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Manager Insurance

Location:
Denver, CO
Posted:
October 07, 2018

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Resume:

April Fabian

***** ********* ****** **.

Northglenn, CO 80233

720-***-****

ac7a7x@r.postjobfree.com

Professional Skills and Experience

Proficient with Microsoft products including Excel, Word and PowerPoint

HIPAA Certified

Excellent organizational skills

EMR/ Cash Applications Process

Medicaid and Medicare claims processing

Career History

Patient Account Rep II April 2014-Aug 2018

SCL Health Systems

Establish and maintain accurate work queues and other work distributions to achieve optimal performance and process flow to ensure reconciliation of monies posted to accounts receivable system.

Process refunds for personal and insurance

Work with financial institutions, insurance company provider representatives, and accounts receivable management to resolve issues.

Audit accounts make necessary corrections

A/R Follow-up Workers Compensation and Colorado Medicaid

Payment posting for physician billing in Onbase and Epic

Reconciliation Specialist Sep 2012-April 2014

Aegis Business Services

Daily Deposit balancing of 40 clinics and 2 practice management systems

Direct and monitor activity of payment posting and refund staff with responsibility for posting and resolution of multi-million dollar receipts processed through lockbox and wire transfers

Establish and maintain accurate work queues and other work distributions to achieve optimal performance and process flow to ensure reconciliation of monies posted to accounts receivable system.

Process refunds for personal and insurance across the 40 clinics on a weekly basis

Work with financial institutions, insurance company provider representatives, and accounts receivable management to resolve issues.

AR Rep – Full Cycle Billing Aug 2011-Sep 2012

Pacific Respiratory Care

Insurance Verifications-Medicaid, UHC, Aetna, Cigna

Managed accounts receivable for 120+ for Medicaid, UHC, Aetna and Cigna

Decreased 120+ aging by 25% in 6 month period

Worked daily report of accounts for accounts with no response

Worked denials aging reports on a daily basis and kept the 151+ denials under 2%

Handled full appeals for each of the insurances

Student Finance Specialist II Sept. 2007-Jul 2011

Westwood College

Successfully transitioned college campus of 400+ students from ad hoc student loan process to a documented, consistent process resulting in a 15% increase in loans per student.

Accurate resource for problem resolution to other employees, including several additional campuses and management.

Consistently a top performer, handling more student files with accuracy and high degree of customer satisfaction.

Discrepancy Analyst Sept. 2006-Aug 2007

Office Team/Health one

Identify Medicaid and Medicare payment discrepancies and resolve as needed.

Research and resolved overpayments and underpayments

Researched and resolved any discrepancies

References

Jennifer Reeves-Manager Physician Billing SCLHS -303-***-****

Lisa Wilson – former Manager of Posting at Aegis – 303-***-****

Michele Madgeburg-former Assistant Director SCLHS-281-***-****

Carmen Lyons-former Billing Manager at Aegis and current Manager Physician Billing

SCLHS-720-***-****



Contact this candidate