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Insurance Medical

Location:
Duluth, Minnesota, United States
Posted:
August 28, 2017

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Tamera L Nyberg

(612) ******* ac11o2@r.postjobfree.com

OBJECTIVE

**** *. ********* ********, ********* 54880

Medical Insurance Claims Processing, Medical Billing, Medical Data Administration, Insurance Verification Clerk

WORK EXPERIENCE

05/2016-present

Eddie’s Supper Club Superior, Wisconsin

Prep cook, salad prep and dessert decorator

High paced environment with multiple tasking needed. 09/2016-02/2017

UDAC Duluth, Minnesota

Life Coach Worked with vulunerable adults, teaching them daily activities to allow them to be successful in everyday society. Disabilities ranging for all clients. At one given time up to 20 clients per area. Encouraged them to go out in the public shopping, visiting, eating out, etc.

07/2013-04/2015

Human Development Center Superior, Wisconsin

Billing and Coding Coordinator Entered payments for 22different insurances Dealt one on one with mental health and substance abuse clients regarding billing questions. Worked with them to resolve any billing issues and worked out payment plans with them.

10/1996-04/2009

United Health Group Duluth, Minnesota Health

Insurance Claims Processor Entered medical coding, terminology and contracts into data base for Medicare and retirement hospitals. Identified and corrected errors in contracts Communicated with contract administrators on a continuous basis to determine contract rates Utilized data base programs to investigate appeals and fraudulent claims Communicated with patients to resolve billing or appeals questions. Wrote policy and procedures for claims processing and coordination of benefits. Processed insurance claims and adjusted as needed per policy. Disbursed mail and routed to appropriate departments Recorded claims in data base

12/2000 to 7/2004

St. Mary's Duluth Clinic Duluth, Minnesota

Collections Representative Placed collection calls to set up payment arrangements Processed Community Care Applications for eligible patients to reduce outstanding balances Processed payment arrangements over the phone or in person Forwarded delinquent payments to 3rdParty Collection Agencies SKILLS

16 years experience in processing claims and hospital contract loading in the health insurance industry. Processed hospital contract loading at 99.4% accuracy Successfully worked in a home office environment Received recognition for work performed from outside customers as well as monetary bonuses Proficient with Microsoft Office Suite, Power Point, and Excel Coursework in Medical Terminology

EDUCATION

Wisconsin Indianhead Technical College Information Processing Specialist Associate Degree REFERENCES Available upon request.



Contact this candidate