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Medical Insurance

Location:
Birmingham, AL, 35212
Posted:
October 19, 2010

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Resume:

Coretta F. Minter

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Objective: My objective is to gain a position with an organization, which

can benefit from my vast experience in various clerical positions while

offering me the opportunity for growth and advancement.

Experience 2009 to present Brookwood Medical Center

Birmingham, AL

Patient Access Representative (PAC)

PAC must maintain all patient information with a

maximum of confidentiality.

The position requires visits to the patient room on

various floors.

It requires working with the Case Management

department to ensure precertification

is obtained timely to avoid penalties to the

facility.

PACs must ensure all signatures are correct and

obtained on admission for all

documents including: Consent for treatment,

Advanced Directives, Medicare Rights,

and Medicare Important Message.

PAC is responsible for collections of any patient

liability and maintaining corporate

cash controls policy to minimize bad debt.

2003-2009 Brookwood Medical Center

Birmingham, AL

Blue Cross Blue Shield Billing and Follow-Up

Reviewed Blue Cross accounts and made corrections

for billing.

Reviewed accounts and verified whether payments

were made or were denied.

Communicated with Blue Cross to determine why

claims were denied.

Followed-up with other insurance carriers;

discussed how to resolve claims.

Contacted patients to discuss denied claims;

obtained information needed

to process claims.

Documented comments into systems (ACE or PBAR)

after follow-up is

completed.

1999-2003 Brookwood Medical Center

Birmingham, AL

Medicare Follow Up

Reviewed Medicare accounts for accuracy.

Made contact with insurance companies to determine

when payments

would be made, and document comments on completion

of follow-up.

Contacted patients for necessary information to

process claims for

payment.

Keyed and corrected Medicare claims with errors in

Advantis system (DDE).

Broke down Medicare remits.

1996-1999 Unity Health Management Services

Birmingham, AL

Billing Coordinator

Filed Medicare/Medicaid accounts...

Maintained Medicare/Medicaid pre-transmissions and

exception report.

Prepared Medicare/Medicaid remittances for data

entry

Communication with branch offices through branch

managers regarding

late or missing documents required for billing.

1996-1996 Lawyers Title

Birmingham, AL

Binder/Typist

Typed various complex and simple assignments.

1994-1996 Southtrust Bank of Alabama, N. A.

Birmingham, AL

Loan Representative

Released title loans after pay off.

1980-1993 United States Fidelity & Guaranty

Ins. Co Birmingham, AL

Senior Claims Technician

Keyed claims for payment and also issued drafts.

Reviewed workers compensation claims for payment.

Operated the switchboard and worked with the mail.

Education 1978-1980

Southern Business College

1975-1977

Booker T. Washington Business College

References available upon request.



Contact this candidate