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Manager Insurance

Location:
Charlotte, NC
Posted:
December 18, 2016

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Resume:

Carmen Ellis Calmes

***** ***** ****** *****, *** 106

Charlotte, NC 28210

252-***-****

CarolinaEast Heath System/Twin River Collections

April 2005 - Present

Collector: Receive and analyze assignment of accounts received from hospital. Comply with state, Federal

collection and Bankruptcy regulations. Reviews client account data. Reviews accounts leaving at months end.

Analyze accounts for appropriate account collection. File insurance claims when necessary, follow up on

accounts placed in liability, estate and insurance status codes. Make collection phone calls, within regulatory

compliance guidelines. Collect from walk-in accounts. Skip-Trace accounts when necessary to locate. Open

mail, record payments, prepare daily bank deposits and cash receipts balance sheet. Prepare selected collection

letters and other correspondents for mailing. Review accounts which may be suitable for court action by client.

Advice manager of any policies and procedures which may require review.

New Bern Family Practice and Urgent Care

October 2003 – March 2005

Front Desk Receptionist: Responsible for checking in and out scheduled patients as well as urgent care patients.

Scheduled return, and future appointments. Answered phone calls, took messages for doctors, pulled charts for

next day appointments. Received payments from patients. Assisted patients with paperwork.

Coastal Arthritis and Rheumatism Associates

August 1998 – October 2003

Medical Billling/Coder: Responsible for all data entry including posting all charges, as well as posting all

receivables. Excellent knowledge of HCFA-1500 claim format. ICD-9, CPT, and HCPS coding. Responsible for

filing all insurances including Medicare, Medicaid, Tricare, BCBS and all commercial plans. Experience

includes the Medical Manager System. Counseled patients with account balances. Handled all collection

procedures.

New Bern Urology Clinic Inc. (CarolinaEast Urology Clinic)

July 1990 – August 1998.

Insurance Coordinator: Responsible for filing all insurance claims including Medicare, Medicaid, Champus,

Managed Care plans and all commercial plans. Have full working knowledge of Medic Computer System.

Counseled patients with account balances. Assisted with collection procedures.

Education

Havelock High School Graduate 1978

Craven Community College 1979-1980



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