Insurance Human Resources
Resume:
BARBARA FREEMAN
Email: *********@********.***
Address: **** ***** *** ** *** 8
City: COON RAPIDS
State: MN
Zip: 55433
Country: USA
Phone: 763-***-****
Skill Level: Experienced
Salary Range: $22,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
BARBARA L. FREEMAN
3845 119TH Ave NW Apt. 8 Coon Rapids, MN 55433
*********@********.*** Ph. 763-***-****
PROFESSIONAL EXPERIENCE:
HCMC HFA Billing/Charge Entry Minneapolis, MN
Epic Payment Posting/Charge Entry (Temp Agency) 10/26/12 to 01/11/13
* Posting payments from electronic reports received by different insurance providers (ie. Medicare, Medicaid, Health Partners, and U-Care).
* Searching in EPIC Software for payments posted, and those that did not post electronically we posted manually by batch date of the providers report.
* HFA merged with HCMC and some of the electronic payments were not recognized by the program and needed to be posted manually.
* Responsible for posting from abstracts (different codes for billing purposes) into the Charge Entry program by batches and balancing the line items to the report.
* Checking the printed report to the abstracts for accuracy, and if errors are found the poster will need to correct the batch before processing it.
* When entering the codes, DX, Phys identification etc., and EPIC doesn`t recognize the code or physician identification it will reject it, and the charges will need to be pended.
* Census Labels (patients) for admits, observations, inpatient and outpatient, will be put onto the superbills according to the type of service performed.
* The census is then sorted alphabetically and checked against the admit reports, observation reports, and discharge reports to ensure that there are no missing census labels.
* The discharge census labels that were put on superbills are dated with discharge date and separated by category, Medical, Surgery, and Medical Specialty and distributed to the coders.
Meritain/Aetna Plymouth, MN
Claims Preprocessor 5/23/11 to 10/26/12
* Pick up Scanned HCFC, or FAC claims to be preprocessed by entering the data from the claims to the DG screen, along with any other attachments, i.e. EOB, repricing, Medicare, Medicaid, copies of insured id card, etc.
* When finished entering the data from the claim, the system will assign sub-claim id # to be written on the claim along with preprocessor 3 digit identification and current date.
* When processing the claims, if the Employee ID number is unfound in the DG, then you will write -U- in upper right hand corner of claim and note the last four digits of the scanner id# assigned to that claim on the Scanned documents cover sheet.
* When processing the claims, if there is a discrepancy with the subscriber information, or patient not listed as dependent under the subscriber, these claims need to be Mail Menued. In other words submitted to the claims representative through the Mail Menu noting the reason the claim cannot be processed.
Presbyterian Homes and Services Roseville, MN
Human Resources Admin Assistant/Temp Agency 02/01/2011 to 04/19/2011
* Verifying employee`s demographics, social security number, date of birth, and date of hire in Ceridian against enrollment forms for accuracy.
* Emails are sent out to the Human Resources Representatives when benefit documents are not filled out completely, or missing pages.
* Inputting employee`s healthcare benefits, Retirement Savings, Life Insurance, Long Term Disability, and Flex Savings Accounts into employee`s payroll deduction screen in Ceridian.
* Scanned Benefit documents, renamed file with employee name, saved in HR scanned documents 2011 April Benefits folder with date sent.
* Medical and Dental enrollment forms are sent to the vendors via secured email, along with changes in medical plans, adding or dropping dependents, or cancellation of coverage.
* Retirement Savings Account enrollment forms are proofed for accuracy including signatures and beneficiaries added and then faxed to vendor.
BARBARA FREEMAN
3845 119TH Ave NW Apt. 8 Coon Rapids, MN 55433
*********@********.*** Ph. 763-***-****
United Healthcare Group Minnetonka, MN
Renewal Service Center/Temp Agency 05/2010 to 7/31/2010
* Received email from Renewal Account Executive, created a folder with policy number as identification and saved original email request for insurance quote in the policy number folder.
* Processed insurance quotes received from Renewal Account Executives, Brokers, and Agents by inputting in PRIME the health insurance with RX plan, also dental, life, and disability insurance, adding optional riders as needed.
* Accurately processed each Insurance quote requested, saved them in PDF format, and attached them to the email that was created in Policy Change Tracking software that displays the different insurance plans that were quoted.
* Verified the number of insurance quotes listed on PCT to the number of PDF quotes created before attaching the quotes and sending out via email to the requestor in secure delivery mode. An email was sent out and saved in the policy number folder as evidence that the quotes were sent out.
Optum Health Financial Services (UHG) Coon Rapids, MN Implementation Specialist/Temp Agency 09/2009 - 2/2010
* Reviewing the new client Service Plan document to ensure that it is completed accurately. If there is missing information, call the sales representative to contact the client in order to confirm what services are needed.
* Inputting the clients Health Service Plan information into Power Plus.
* The information is uploaded into IMS the next day so that we can add the client address, contact information, and special services provided in the Service plan field.
* Contract Requests sent to Legal Department to create the Master Service Agreement, Business Agreement, and Schedule of Work Agreement to be emailed to the client and signed.
* Updating Salesforce as new client Service Plans are received and completed tasks are dated.
Allina Hospitals & Clinics Minneapolis, MN
Business Office Clerk 08/2005 to 10/2008
* Received documents via a secured email address to print and send to insurance payer with itemized bills or UB04 claims reprinted
* Completed Medical Records requests from Excellian Workque 431, noted accounts and removed from Workque
* Pulled Explanation of Benefits documents, attached to UB04, and mailed the claim to the insurance
* Processed W-9 Tax ID Forms and forwarding to our clients
Rasmussen College Brooklyn Park, MN
Work Study Tutor 1/2009 to 01/2010
* Assisting students with coding HCPC and ICD-9 Coding based on the Basic, Intermediate and Ambulatory Instructions. Determining the key words in the Diagnosis or Procedure codes to locate the appropriate code
EDUCATION Rasmussen College Health Information Technology AAS Degree 03/2010
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