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Customer Service Medical

Location:
St. Charles, MO
Posted:
June 24, 2019

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Resume:

D A N A K. E H L M A N N

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

St. Charles, Missouri 63301

314-***-**** ac9oiv@r.postjobfree.com

E X P E R I E N C E

R3 Dynamics, LLC Early Out Collection

October 2017-April 2019

Review and evaluate assigned account files for appropriate collection action. Manage work flows and time to maximize recoveries and ensure client and patient satisfaction. Work with patient/guarantor, insurance companies and/or other third parties to negotiate, arrange and monitor payment plans. Prepare and process payments using the client systems as available. Research and verify debtor insurance eligibility

Aerotek Early Out Collection

R3 Dynamics, LLC June 2017-August 2017

Review and evaluate assigned account files for appropriate collection action. Manage work flows and time to maximize recoveries and ensure client and patient satisfaction. Work with patient/guarantor, insurance companies and/or other third parties to negotiate, arrange and monitor payment plans. Prepare and process payment using the client systems as available. Research and verify debtor insurance eligibility.

Randstadt Sr. Claims Specialist

Reimbursement Technologies February 2017- April 2017

Process claims, denials and other correspondence received from a third party payer in accordance with RTI procedures and guidelines in an effort to resolve non-payment issues and rebill “clean” claims for payment. Make sure all information is forwarded for proper payment of claim. Maintain proper inventory counts through the use of the system inventor

Conifer A/R Collection Specialist

St. Ann, Missouri July 2013-October 2016

Conduct appropriate account activity on final billed claims by contacting government agencies or third party payers via phone or mail. Continue collection activity until account is resolved, sent to Legal or disputed. Maintained inventory on desk with no backlog and ensured daily productivity of assigned accounts. Requested additional information from patients, medical records, or others upon the request of payers. Review contracts and identified billing or coding issues, requested re-bills, secondary billing or corrected bills as needed.

Zenith American Solutions Customer Service/Claims Processor

Earth City, Missouri October 2012-February 2013

Performed customer service for a variety of different clients, verify benefits and eligibility. Processed Medicare supplement claims.

Stivers Staffing Claims Processor

J.W. Terrill March 2012-June 2012

Processed medical claims for a variety of third party vendors. Interpret contracts with vendors to ensure proper payment of claims.

The Outsource Group Early Out Collector

Florissant, Missouri Feb. 2010-Sept. 2011

Performed collections activity based on collection goals. Performed customer service duties. Followed all required FDCPA regulations. Maintained a working knowledge of client policies and procedures. Maintained acceptable call quality as determined by the Management staff.

E D U C A T I O N

Lindenwood University 2007 – 2011

Bachelor Degree Criminal Justice

C E R T I F I C A T I O N S & L I C E N C E S

Amisys Claims Processing System ICD-9 AS400 CPT-4 Coding systems

REFERENCES UPON REQUEST



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