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Medical Customer Service

Location:
Gilbert, AZ
Posted:
March 14, 2018

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Resume:

CONNIE R. MINER 701-***-****

CORE PROFESSIONAL STRENGTHS

Claims Adjudication Medical Insurance Billing Coding: CPT, ICD-9, HCPC

Accounts Receivable Microsoft Applications Medical Terminology

Facilitating Meetings Medical Claims Research Performance Improvement

Human Relations Coordination of Benefits Keyboarding (75 WPM)

Government Insurance Electronic Health Records File Management

Accounts Payable Medicare Compliance Medicare DME Collections

EMPLOYMENT

COLLECTOR – MEDICARE ADVANTAGE Apr 2017 to Dec 2017

Banner Health Systems – Mesa, AZ

A/R and follow-up

Resolution of outstanding claims

Verifying appropriate claim reimbursements and adjustments

Obtaining, organizing, and submitting phone and written Claims Corrections and Appeals via Voluntary Recoupments, Reopening’s, Redeterminations, and other levels of appeals

Verifying and determining Medicare coordination of benefits

COLLECTOR – MEDICARE DMEPOS Feb 2016 to Dec 2016 Epic Medical Solutions – Chandler, AZ

(Formally Option 1 Nutritional Solution)

A/R and follow-up

Research Medical Durable Medical Equipment Claims denials, and appeals

Reviewing Medicare National and Local Coverage Determinations (LCD)

Obtaining, organizing, and submitting phone and written Claims Corrections and Appeals via Voluntary Recoupments, Reopening’s, Redeterminations, and other levels of Medicare appeals

Primary and Secondary Payer Billing

Request and Review of Medical Documentation needed for Clean Claims

RECOUPMENT SPECIALIST Apr 2014 to Oct 2015 Noridian Health Systems - Fargo, ND

Process volunteer refunds from Medicare Part B providers for Jurisdiction D

Adjudicate corrected Medicare Part B claims

Post and balance Medicare Part B Accounts Receivable system

Communicate and Educate Medicare Part B Providers on correct processes

Research refund issues

COLLECTOR Nov 2011 to Mar 2014

Sanford Health Systems - Fargo, ND

A/R, follow-up, check status of claims, work denials, and appeals

Researching billing issues

Verify of insurance information

Process Financial Assistance Applications

Work with collection agencies

REIMBURSEMENT SPECIALIST Sept 2004 to Oct 2010 F-M Ambulance, Inc., Fargo, ND

Coding and Billing ambulance claims to multiple private, commercial, third party, and government insurers

Submitting Electronic Medical Claims (EMC) and paper claims

Researching EMC error reports

Participating in documentation and payer meetings

Creating and updating payer and patient billing schedules

Answering customer and insurance inquiries both written and verbal

Training new billing specialists

EDUCATION

Rasmussen College Moorhead, MN

Dates Attending: Jan 2014 – Apr 2015

Degree Attaining: Health Information Management, Bachelor’s

Rasmussen College St. Cloud, MN

Dates Attended: Oct 2006 – Jun 2009

Degree Received: Health Information Technician, A.A.S.



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