click here or scroll down to respond to this candidateCandidate's Name
Street Address DeKalb Street. Apt 1Norristown, PA Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective: To obtain and position within your company with will enhance professional growth. Working to improve and achieve all goals assigned using my skills and experience within.Work Experience7/2013 1/2022. Cotiviti Blue Bell, PACollections Specialist / Revenue Cycle Specialist. (Aetna- Coventry Insurance)Contacting multiple providers assigned to me to recover overpayment on patient claims that have bee audited by Aetna Audit Team, Responsible for recovering overpayments for multiple providers. Responsible for collections of al government facilities VA hospitals, Government facilities. Taking incoming calls, Training new employees on RMS system for Aetna and Coventry insurance. One of two lead Collector that merge of Aetna and Coventry claims into RMS system. Mailing, phones incoming and outgoing calls. Collection millions of dollars in overpayment monthly. Working problem providers before reaching out to teammates for network assistance. Training Administrative Assist to help with getting all VA mail out in a timely manner.5/2008 07/2013 CardioNet Inc. Conshohocken PAReimbursement Specialist- Billing Representative- Commerical CollectionsEnrolling patients for event, holter, pacemaker and mobile cardiac telemetry monitors, verify insurance coverage, creating patient healthcare charts, billing patients for services rendered and completed. Contact Cardiologist in all states offices for any missing information on patients enrollment forms. Created all billing charges for services performed by CardioNet. Posting cash to patient accounts, and denials. Work Emdeon system denials, rejects, incompletes and payments fixing any problems that may keep the claim from processing through the clearinghouse. Nextgen and rumba experience also.Customer Care and Reimbursement Service Specialist 5/2008 thru 8/2010Contacting cardiologist office for missing information on patients referrals, calling patient for missing demographic information. Processing enrollment for patients to go on service heart monitoring service. Enrolling patients over phone for service. Contacting health insurance companies to obtain benefits, eligibility, precertification and authorizations. Contacting Account Executives regarding information need from the specific regions of the USA that they are assigned to.EducationDorothea B. Lane Secretarial School 9/86 7/87 Blue Bell, PaCertified Word Processing Secretary 1987Norristown Area High School 9/82 5/86 East Norriton, PaBusiness Studies GED 1986SkillsData entry typist Microsoft Windows 2016 / Word programs, Excel, Powerpoint, Rumba, Nextgen, Multiple accounting programs, Lotus, Multiple word processors. 10 Key Calculators, faxes, copies, wide range of office equipment. Dialysis Reuse Technician, receptionist, administrative assistance experience, NextGen, Rumba and Emdeon experience, Centrix, Access, Medical billing and Coding, commercial insurance specialistProfessional ReferencesJack Heath - Manager Connolly-Cotivit Healthcare 267-912-5750Jeffrey Oliphant Senior Collector Cotiviti Healthcare PHONE NUMBER AVAILABLECynthia Joseph- Supervisor CardioNet Inc. 646-251-7050Lauren Leonard- Director CardioNet Inc PHONE NUMBER AVAILABLERashida Silver- Coworker Aetna Inc PHONE NUMBER AVAILABLE/pre> |
