Data Entry Service
Resume:
Julissa Casanas
*************@*****.***
Experience
Service Operation Specialist
Aetna (formally Coventry HealthCare) Tampa, FL
Responsible for one or more aspects of service including, processing claims, adjustments, enrollment and eligibility records, reporting receipt of client files, responding to customer inquiries, and resolving customer concerns. Process claims, enrollments, and/or adjustments in accordance with company policies and procedures in a timely manner. Monitor account receivables records including claims and overdue invoices; implement collection procedures.
Preauthorization Representative
Coventry HealthCare Tampa, FL
Responsible for data entry, processing referrals for services including DME, physical therapy, inpatient and outpatient care, behavioral health services, and special circumstance requests as defined by Utilization Management. Perform telephonic support for on-line authorization of routine services. Provide direct support to primary care practices, specialty care providers, and insurance adjusters regarding utilization, authorization, and referral activities. Assist in gathering information needed for coordinators/case managers to determine continued authorization.
2013 to 2014
2004 to 2012
Data Processor
Concentra Managed Care Tampa, FL
Responsible for data entry, scanning and processing medical bills ensuring invoice is billed accurately and accordingly to the services rendered.
2004 - 2004
Education
Liberty University
Bachelor’s of Science in Psychology w/ a minor in Life Coaching
Insurance Coding & Billing/Data Processing
2013-Present
2003 - 2004
Concorde Career Institute, Tampa, FL
Diploma
H.B. Plant High School, Tampa, FL
2000
*Proficient in Spanish
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