Post Job Free

Resume

Sign in

Customer Service Insurance

Location:
Madison, WI, 53704
Posted:
April 10, 2011

Contact this candidate

Resume:

Alyssa Kippley

**** ******** **** #***

Madison, WI 53704

Phone: 608-***-****

Experience Meriter Hospital

Billing/Follow up Coordinator

(January 2010-present)

Responsible for all aspects of physician billing for

Meriter Medical Group. Working all payors and claim

types.

Working claim from beginning to end in Epic

University of Wisconsin Medical Foundation

Insurance Follow Up Representative

(November 2008-January 2010)

Work with Wisconsin Medicaid and out of state Medicaid

programs to get claims payments

Appeal incorrect denials and payments

Provide excellent customer service to both internal

and external customers

Commercial Appeals Rep/Worker's Compensation Appeal

Rep (February 2005-May 2008)

Appeal commercial insurance denials

Follow up on claims without payments

Update patient registration with accurate insurance

information

Appeal inadequate Workman's Compensation payments

Dane County Sheriff

Jail Clerk

(May 2008-October 2008)

Booked inmates into the jail

Took bail money

Reviewed release paperwork to ensure an inmate could

actually be released

Provide customer service in person and via telephone

to families and friends of inmates

Unity Health Insurance

Benefit Plan Specialist (August 2002-February 2005)

. Establish and maintain all medical, dental and

pharmacy benefit plans to ensure correct payment of

claims

. Answer complex internal and external inquiries

regarding various plans offered by Unity Health

Insurance

. Create and present training sessions; perform

ongoing review of system upgrades and related training

materials

Senior Recoveries Specialist (February 2002-August

2002)

. Corrected claims paid in error

. Settled cash and posted checks received from

providers and members

. Answered phone calls related to claims payments

and benefits from providers and members

COB Recoveries Specialist (April 2001-February 2002)

. Coordination of benefits

. Workman's Compensation claim's

. Subrogation

. Reprocessed COB claims

. Responded to questions from internal and

external parties related to COB, workman's

compensation and subrogation via email and telephone

. Completed entire customer service training,

worked part time as a Customer Service Representative,

answered questions from members and providers promptly

and accurately

Claims Processor

. Processed different claim types

. Worked various reports

Mobil Gas Station-Prairie du Sac WI (March

2001-February 2002 part time)

. Cashier, assist customers, stock shelves and

coolers

Shopper Stopper-Merrimac WI (June 1997-June 1999 part

time)

. Phoned customers to ensure they were

receiving quality service

. Inserted advertisements into newspapers

Education

Electronic Health Record Implementation Certificate

Madison College September 2010-Present

Upper Iowa University graduated Cum Laude 2009

Bachelor of Science

1999 Graduate of Sauk Prairie High School, Prairie du

Sac, WI

Skills & Knowledge Excellent communication skills both verbal and written

Computer proficiency including extensive Epic

experience

Strong problem solving skills

Ability to learn quickly and work independently and as

part of a team



Contact this candidate