Medical Data Entry

Darlene K. Atene

801-***-****

*******.*@****.***

CAREER SUMMARY

* ***** **** **** ***** and Blue Shields as a Financial Recoupment

Specialist. Dependable, self-motivated, and works well without

supervision. Recognized for years of service meeting and exceeding

goals.

TECHNICAL SKILLS / ABILITIES

Data Entry Adjudication Medical Terminology

Internet Navigation Ten Key Windows

Billing and Coding Recoupment/Collections Organization

WORK EXPERIENCE

Data Support, EMDEON, Salt Lake City, Utah, 2011-Current

. Processing EOB claims in accurate timely manner for various

clients.

. Follow HIPPA, company standards and rules.

. Knowledge of explanation of benefits forms and terms.

. Researching, and coding of claims.

Recoupment Specialist, HEALTHDATAINSIGHS, Las Vegas, Nevada, 2010

. Researched, investigated and resolved outstanding accounts daily,

and determine what accounts were

priority.

. Communicated with supervisor during weekly meetings discussing

goals for amounts to be collected which were met and exceeded.

. Professional Communication between clients and customers.

. Controlled West Coast accounts for 11 states.

Medical Claims Adjudicator II, NORIDIAN ADMINISTRATION SERVICES, Salt

lake City, Utah 2005-2008

. Processed Medicare claims in an accurate timely manner and exceeded

expectations daily.

. Research, and analyze claims ensuring company policy is enforced.

. Maintained company regulations and standards, knowledge of medical

terminology, cpt codes, icd-9 and able to read and understand edits

and audits.

. Work well under pressure, meeting deadlines, and picking up extra

work from other sites.

Financial Recoupment Specialist, BLUE CROSS BLUE SHIELDS, Salt Lake

City, Utah 1997-2005

. Recouped from both providers and beneficiaries in a timely manner

according to CMS guidelines and standards.

. Provided support, problem solving and training to other internal

areas, providers, team members and CMS.

. Ensured aggressive collection or met and work with the Treasury

department to send overdue collections through the Debt Collection

System.

EDUCATION

GRANITE PEAKS LEARNING CENTER, 2009,Medical Terminology, Billing and

Coding

SALT LAKE COMMUNITY COLLEGE, 1995,Certificate of Completion: Office

Information Systems

COLLEGE OF EASTERN UTAH, 1987, Business Administration

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