Customer Service Information Technology

DEBRA KINSER

Mesa, AZ ***** 714-***-**** ac2d8b@r.postjobfree.com

OBJECTIVE: Seeking a position with in a growth oriented company where my healthcare information technology, patient financial services, collections experience will be utilized for mutual benefit.

KNOWEDGE SKILLS AND ABILITIES:

Proficient in using Ace system, IMac’s Interpretation and validation of contracts.

Resolution of account balances to zero. Attention to detail, organization and

Communication skills. Ability to type 56wpm and 10 key by touch, fast learner,

Reliable, hard worker and a team player.

EDUCATION:

High School Diploma

Larson Training Centers, Inc., Orange, CA

Currently enrolled in Irvine Valley College for ICD-10-CM and ICD-10-PCS coding

EXPERIENCE: Walmart: Gilbert, AZ July 2015 to January 2016

Customer Service: Bakery- Deli

PFC Banner Staffing Banner Corporate Mesa, AZ March 2015 to June 30, 2015

Data Processing

Keyed Adjustments for patient hospital claims.

Appeals Specialist III Conifer Health Solution Anaheim, CA Aug 1996 to June 2012

Validate and calculate expected reimbursement, Interpret contracts between the provider and Insurance companies. Worked stop-loss and high dollar accounts.

Assure claims were processed and paid correctly according to contract.

Electronically resubmit hardcopy claims to payers for re-billing purposes.

Obtain status of claims via telephone, website and/or facsimile.

Contact the patient when necessary to assist with any issues that may occur while in the process of resolving the account balance to zero.

Received inbound calls. Discussed financial arrangements with patients.

Performed special projects and other duties as needed.

Researched and determined corrective action

Took appropriate steps to code and route account appropriately

Escalated denial or payment variances to supervisor for payer escalation

Contact this candidate