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Manager Insurance

Location:
Centereach, NY
Posted:
December 04, 2012

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Resume:

MARGARET REMICK

*** ******** *****

BASKING RIDGE, NJ 07920

484-***-****

EXPERIENCE

Easton Hospital, 250 South 21st Street, Easton, PA 610-***-****

January, 2007 to present

Easton Hospital is owned by CHS (Community Health Systems) Responsible for four hospitals in the Philadelphia area. Review outstanding AR to resolve billing, incorrect payments,

and write necessary letters of appeal. I am in constant contact with care managers at the hospitals and our insurance provider reps when a claim is not paid according to contract or out of

network. Review and post payments from EOB’s from insurances. Contact patients to update

their insurance or to give them the name and phone number of either a financial counselor at the

hospital, or give them the number to their local welfare office to obtain Medicaid.

Dr. Bengt Ivarsson, 801 Ostrum Street, Bethlehem, PA 610-***-****

August, 2005 to January, 2007

Reviewed all surgical codes after Dr. Ivarsson coded, making sure they were accurate or needed modifiers. Electronically and paper billed all surgeries and office visits. Reviewed and worked the outstanding AR. Wrote letters of appeal. Occasionally worked the front desk when needed. Contacted patients for updated insurance and/or outstanding balances. Worked to set up payment plans for patients with either outstanding balances or no insurance.

Nephrology Hypertension Associates of the Lehigh Valley

50 South 18th Street, Easton, PA 610-***-****

June, 2004 to August, 2005

Posted all diabetes clinic payments for six Dr’s. Posted office visit payments and reviewed and

Posted payments from EOB’s. Filed, sent medical records. Set up patients and reviewed and contacted insurances for verification/authorizations for injections, dialysis, and office visits.

EDUCATION

Hillsborough High School, Hillsborough, NJ 1970-1974

Lamson Business College, 1974-1975

Moravian College, Bethlehem, PA 1994 (writing and literature classes)

REFERENCES

Jennifer Trimmer, RN, 484-***-****

Donna Yost, Manager for NJ Medicaid office 908-***-****

Pam Marth, Underwriter 484-***-****



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