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Insurance Administrative Assistant

Location:
Choctaw, OK, 73020
Posted:
July 18, 2017

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Resume:

Kari Brown

Oil & Gas, Medical/DME Billing Rep; Quality Specialist

Choctaw, OK 73020

**********@*****.*** - 405-***-****

To gain a position in a growing company with stability where I can build on my skills and advance with the company.

SUPPORTIVE QUALIFICATIONS

•Trained in basic computer skills; Microsoft, Excel, & Power Point; type 60 wpm.

•Developed interpersonal skills; excellent mediation abilities.

•Proven supervisory abilities; deal equitably with all levels.

•Functions well both independently and as a team member.

•Adapt easily to new concepts; adept at handling multiple responsibilities.

•Able to explain procedure and garner significant results within a brief time span.

•Able to work well independently.

Authorized to work in the US for any employer

WORK EXPERIENCE

Administrative Assistant

Choice Home Health & Hospice - Oklahoma City, OK - March 2016 to Present Process payroll, post payments, process health claims, work denials and past dues on claims via insurance companies, schedule at home visits with patients for therapists, nurses, and home health aides, process and complete therapy and nursing visits by entering the time in and out at patient's homes. Submit all invoices for IV visits for infusion therapy. Admissions Access Coordinator

INTEGRIS Health - Oklahoma City, OK - June 2015 to March 2016 Responsibilities

Answer between 57-85 incoming calls per day to schedule radiology procedures at all Integris facilities. Communicate with doctors, RN's, referrals, insurance companies and patients via phone. Temporarily worked on the Jim Thorpe rehab team during a maternity leave for another employee, made out going calls to patients to schedule rehab appointments, verified all benefits and obtained authorizations. Accomplishments

Helping out the Rehab team temporarily when they were short staffed Skills Used

Microsoft Word

Excel

Epic

10 key, touch

Therapy Scheduler

Carter Healthcare - Oklahoma City, OK - November 2014 to June 2015 Responsibilities

Schedule new patients with our therapists for the Texas areas, communicate with therapists and RN's daily, enter and process all patient visit notes for billing purposes, review, edit, & approve all invoices for therapists and Carter contract therapy companies for payments. Accomplishments

Received positive feedback from supervisor that the complaints she was previously receiving prior to my hiring, have diminished greatly.

Skills Used

Excellent communication skills, Working in McKesson system. Quality/Return Goods Specialist

Circor Energy - Oklahoma City, OK - March 2010 to April 2014 Process all paperwork to submit to customers and reps to return new and unused product. Following thru the process to ensure they receive applicable credit against their account for the return.

•Process the paperwork for any and all defective product and work with the team in a timely manner to ensure the customer is taken care of by providing any reports and evaluations regarding the nature of the defect and supplying them with replacement or repaired product.

• Process weekly and monthly reports showing progress and counts of returns.

•Attend weekly quality meeting to discuss previous defects and communicate Counter Measures to ensure product leave facility in good and working conditions w/out defects. Documentation Specialist

Circor Energy - October 2007 to March 2010

Provide and submit all documentation pertaining to orders at customer's request for all product line.

•Communicate with customers via email and phone on a daily basis in regards to the documentation.

•Send out all invoices to the customers via UPS or email and include all documentation applicable to invoices.

•Keep a daily log of all requests.

•Assist on projects and audits pertaining to orders. Expeditor

Circor Energy - May 2007 to October 2007

Enter all purchase orders for Mallard and Hydroseal products.

•Verify all pricing per quotes and discounts for each product.

•Qualify that the purchase orders match the order entered.

•Send confirmations of entered orders to the customers via email or fax.

•Correspond with the assembly team daily for lead times on products.

•Assist customers daily in regards to shipment details. Account Representative

Optioncare Enterprises, Inc - Oklahoma City, OK - September 2006 to May 2007 Electronically filing medical claim to Cortex for Medicare, Medicaid and private insurance for DME & IV therapy

•Sending out monthly statements to patients.

•Follow up on claims and statements on a daily basis.

•Work with patients on past due and current monthly statements.

•Work denials on old claims.

•Submit medical claims to insurance companies for 1100+ patients.

•Follow quality assurance along with HIPPA and Medicare guidelines.

•Resubmission and correction of unpaid claims.

•Communicate with patients, doctors, and insurance companies. EDUCATION

Business

Rose State College - Oklahoma City, OK

August 2011 to May 2013

Certification in Small Business association

EOC Vo Tech - Choctaw, OK

August 2009 to November 2009

AA in Biology and EMT-B

JCCC - Overland Park, KS

1989 to 1992

CERTIFICATIONS/LICENSES

Excel I, II, III

June 2012 to Present

Oklahoma Association for Home Care & Hospice

December 2016 to Present

ADDITIONAL INFORMATION

SKILLS

ICD-9 and CPT Coding Patient Contact

Microsoft Word Word Perfect

Excel, ACIS, Citrix Systems Time Management

Infosys, I-Emphysis, Cortex 10-key (by touch)

QAD, QMS & Qual-Trax



Contact this candidate