Louisville KY ***15
To secure a position offering personal growth and career advancement.
Claim Examiner May 2011 to present
Process medical insurance claims. Expert knowledge with UB and HCFA insurance claim.
Knowledge of bother Commercial and Medicare guidlines and HIPPA guildeines.
Humana May 2000 to April 2010
Medical Provider Review December 2003 to April 2010
*Assure proper processing for medical claims for health insurance company
in a timely manner. Use of Lotus Notes, Microsoft Excel, Microsoft Word, Metavance and CAS (claims processing software). Superior knowledge of
insurance policies and concepts.
Vertexer May 2001 to December 2003
*Properly key in health insurance enrollment forms into system.
Responsible for assuring member information was accurately keyed into
Office Support Clerk May 2000 to May 2001
*Responsible for keying Medicare Check log into an Excel Spreadsheet.
Prepped and scanned enrollment forms into systems using scanner.
Delivered enrollment applications to co-workers.
Personal Computer skills, excellent typing skills. Experience with
Microsoft Word, Microsoft Excel, Lotus Notes, and Internet search
abilities. Excellent knowledge of modern office methods, practices, and
equipment. Ten years experience working in an office environment.
Knowledge of CPT, ICD-9 and HCPCS codes.
Graduated with a Medical Coding Diploma from U.S. Career Institute-Feb. 2011
Iroquois High School-Graduated May 2000
Marcia Rutledge, Team Lead for MPR at Humana
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