Customer Service Insurance

DESIREE DENNO

**** ****** *****, **. *****, MO **123 641-***-**** ********@*****.***

PROFESSIONAL PROFILE

Talented in producing teamwork, support the organizations goals and missions, drive at meeting any organizational goals, and problem solver. Strong experienced in communicating with management, customers, and co-workers.

WORK EXPERIENCE

11/2017 – 06/2018

Express Scripts – Reimbursement Specialist

Resolved unpaid pharmacy bills

Resolved insurance issues

Reconciled accounts: looked for missing checks, missing paperwork.

Called insurances to get payments or denial reasons.

12/2016 – 09/2017

Healthcare Scouts – Conifer Health – Appeals Specialist

Resolved all unpaid hospital bills – UB04

Called insurance companies, Workers Compensation

Knowledge of contract between hospitals and insurances

Knowledge of denial codes, appeals, authorizations, electronic medical records

Knowledge of coding and billing

11/15 – 12/2016

Suburban OB Gyn LTD – Clinic Biller

Enter all professional charges 1500 forms

Transferred all claims electronically

Payments electronically and manually

Followed up on all unpaid claims

Dealt with all patient accounts

Collections

Weekly statements

09/15 – 11/15

K-Force - Essesance Health Care – Payment Poster

Payment poster

Managed all payments from insurance companies

01/2015 – 05/2015

National Medical Billing - Payment Poster

Posted all payments for an Orthopedic Group and Ambulatory Surgery Center.

Posted collection checks and patient payments.

Worked closely with Account Managers for denied payments, partial payments or denied claims.

Processed refunds to patients or insurances when needed

Balanced cash sheets daily

2013 – 2014

Celebrity Staffing - Clinical billing Des Moines, IA

Handled Physician professional charges

Entered payments for insurance companies; Wellmark, Iowa Medicaid

Issued patient refunds and commercial insurance refunds

2011 – 2013

Ottumwa Regional Health – Clinic Biller Ottumwa, IA

Handled professional charges for 14 clinics

Handle customer questions and complaints on billing or insurance

Handle all Workers Compensation claims

Enter patient payments and zero pays from insurance companies

Do all refund requests for patients

Knowledge of ICD-10 and CPT coding

2001 – 2010

Mahaska Health Partnership - Admitting Coordinator - Oskaloosa, IA

LEAN program, improved admitting flow processes with other departments

Training all new employees

Helped developing good customer service

Updated all policies and procedures for the Admitting Department

Overseen all work of employees

In charge of personnel issues, timesheets, vacations

Handled all patient complaints and co-worker issues

EDUCATION

.Master of Business Administration, Human Resource Management Specialization, April 2013

American InterContinental University, Schaumburg, IL

Bachelor of Business Administration, Healthcare Management Concentration, 2011

American InterContinental University, Schaumburg, IL

Associates Degree of Business Administration, Healthcare Management Concentration, 2010

American InterContinental University, Schaumburg, IL

TECHNICAL SKILLS

Type 50+ WPM

Microsoft Office Suite

10-key by touch 98% accuracy

Knowledge of medical terminology

Knowledge of HIPAA, UB04 and HCFC 1500 claims

Knowledge of ICD-9 and ICD 10 coding

Worked on programs such as: EPIC, ACE, NEXGEN, MEDITECH

Knowledge of Medicare, Medicaid and commercial insurance

Knowledge of office procedures

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