MICHELE
KORTENKAMP
ad2knt@r.postjobfree.com
Dubuque, IA 52001
SKILLS
● KEY QUALIFICATIONS
● Payment Posting â-ª Scheduling
â-ª HIPAA Compliance â-ª
Medical Terminology
● Office Operations
● Accounts Payable and Accounts
Receivable
● Microsoft Office
● Claims
EDUCATION
Ultimate Medical Academy
Tampa, FL • 02/2020
No Degree: Medical Billing and
Coding
Hawkeye Community College
Waterloo, IA • 08/1990
No Degree: Dental Assissting
PROFESSIONAL SUMMARY
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Organized and dependable
candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added
responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
WORK HISTORY
ASTON CARTER / ELEVANCEHEALTH - Claims Processor
Remote / Contract • 12/2022 - Current
● Evaluated accuracy and quality of data entered into agency management system.
● Followed up with customers on unresolved issues.
● Collaborated with claims department and industry anti-fraud organizations to resolve claims.
● Established positive and trusting relationships with injured clients, administering efficient customer
service and processing claims quickly.
● Analyzed information gathered by investigations to report findings and recommendations.
● Checked documentation for accuracy and validity on updated systems.
● Verified client information by analyzing existing evidence on file.
● Generated, posted and attached information to claim files.
● Maintained strong knowledge of basic medical
terminology to better understand services and
procedures.
● Collaborated with claims department and industry anti-fraud organizations to resolve claims
Cognizant / CVS - Customer Service Representative
Remote / Contract • 08/2022 - 12/2022
Jesup Community School
Jesup, IA • 05/1985
High School Diploma
● Insurance Verification â-ª Insurance Claim Processing â-ª EOBs â-ª Co-Payments â-ª Deductibles
● Managed Care (HMO â-ª PPO â-ª POS) â-ª Government Payers â-ª Third Party Payers
● Greenway Prime Suite EHR â-ª Electronic Medical
Records (EMR) â-ª Electronic Health Records (EHR)
● Medical Billing â-ª Medical Coding â-ª ICD-9 â-ª ICD-10 â-ª HCPCS â-ª CPT
● Medicare â-ª Medicaid â-ª Tricare â-ª CMS 1500 â-ª CMS 1450 (UB-04) â-ª Fee Schedules â-ª Medical Office
● Procedures, Inbound calls for Open Enrollment
Accenture - Data Analyst/Claims/Analyst, -Intake
Coordinator
Remote / Contract • 08/2021 - 02/2022
● Back Office/Data Entry -Handle inbound calls to resolve customer enquire
● Supported office staff and operational requirements with administrative tasks.
● Applied specific subject matter knowledge to achieve project objectives and to contribute to impactful
outcomes.
● Viewed reports regularly to make sure processing was conducted efficiently.
● Maintained strict confidentiality with all personal data as per company guidelines.
Change Heath Care - Claims Representative
Remote / Contract • 10/2020 - 01/2021
● Handle all claims to approve/disapprove applications,
-Worked with Medicare & Medicaid claims
● Examined reports, accounts and evidence to determine integrity and accuracy of information.
● Worked productively in fast-moving work environment to process large volumes of claims.
● Evaluated accuracy and quality of data entered into agency management system.
● Checked level and type of coverage and evaluated contracts.
● Checked documentation for accuracy and validity on updated systems.
● Generated, posted and attached information to claim files.
● Maintained confidentiality of patient finances, records and health statuses.
● Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
● Modified, updated and processed existing policies. Sedgwick - Disability Representative Project
Coordinator
01/2003 - 01/2021
● Data entry -Put detailed packets together for Fortune 500 companies regarding Long & Short Term
● Disability
● Intake Coordinator
Concentrix - Data Analyst/Claims Analyst
Remote • 02/2020 - 10/2020
● Pulled claims data from CMS systems, completed PI redactions and imported data for further analysis.
● Assisted CMS with analysis in support of federal health program implementations.
● Led and contributed to planning and design of
claims-based analytical research and studies.
● Applied specific subject matter knowledge to achieve project objectives and to contribute to impactful
outcomes.
● Maintained strict confidentiality with all personal data as per company guidelines.
● Interacted with clients and employees, which helped cultivate positive working relationships.
● Followed up with insured individuals regarding
premium and deductibles payments.
Hills and Dales Child Development Center Group
Home - Personal Care Technician/ Data Entry specialist 08/2010 - 06/2013
● Provided companionship and personal care for special needs patients í Prepared meals, dispensed
medication and transported to doctor appointments í Took vital signs, monitored intake and output and
encouraged self-care by demonstrating use of walking aids í Taught appropriate ways to re-position
patients, handled light cleaning duties and maintained accurate records í Entered file information into system on day-to-day basis
Martelleâs - Cashier / Customer Service
01/2008 - 01/2010
● Processed transactions, accepted payments, and
provided prompt, courteous customer service í
Prepared food, stocked shelves and balanced tills í Worked as part of a team and interacted with diverse customers and staff members í Followed all policies as they related to customer confidentiality
Dr. Hall, DDS - Certified Dental Assistant/ Data Entry Specialist
06/1999 - 07/2000
● Greeted patients, managed appointments, and kept treatment records í Proficient in reception,
insurance, record-keeping, and general office
procedures í Assisted dentists with selecting
instruments, mixing dental filling materials and
cleaning work area í Organized and set-up
instruments and materials for dental procedures í Maintained knowledge of dental procedures and
terminology and provided outstanding customer service í Set up X-rays and other dental tests, ordered dental supplies and maintained stock í Entered medical
records into systems, adding patient information,
adding other related information through data entry. Hartsook, DDS - Certified Dental Assistant/ Data Entry Specialist
07/1991 - 02/1998
● Handled reception, billing, record keeping and general office duties í Answered inbound calls, scheduled appointments, greeted patients and ordered supplies í
Assisted dentists in the direct provision of primary care dental services í Prepared patient for
treatment, set up and sterilized equipment and took dental X-Rays í Entered medical records into
systems, adding patient information, adding other
related information through data entry
AFFILIATIONS
Hands-on, task focused professional who offers strong clinical and customer service skills gained through 12+ years of experience within high-volume dental practices. Follows policies, procedures and guidelines to ensure consistent quality and maintains and safeguards patient privacy and confidentiality. í Attentive to Detail: Review and correct errors, and maintains compliant documentation í Front Office: Verify insurance
coverage, Medicare & Medicaid coverage, schedule
appointments, and collect co-payments and deductibles í
Accuracy: Ensure correct and thorough demographic information for medical records database í
Administrative Skills: Microsoft Office Applications (Word, Excel, and PowerPoint) - Type 50 WPM Electronic Medical Records (EMR / EHR) Greenway Prime Suite EHR
.