**** ********* 717-***-**** Home

Drive

Harrisburg, PA wboyer2@verizon.n

***** **

Lolita W. Morgan

Experience 06/97 - 03/10 DST Health Solutions Services

Harrisburg, PA

Healthcare Claims Specialist

Process hospital, medical, medicare and medicaid

claims in accordance with policies and procedures

established by the client. Responsibilities

include adjudication of claims in moderate

complexity categories, including claims involving

hospital inpatient bills, Coordination of Benefits,

co-surgeons, multiple surgical procedures, dual

entitled members, adjustments, worker's

compensation, or motor vehicle accidents.

Healthcare Claims Specialist research, resolve, and

respond to inquiries and problems of a moderately

complex nature.

08/85 - 06/97 Pennsylvania Blue Shield Harrisburg,

PA

Correspondent/Billing

Issued letters to beneficiaries, physicians and

lawyers concerning the denial, or partial payment

of claims.

Additional duties included making corrections to

claims rejected due to improper information.

08/85 - 06/97 Pennsylvania Blue Shield Harrisburg,

PA

Claims Examiner

Obtained information from ICD-9 diagnostic and

procedural codes and input it into the computer

database.

01/86 - 07/88 Commonwealth National Bank

Harrisburg, PA

Data Entry Operator

Entered information from check stubs, general

ledgers, commercial loan documents, mortgage

payments, journals and payroll sheets.

08/83 - 01/86 PHEAA Harrisburg, PA

Collector

Contacting students for payments that were due on

their student loans.

11/81 - 06/82 New Cumberland Army Depot

New Cumberland, PA

Clerk Typist

Preformed general typing, filed documents and

looked up information from microfiche files.

Education 01/83 Harrisburg Area

Community College Harrisburg, PA

06/82 William Penn Vo-Tech

Harrisburg, PA

Qualifications

24 year(s) of experience

Data entry proficiency

ICD-9 and procedural coding

Knowledge of insurance procedures, guidelines,

regulations and medical correspondence information

Debt Recovery

2800 Catherine 717-***-**** Home

Drive

Harrisburg, PA wboyer2@verizon.n

17109 et

Lolita W. Morgan

References

1. Rose Hawkins Retired 717-***-****

2. Mary Lilley DST Health Solutions Services 717-234-

6565

Co-worker

3. Cheryl Pekala Friend 717-645-

9957

Contact this candidate