**** ********* **, *** * Philadelphia, PA *****

Phone 484-***-****/610-***-**** • E-mail acrwsg@r.postjobfree.com

Cynthia Jefferson

Summary of qualifications

*/**** – 9/2012 King of Prussia, PA

Contemporary Staffing Solutions

Medical Reviewer

2/2011 – 5/2011

Synerfac/Procura Management Norristown, PA

Medical Bill Analyst

Audit Auto accident bills in Medata Toolbox

Input CMS 1500 & UB bills into Core

Checked system for duplicate, incomplete bills

Matched claimant and insurance information with the correct bills

3/2009 – 4/2009 & 09/2009 – 10/2009

Insurance Recruiting Specialist/PMA Insurance Blue Bell, PA

Managed Care Specialist

Auditing Workers Compensation Scanned Bills

Processing CMS1500 forms in accordance with State Guidelines

Checked billings for required documentation & authorizations

12/2006 – 2/2009 Coventry HealthCare King of Prussia, PA

Associate Technical Claims Specialist

Calculated Department numbers daily

Assigned daily work for entire department

Spoke with providers regarding denials, required information, correct billing

Assisted co-workers with billing issues

Worked with Supervisor in regards to daily work, department guidelines, rules updates, and state guidelines

Spoke with insurance companies about billing errors, new guidelines, and updated information

Part of a monthly meeting with insurance company

Processed CMS 1500 bills, UB92 form, ASC billings, DME billings, and Pharmacy billings

Overseeing of a team of 5 auditors

Communicating with the Insurance Company, Providers, and Adjustors

2006 - 2006 Concentra King of Prussia, PA

Externship/Medical Bill Processor

Responsibilities included:

Workers Compensation Billing

Auto Billing

Denials

Anesthesia billing

DME billing

Rx Billing

Inpatient/Outpatient Billing

Ambulatory Surgical Center Billing

Education

2/06 to 10/06 The Chubb Institute Springfield, PA

Medical Billing & Coding

Diploma/ Medical Billing and Coding

6/01- 3/03 Katharine Gibbs School Norristown, PA

Associates Degree

Specialized Technology

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