Insurance Data Entry
Resume:
SCHERAINE BEAU
Westwego, LA 70094
*********@*****.***
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OBJECTIVE: CAREER ADVANCEMENT
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WORK EXPERIENCE
Clinical Intake Specialist
December 2012 to present
Humana Inc. Metairie, LA
Approving and Issuing authorizations/referrals to Providers/Members for
services being rendered (CLINICAL REVIEW). Reviewing for Pre-x Riders,
Exclusionary Riders, Waiting Periods, State Mandates, Buy-Up Riders,
Effective Dates, Condition Specific Deductibles, Member Misrepresentations.
Review CPT and DX codes. Work faxes received by Providers (clinicals). DME,
HOME HEALTH, HOME HOSPICE AND INPATIENT HOSPICE, MENTAL HEALTH, MATERNITY,
IN AND OUT PATIENT, HEALTH HELP, ANSWER HIGH VOLUME PHONES, REVIEW POLICIES
AND BENEFITS
Med\Surg Unit Secretary-PRN
May 2012 to present
River Parishes Hospital Laplace, LA
Entering\faxing orders, consults, creating\breaking down charts, answering
switchboard phones, bringing patients items upon request, assisting nursing
staff, transcribing
Revenue Cycle Rep III-EPIC
August 2011 - present
Ochsner Clinic Foundation Benson Towers
Healthcare Services-Authorizations and Referrals, scanning, answering
phones, updating\verifying benefits and demographics, denials, peer
training
Patient Registration Rep III
October 2010 - July 2011
Ochsner Baton Rouge, LA
Healthcare Services
data entry of patient demographics and insurance information, verification
of insurance and authorizations, get appropriate paper work filled out by
patients, check patients in, collect copays, balance all monies at the days
end, peer training and interviewing, patient satisfaction committee, cpr
certified
Coding & Billing/Registration/Scheduling/Collections
September 2006 - August 2010
Claiborne & Associates New Orleans, LA
filing, pulling and prepping of charts
front desk (checking in patients, answering phones, data entry, referrals,
verified medical benefits)
back desk (checking out patients, collecting co-pays and phone payments,
making follow-up appointments, filing documents in charts, confirmation
calls, rescheduling appointments for doctors time off, selling cosmetic
products, kept track of cosmetic inventory, ordered supplies and products,
data entry, keyed in charges and verified doctors notes, used derm-coder
for proper coding of fees, printed and balanced batches at the end of each
day, daily deposits)
helped out in nurses department when needed (faxing and noting re-fill
authorizations)
Registration/Scheduling/Collections/Coding
November 2005 - September 2006
Crescent City Physicians New Orleans, LA
filing, pulling and prepping of charts
front desk (checking in patients, answering phones, data entry, referrals,
verified medical benefits, confirmation calls, collecting co-pays,
deductibles and co-insurance fees)
back desk (checking out patients, making follow-up appointments, filing
documents in charts, rescheduling appointments for doctors time off, data
entry, verified doctors notes and charges)
collected and distributed mail and messages
greeted and directed visitors
Assistant Underwriter
March 2005 - August 2005
Dan Burghardt Insurance Metairie, LA
accepted or rejected applications
specified applicable endorsements and applied rating to ensure safe and
profitable distribution of risks
notified customers when service was completed and accepted payments
issued temporary identification cards
answered customer's calls, mail and in-person inquiries and directed
customers to appropriate sales area
resolved customer complaints and requests for insurance policies
typed checks and vouchers requesting payment of premiums
reviewed notification from insurance companies of lapse in premiums paid by
customers
ordered payment of premiums and notified customers of delinquency in
premiums
arranged for renewal, transfer or cancellation of insurance coverage
recorded dates of insurance expiration and cancellation, using computer
cancelled insurance policies as requested by agents
received computer printout of cancellation data and retrieved expiration
card from file
checked number on card with number of policy
typed cancellation correspondence and mailed with canceled policy to
policyholder
mailed cancellation notice to agent
analyzed original copy and operated electronic scanner
typed on scanner keyboard and touched mouse to symbols on scanner's video
display unit to input software
Surgery Data Entry Clerk\Scheduler\Coder
May 2004 - November 2004
Omega Hospital Metairie, LA
completed and faxed daily surgery schedule to all Physician's and
departments of hospital
answered phones and scheduled surgeries
inputted all supplies used in surgery in computer and printed itemized
bills
transported specimens to lab
Admit Representative
August 2002 - April 2004
Methodist Hospital New Orleans, LA
notified departments of patient admissions
performed a variety of clerical duties and other duties pertinent to
establishment
interviewed patients and representatives to obtain personal information
explained hospital regulations, such as visiting hours, payment of accounts
and schedule of charges
escorted patients or arranged for escort to assigned room and ward
entered patient admitting information into computer and routed printed copy
to designated department
obtained signed statement from patient to protect hospital interests
received payments on accounts
verified hospitalization insurance coverage, computed patients' benefits
and compiled itemized hospital bills
telephoned, wrote and wired insurance companies to verify patients'
coverage and to obtain information concerning extent of benfits
answered patients' questions regarding statements and insurance coverage
Head Cashier-Supervisor
January 2000 - July 2002
The Home Depot New Orleans, LA
determined work procedures, prepared work schedules and expedited work flow
issued written and oral instructions
assigned duties and examined work for exactness, neatness, and conformance
to policies and procedures
resolved customer and employee complaints
received cash from customers and employees in payment for goods and
services, and recorded amounts received
gave cash refunds
issued credit memorandums to customers for returned merchandise
operated cash register with peripheral electronic data processing
equipment, for bar coding
received cash, checks, and completed credit card transactions from
customers and employees
counted money to verify amounts and issued receipts for funds received
compared totals on cash register with amount of currency in register to
verify balances
successfully managed a front end with approximately 30 cashiers
Office Manager
January 1997 - December 1999
The Children's Heart Institute New Orleans, LA
performed a variety of clerical duties and other duties pertinent to
establishment
collected and distributed mail and messages
answered telephones, accounts payable and receivable
typed memos, correspondence, reports, and other documents
operated office machines, such as typewriter, calculator and computer
scheduled appointments, verified insurance, authorizations, gave
information to callers, took dictations and otherwise relieved officials of
clerical work and minor administrative business details, ordered all office
and medical supplies
filed correspondence and other records
checked patients in and out, collected co-pays for services
data entry and billing, quick books, credentialing for doctor's
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EDUCATION
Herzing University Kenner, LA
Obtaining Associates in Medical Billing and Coding
2013 to current
John Ehret High School Marrero, LA
High School Diploma
Graduated May 1995
Completed the DECA Program.
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CERTIFICATION
CPR AND AED
May 2011-May 2013
AMERICAN HEART ASSOCIATION
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