Dawn Glitto
Elmhurst, IL. **126
actpzd@r.postjobfree.com
CAREER SUMMARY
Medical claim billing specialist with 15 years of experience seeking employment within the industry.
Basic knowledge of Claim denial appeals Quality control
medical coding Claim follow-up A/R special
Claim billing Detail oriented projects
Electronic claim clearinghouses Multi-tasking Trainer
Explanation of benefits (EOB) Appeals
PROFESSIONAL EXPERIENCE
Advantedge Healthcare Solutions Lombard, IL.
Follow-up Specialist- full time remote employee
Worked denial ansi-code, determining balance liability
Trained employees to work claim denial follow-up, update insurance information, and patient
demographics
Directed issues to the appropriate departments
Worked A/R special projects handling outstanding claims
Follow up with insurance companies to determine claim submission errors and correct them
Worked front end claim rejection issues using electronic claim clearinghouses
Established and maintained positive working relationship with other employees and venders
Confirmed the accuracy of and verified insurance benefits for new and existing patients
Examined back office claim rejection issues and worked with Insurance entities to resolve them
Maintained a professional working relationship with all government and commercial Insurance
entities to facilitate claims payment
Submitted appeals for incorrect insurance adjudications
Maintained the confidentially of all patient information in accordance with Wellness and HIPAA
policies
Worked with medical Diagnosis Coding and CPT coding
Completed HIPAA courses keeping up to date through 2015
TECHNOLOGY
Microsoft Office Suite
Virtual Manager
Legacy
Emdeon Vision
Availity-Realmed
Government and Commercial Insurance web access