| 20,000+ Fresh Resumes Monthly | |
|
|
| | Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLE Des Moines, IA Street Address
SUMMARYI have over 16 years in the health industry processing claims. I can also do accounting work such asaccount receivables, and issuing manual checks. I have excellent people skills. I adapt to changevery well.SKILLSCan use a 10 key Customer ServiceFax and Copier and phone Reliable & trustworthyI can meet deadlines People skillsI can meet expectations I know Word, ExcelCan prioritize my work Know how to use spreadsheetsFriendly and positive attitudeEXPERIENCEDocument Image Processor, Principal Financial-DISYS, July 2022-CurrentUrbandale, IASorted MailSeparate the checks from the documentsTake checks out of the envelopesFind the contract id numberFind the member id numberDo ScanningPull the checksIf no information on the check or documentation with it I had to locate it using differentsystemsClaims Specialist, Timberline Billing Service, October 2021-March 2022West Des Moines, IAProcessed Medicaid claims daily for Special Needs StudentsTransportationTransportation AttendantBehaviorIndividual and GroupHealthGroup and IndividualSuppliesChange addressesVerified coverageAdded times and put the times into the system from school logs from different districts. Added themonthly supplies and put into the system.Insurance Specialist, Avadyne Health, October 2021-October 2021Urbandale, IAVerified insurance coverage, the member name and phone numberWorked off of different systems such as Citrix and EPICThese were paperless claims that were in a que. I had to make phone calls to other insurancecompanies to verify the coverage and or termination date.Billing Specialist, Mom's Meals, October 2020-November 2020Ankeny, IAVerified coverageVerified addressCount meals that were purchasedPut the amounts into a spreadsheetIf no coverage put the amount into a separate spreadsheetThese were paperless claims. I had to determine if their health insurance was going to pay for thisservice.Claims Examiner III/ Cash Adjuster I, Wellmark Blue Cross And Blue Shield Of Iowa, July2002-September 2018Des Moines, IAHandled and processed variety of claims, including regular business and out of state claims.Received cash and checksApply money to Accounts ReceivablesDevelopment lettersOut of state claimsIssued manual checks to provider and members as well as thru the systemWorked Coordination of benefitsVerified other insurance effective & cancellation dateUpdated COB, Workers compensation comment screenPhone mail/Voice mailLetter of InquiriesBlues enroll-Membership applicationsAnswer providers and members questionsMake sure my cash receipts balance each weekI had to know all lines of business within the company.. It was very challenging but also rewardingposition.EDUCATION AND TRAININGGEDDM Technical High School, Des Moines, IA June 1986ACCOMPLISHMENTSReceived a Star Award for training a Senior workers compensation comments. |