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Clerical, admin assistant, billing, insurance

Location:
Quincy, Illinois, United States
Salary:
13.50 hr
Posted:
August 27, 2018

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Resume:

Erika White

Customer Advocate II - BLUE CROSS BLUE SHIELD

Quincy, IL 62305

ac6t2p@r.postjobfree.com

217-***-****

Authorized to work in the US for any employer

Work Experience

Telemetry Technician

Blessing Health Systems - Quincy, IL

April 2017 to Present

Responsible for monitoring up to 75 patients at a time. Knowledge of all heart rhythms and how the heart functions. Responsible for notifying appropriate staff of any conditions changes of patient. Calling codes when needed for critical heart rhythms. Supporting operations of patient care through clerical duties, getting patient set up on proper telemetry equipment, communication, monitoring of rates and rhythm. Measuring of heart waves and documenting all critical events. Customer Advocate II

BLUE CROSS BLUE SHIELD - Quincy, IL

July 2013 to April 2017

Responsibilities include answering phones, reviewing members claims, adjusting claims that need adjusted. Reviewing deductible and out of pocket that members have met, running spreadsheets. Creating deductible met letters, certificate of credible coverage letters per members request. Work with brokers and marketing to add new members to small groups. Take calls for small groups, indiividule policy holders for Oklahoma, Texas, Illinois, New Mexico and Montana. Process payments for premiums. Explain to members how their policies work, assist members with locating in network providers for members policy type. Assist members with anything or any questions they may have. Ninety Eight percent of the work day is spent on the phone.

Development Specialist / Office Manager

RED CROSS - Quincy, IL

January 2013 to April 2013

This was a temp position that Red Cross had already selected a permanent employee for and I was taking care of the role until she was able to work out her notice with her employer. Responsibilities include documenting all donations into the Raisers Edge Donor Database. Prepare acknowledgments and letters and mail. Deposit all donations, interest payments and any income made at the Red Dross via remote server. Pall all bills and invoices with company account. Ensure all equipment such as computers, phones, fax machines, copiers are always in working order. Assist with Appeals for funds. Prepare mailings, spreadsheets and other supporting documents as needed. Prepare mailings for quarterly newsletter and or appeals. Assist Executive Director and other staff with their Administrative duties as needed.

Account Specialist

MEDICAL BUSINESS RESOURCES - Quincy, IL

June 2011 to December 2012

Responsibilities include auditing patients accounts, to facilitate the claims adjudication process. Analyze data so that we can expedite recovery of fees from third party payer unpaid claims. Data is stored on spreadsheets for the client to troubleshoot and find glitches in their systems. We also audited Medicare, Medicaid and work comp accounts. Review coding and make appropriate changes to assure accuracy of patients account to expedite the billing process. Major clients included many healthcare providers in Denver, Illinois, California, Kansas, Missouri and Nebraska. Branch Manager

CHECK N' GO - Hannibal, MO

March 2009 to June 2011

Responsibilities include, processing loans for customers who met loan quidelines. Other responsibilities included; cashing very large checks, Western Union, Bill pay, collections, funds verification, bank deposits, marketing, taking payments from customers and updating of contracts. Troubleshooting of ADT Security System on a regular basis, maintaining video surveillance equipment to insure safety of the store. Hiring of new employees. Worked with Risk Management and authorities on fraudulent cases.

Medical Secretary

HANNIBAL REGIONAL HOSPITAL PCU AND ICU - Hannibal, MO July 2008 to February 2009

Responsible for maintaining patient charts, filing of any lab testing, MRI or CT results; answering phones, processing doctors orders, answering patient call lights. Ordering of medications for patients, blood products for transfusions, medical supplies, linens. Directing nursing staff of needs of patients when called upon. Worked closely with physicians and nursing staff to maintain excellent patient care. Coordinate with ICU to maintain telemetry connections for cardiac patients. Scheduling Specialist

BLESSING HOSPITAL - Quincy, IL

May 2003 to May 2008

Responsible for scheduling procedures for inpatients and outpatients. Responsible for scheduling surgical procedures, x-rays, nuclear testing, biopsy, heart studies, PET scans and many other procedures provided by Blessing Hospital. Coding of procedures to assure they are covered and medically necessary. Responsible for registering all patients, assuring that all billing and insurance information is correct. When scheduling for Medicare patients, all diagnosis must be coded correctly to be approved by Medicare. Facilitate ABN being signed for non approved procedures. Ward Clerk / Psych Tech

BLESSING HOSPTIAL - Quincy, IL

December 1994 to May 2003

Responsibilities include answering phones, processing doctor's orders, faxing, filing and ordering medications for patients, medial supplies and food for unit. Screening of all visitors. Monitoring of patients who were on suicide watch or in restraints via video surveillance. Assisted with patient care, sat with patients whom needed one to one care, also lead group sessions and other activities with patients. Set up follow up care for patients after discharge from the unit. Cross trained to work on the other two Psychiatric Units; BMS and APS. Was alsotrained as a psych technician. Assisted with admissions, intake information from parents for guardians of patient. Assisted supervisors with payroll and other duties as needed.

Education

Communications

QUINCY UNIVERSITY - Quincy, IL

August 1991

High School Diploma

BARRY HIGH SCHOOL - Barry, IL

1987 to 1991

Skills

Computer sills

Additional Information

• Extensive Medical Terminology, AAHAM CPAT Certified 2012 and Certified Account Specialist of Illinois 2012



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