High School Data Entry

Tina Jeffery

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

Arlington, T.X. *6006

469-***-**** (cellular)

******@*****.*** (email)

Objective: Highly organized and dedicated professional seeks to obtain a

position with an established company where my experience and communication,

leadership, team-playing, and relationship building skills will be a

benefit while also providing an opportunity for growth and advancement.

2006-2009 Kaiser Permanente Ft. Worth, TX

Account Services Representative

1 Processes health enrollments, cancellations, appeals. Medicare and,

Medicaid financing.

2 Ensures purchasers' compliance with health plan polices and contractual

provisions.

3 Resolves membership issues for both internal and external customers while

generating multiple solutions. Eligibility and reinstatement procedures.

4 Process credit card payments, post payments, refunds, claim payments,

EFT, and work A/R reports.

5 Verify low-income subsidy verification forms.

6 Communicate with the regional liaison and other departments to find sound

solutions.

7 Adhere to HIPPA regulations and guidelines.

2004-2006 LML Payment Systems Dallas, TX

Claims Specialist

1 Post and reconcile payments and work various A/R reports.

2 Create auto scribes to draft from debtors' accounts.

3 Research and gather solutions for accounting discrepancies.

4 Input bankruptcy and forgery data in system.

5 Process credit balance accounts, refund overpayments to guarantor to

third party payer.

2000-2004 National Health Ins Company Grand Prairie. TX

Annuity Payment Representative

1 Follows up on unpaid/unresolved account balances on a daily basis, and

notates

follow up response on patient accounts.

2 Prepares adjustment and write-off requests as necessary.

3 Provides insurance carriers with requested information to facilitate

payment.

4 Ensures that all timely filing requirements are met and claims are

followed up

on in a timely and appropriate manner to eliminate timely filing denials

and non-payment of claims.

5 Obtains benefit plans when necessary to file appropriate appeals for

claims that have not been paid at the appropriate rate.

Education:

Tyler Junior College

Associate Arts Degree in General Studies - 1995-1998

Denison High school

High School Diploma - 1992-1995

Skills: Microsoft Word, Excel and Outlook, Data Entry, Customer services,

Claims and Government Policies.

Contact this candidate