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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Linwood StNew Britain, CT Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVE: Health Claims Specialist-Experienced Professional, accurate, detailed coding and billing, insurance, knowledge of Medicare and Medicaid guidelines, I will ensure prompt reimbursement of claims. PROFESSIONAL EXPERIENCE:Meridian Medical Management10/2017-02/14/2022Windsor,CTDuties Pulling down the daily EFTs Post payments for St. Lukes medical group Work on cash log spreadsheet Distribute work to the posted by the posting team Working credit balances Was part of a credit balance teamRam Radiology (Temp) 5/2017-9/2017Middletown, CTDuties Working the outstanding A/RConstitution Billing and Finance Services 8/2016-11/2016 Avon, CTMedical Billing(Temp)Duties Work denials from all Insurance plans Post Insurance and patient payments daily Collection calls regarding patient account balances Customer serviceThe Hospital of Central Connecticut 11/2011-02/2015 New Britain, CTCharge EntryDutiesEntering charges for 4 different specialties groups with 20+ doctorsEntering patients demographicsCustomer serviceAdvanced Medical Billing 08/2010 to 9/2011Farmington, CTAccount CoordinatorDutiesA/R collections on 15 different specialties with 200+ doctorsParticipated on a special projects team that resolved taxonomy issues with Medicaid, NPI issues with Medicare resulting in reimbursements over $100,000.Specialized in Anthem A/R and appeals process, while still working all MCO, Commercial, and self-pay accountsCustomer servicePhylogic Healthcare 04/2009 to 09/2009Springfield, MassBilling CoordinatorDutiesResponsible for the daily charge entry of 4 different Specialties that were located out of state.Customer service call centerUCONN Health Center 08/2008 to 12/2008K-Force Temp ServicesFarmington, CTAccount CoordinatorDutiesAudited denials from carriers to ensure correct coding procedures were be followedVerified patient eligibility to ensure claims are going out correctly the first timeExperienced with the appeals process for United HealthCare Phoenix Internal 10/2006 to 02/2008Thomaston, CTAccount CoordinatorDutiesCharge entry and payment posting for Skilled Nursing Facilities and office visits for a general practiceAccounts receivable collection calls for all carriers on a daily basisAuditing of encounters to ensure patient eligibility Computer Skills:Misys Vision, Misys Tiger, and SSIMED billing software systemsMicrosoft Office, and ExcelMonarch DatabaseEDUCATIONBranford Hall Career InstituteHealth Claims Certificate 2003 Windsor, CTHigh School Diploma 1995 New Britain, CTNew Britain High SchoolReferences available upon request |
