Customer Service Manager

LaVon Nettleton

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

Marinette, WI 54143

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

BaY Area Medical Center

April 2004 - Present

CVIS/DI Charge Capture Coordinator

As a CVIS/DI Charge Capture Coordinator I apply CPT and HCPC's codes for

interventional radiology and cardiovascular procedures.

. I work with the Cath Lab, Radiology and Materials Management to ensure

accuracy of procedures and supply charges as well as attend presentations

on new procedures and supplies to insure accuracy of charges.

. I audit ER charges on a monthly basis for quality control and report my

findings to HIM and Finance.

. I work with Dialysis to correctly charge dialysis accounts with

appropriate procedures, drugs and supplies.

. I have written procedures for and trained new hires related to the newly

created interventional radiology position.

Credentialed Coder

I received my RHIT credential and began working in HIM as a Credentialed

Coder in 2004.

. I applied ICD-9, CPT and HCPC's codes to inpatient, outpatient and ER

charts with accuracy and in a timely manner.

. I worked with billing, IT, finance, registrations and other members of

the HIM department to resolve issues with edits and failing claims.

. I worked closely with IT to test the coding portion of Meditech software

updates.

. I assisted in training new employees and worked with students completing

their internships.

Humana

April 1998 - April 2004

Underwriting Renewal Representative

As an Underwriting Renewal representative I processed small group

renewals, benefit changes and created alternate quotes.

. I worked on a project team involved in testing the underwriting function

of a new software program and created spreadsheets and a database for

tracking testing information.

. I showed my ability to work efficiently and I was allowed to work from

home three days a week.

Humana (continued)

April 1998 - April 2004

Claims Processing Specialist

As a Claims Processing Specialist I reviewed claims and processed them

according to guidelines.

. I investigated and accurately processed surgery, psych, and maternity

claims.

. I reviewed claims that pended for code review which involved requesting

medical records and verifying information regarding each claim.

. I answered insured's questions regarding their claim and provided

friendly and courteous customer service.

Underwriting Assistant

As an Underwriting Assistant I processed medical, life, dental, and STD

quotes and

provided quality customer service to agents, sales reps, benefit

administrators, and internal departments.

. I provided alternate quotes per customer request

. I reviewed quotes with customers and made changes per specification

Customer Support Representative

As a Customer Support Representative I processed small group renewals,

benefit changes, created new business quotes and processed renewals for

Florida accounts.

. I was a member of a newly created team where I wrote procedures, attended

conferences and trained new employees.

. I was a resource for members of my team and other departments.

PC Specialists/Sparknet

October 1996 - April 1998

Inventory Manager

As an Inventory Manager I entered shipping and purchasing information into

the database and logged all hardware and software for the store using PC

Specialist's inventory program.

. I also worked as an internet helpdesk representative assisting customers

with setting up their accounts, changing passwords, and using the

Sparknet software.

. I assisted the technician with building pc's according to customer

specifications, updated the marketing databases, e-mail list

administration and I helped customers in the store and on the phone.

EDUCATION

NWTC Green Bay

Associates degree in Health Information Technology - 2004 Graduate

REFERENCES UPON REQUEST

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