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EXPERIENCEState of TennesseeNashville, TN // Legal Assistant // 09/2018 present TennCare AppealsAnswering calls and processing information for all TennCare appeal areas Filing continuance motions and case changes for Appeal Hearings Reviewing TennCare policies and procedures for applications, appeals and client data Learning and implementing new statewide service system for TennCare data for clients and appeals departments Utilize a variety of computer systems and databases in the support of the eligibility determination business process. Inform appellants and legal parties of processes for their appeals, including notifying appropriate parties for Hearings, Initial Orders and Final Orders.Medcyle ManagementNashville, TN // Patient Account Representative // 01/2016 09/2018 Patient Account RepresentativeInitiates proactive measures that result in account resolution. Responds timely and accurately to all incoming correspondence and inquiries from insurance companies, and other appropriate parties.Initiates contact with patient, as necessary.Initiates recommendations and action plans for resolving accounts. Responds to all phone calls in an efficient and courteous manner. Writes appropriate notes in system for every account, including any action taken. Appropriate follow up and systems processes following MedCycle guidelines. Reviews EOBs to ensure that appropriate steps are taken in resolving accounts. Mrs. Grissom's SaladNashville, TN // Machine Operator // 01/2010 01/2016 Set up knowledge of all equipment in the departments to which assigned. Ensure that weighing scales are working accurately before the start of each shift. Make minor offset adjustments to different equipment. Make operational adjustments to maintain proper machine rates and packing quality. Stack, mark and pack final product for shipping.Sara lee BakeryNashville, TN // vacation relief person // 10/2000 11/2009 Vacation Relief PersonWeighed and measured ingredients for the dough mixer machine. Responsible for set up, monitoring and adjusting the oven temperature and time control. Ran the bread bagger machineprepared special orders for shipping.EDUCATIONHigh Tech InstituteAssociate degree // 2005 2007Medical Biller and CoderMedical Career Collegecertification // 1989 1990Certified Nurse TechnicianSKILLSVarious computer softwareKnowledge of CPT Code, ICD-9 and IC 10 CodingDough preparationOperate proof box, Mixers, Bread production lineAdherence to food safety and sanitation practicesOffset adjustments to various production line machines. |