Katrina Spivey

Email: abpnxq@r.postjobfree.com

Address: *** ******* ****

City: Phenix City

State: AL

Zip: 36869

Country: USA

Phone: 334-***-****

Skill Level: Experienced

Salary Range: $45,000

Primary Skills/Experience:

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Educational Background:

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Job History / Details:

Katrina D. Spivey 717 Wehring LanePhenix City, AL 36869 Phone: (706) 577-2241Alt. Phone: (334) 298-9597E-mail: abpnxq@r.postjobfree.com

Objective

Seeking jobs in the health care industry and/or social services.

Summary of Qualifications

Highly motivated, creative, analytical, proficient and flexible with 32 years of health care claims, adjusting and auditing experience.

Work Experience

Senior Claim Specialist (12/1979 - 3/2012)Blue Cross Blue Shield GA/Wellpoint, Columbus, GA Audited/adjudicated claims, membership and billing for hospital and professional claims, along with customer service associates (CSA) calls and communication logs. As an adjuster, responded to the CSA inquiries and made the necessary corrections or gave recommendations utilizing procedures and policies. Assigned to handle special projects and employer groups audits and claims adjustments because of my expertize and attention to details. Job functions include working with utilization management, medical review and business system analyst departments. Lead a team of 12-18 employeesas serving as a Lead/Operational Expert

Education

Auburn UniversityAuburn, AL Marketing - 2 years

Additional Qualifications

Touch Method Adding, ICD10,HSCPC and Revenue Cdoing, Customer Advocate, HIPPA Compliance, Fraud and Abuse along with Root Cause Analysis are among some of the in house certifications. Handled money transactions while volunteering for Phenix City School System drama, band and sport events. Leadership/supervisory skills and training amrd mentoring.

References providrd upon request .

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