Customer Service Medical
Resume:
NANCY M. MUNRO
**** ********** ****, ****** ****, PA 19475 610-***-**** **********@*******.***
EXPERIENCE:
**/** ** ************** ********, INC., Wayne, PA
Responsible for processing medical claims for multiple lines of business and policies.
Worked primarily with accident policies involving injuries occurred during sports activities for
schools and colleges.
Vast knowledge of medical terminology, CPT codes, ICD-9 coding, coordination of benefits
from HCFA and UB’s.
Typing speed is around 70 wpm
Great customer service skills
07/11 to CORVEL CORPORATION, Trooper, PA
08/12 Claims Analyst
Worked on processing and quality checking workmen’s compensation claims from many
different companies, such as Chubb, Hartford, Harleysville Insurance, etc.
Worked on-site at the Harleysville Insurance Company specializing mainly on their specific bills.
Worked directly with the Claims Examiners to resolve issues and decide whether or not to pay
or deny bills.
Requested medical records if they are missing from bills.
Could read and interpret ICD9 codes, CPT codes, Medical Terminology and RX’s
12/09 to YOUNG’S MEDICAL EQUIPMENT, Blue Bell, PA
07/11 Medical Documentation Analyst
Modified all medical documentation through interaction with physician offices and patients.
Logged paperwork for patients in need of medical equipment such as oxygen, nebulizers, wheel
chairs, etc.
Reviewed various forms of medical records and types of insurances to make decisions on how to
log medical necessity Physician forms in a timely matter.
Spoke to physician offices and clients on the phone to get the necessary paperwork we needed
for documentation
09/07 to GENEX SERVICES, King of Prussia, PA
09/09 Medical Billing/Coding
Entered medical bills, (UB’s and HCFA’s) received for workman compensation and auto bills
into Genex applications.
Ran reports, processed bills, posted and mailed them back to the companies.
Worked with, Nationwide & Hartford insurance claims.
Fast and accurate typing and good customer service skills.
Nancy M. Munro
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12/96 to THE VANGUARD GROUP, Malvern, PA
09/07 System Lead/New Accounts
Responsible for opening new individual accounts and processing additional money into existing
accounts.
Worked on asset transfers between accounts and redemptions taken out of accounts transferred
to other financial institutions.
Helped with the initial phases of building 401(k) plans for our different clients.
Worked on each project/plan from the planning stage to the testing of their plans.
Consulted with a team of associates to complete the entire process successfully.
Attended many training classes to build my skills at the Vanguard University such as: Excel,
Word, Team Building, Power Point and many more.
Extensive customer service skills on the phone and in person with our clients.
Contact this candidate