Baton Rouge Insurance

P am J Blackwell

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

Baton Rouge, LA 70817

225-***-**** (cell)

**************@***.***

SUM MARY OF QUAL I F ICAT IONS

Eighteen years of processing and verifying Healthcare data.

Four years of Insurance Verification.

Major strengths include analytical and organizational skills, with leadership ability, team

p layer, t raining, scheduling and supervisory skills, as well as, effective organization and

i nterpersonal skills.

Computer and internet li terate.

EXPER I E NCE

BLUE CROSS BLUE SH IELD-APPEALS & GR IEVANCE REPRESENTAT IVE

January 2009-Current

• Upload PHI into database for processing

• Maintain database to ensure files are accurate and correct

• Analyze and identify possible system errors

• Accurately document pertinent information into database

• Handle t ime sensitive material with internal and external entities

• Document, sort, incoming and outgoing mail receipts

• Maintain Appeals archive of records

• Compile records for Offsite vendors

B LUE CROSS BLUE SH IELD OF ARKANSAS/

P I NNACLE BUSINESS SOLUT ION I NC-Lead Clerk

December 1984-May 2008

• Lead clerk to staff of fifteen

• Performed Supervisor’s functions in his/her absence

• Performed monthly analysis of production

• Conducted solution-t raining session for processing of Medicare claims

• Generated production monitors

• Coordinated t raining sessions

• Process Medicare Claims

• Perform Quality checks

• Shipping and receiving

BATON ROUGE GENERAL M ED ICAL CENTER- ER Admit Clerk

JULY 2000-2004

• Discharge and admit

• Insurance verification

• Collect co-payment

• Gather patient information

• Verify authorizations

EDUCAT ION

Southern University, Baton Rouge, LA

MedVance Institute of Baton Rouge, LA

COMPUTER SKILLS

M S Word, Excel, Printer, Fax, and 10-key

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