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Customer Service Insurance

Location:
Ocala, FL
Posted:
March 27, 2015

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Resume:

Lynne Morvant

**** ** ***** *****. *****, FL

352-***-****

Objective

To obtain a full time position utilizing abilities developed through

experience with the opportunity for professional growth based on

performance

Education

W.T Loften Center, Diploma issued June 1998. Special Studies, Business

Education

Currently attending College at Rasmussen, studying Health Information

Management HIM

Experience

The Centers

02-13- current

Insurance Claims Coordinator

Billing for mental health both Inpatient and out patient

*Create batches for outpatient billing

*Upload batches to Claimsremedi, Mcaid, BCBS MCR HMO, and MCD HMO

*Correct any claim errors in Claimsremedi, resubmit for rescrubbing or

reprocessing

*Verify Authorizations for Inpatient stays

*Review EOB for denial or payment

*A/R for all insurance companies

*Create appeal for any and all insurance companies

*Appeals for any and all denial for Inpatient and or Outpatient stays

*Update monthly A/R spreadsheet for monthly meetings

*Resolved patient phone calls with billing disputes

10-11 to 06-12

Anesthesia Care Team Billing Inc.

Billing Specialist

*Billing anesthesia claims for MRMC for 7 doctors and 13 CRNA's

*Retrieve payments from ERA

*Post payments in AVID

*Worked denials for all insurance company's

8-08 to 03-11

Express Care of Ocala

Medicaid Specialist/ Biller

*Daily balancing of day sheets for daily closes

*Billed Medicaid through Medicaid web portal, corrected any denials or

problems with claims before they are sent to Medicaid

*Posted payments for any and all insurance companies, did adjustment write

offs

*Exported claims from EMR to software to be billed out through the

clearinghouse including ERN, ENS

* Printed all paper claims attached documents and mailed

*Sent out patient statement's, resolved billing disputes with patients

*Worked A/R for Medicaid and all insurance companies as well as W/C and

auto

11-02 to 7-08

Anesthesia Billing Corp. Ocala, FL

Financial Specialist

*Billing anesthesia claims for 9 facilities to clearing house

*Send claims electronic

*Retrieve payments from ERA

*Billing for 2 major hospitals

*Post payments in Intergy from Insurance for 9 facilities

*Work denials for doctors

*Submitted and issued refund request

*Prepared and worked AR reports

5-99 to 11-02

Shands @ AGH/ Shands Gainesville, FL

Scheduling Clerk Financial Specialist, BAR Radiology

* Front desk check in and check out

* Collected co-pays from patients

* Billing for all of Radiology/Shands Facilities, including WC, verifying

and updating Health/ WC Insurance

* Responsible for scheduling all radiology and mammography, computerized

tomography, ultrasound, nuclear medicine, gastrointestinal procedures,

Heavy phones using multi-line phone system

* Processed paperwork which included insurance verification, patients

demographics, and obtaining written doctors orders, Data entry in Radiology

software, One on one patient relations

Professional Profile

* 15 years' experience as customer service representative, with superior

customer relation skills

* Excellent written/oral communication skills

* Highly organized, dedicated with a positive attitude

* Ability to work on multiple assignments under pressure

Professional Skills

Ten key by touch...Aging reports...Data entry...Superior phone

skills...Excellent customer service skills...Multi tasker...Problem

solver...Filing...Typing... Faxing...Copying...Accounts

receivable/payable...Daily deposits...Medical Manager...Windows 98...Excel

worksheet...HIS...CMHC...Profiler...SMS...IDX...NextGen...QS...Intergy...Inn

ovation, Medinotes



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