Customer Service Insurance
Resume:
LORIE KLUESNER
*** ** **** ****** ********* #***
Ankeny, IA 50023
CAREER OBJECTIVE:
To obtain a position allowing me to display initiative, assume responsibility; continue building skills, and experience, while assisting an organization to achieve their highest potential.
Catholic Health Initiatives
- CONIFER HEALTH SOLUTIONS January 2013 to February 2016 Appeal Writer Specialist
- MERCY MEDICAL CENTER
Contract Management Representative October 1999 to December 2012
Customer Service Representative August 1995 to October 1998 1111 6th Ave.
Des Moines, Iowa 50314
Conifer Health Solutions had purchased non-generating revenue departments from Catholic Health Initiatives. My Conifer Health Solutions had purchased non-generating revenue departments from Catholic Health Initiatives. My new job responsibilities detailed, interpreting insurance explanation of benefits or under payments. Whether Insurance requesting additional information as in medical records or corrections in billing/coding. For the under payments to calculate contract terms and appeal accordingly.
Auditing of insurance payments with specific contract terms to ensure the correct reimbursement. Reconciliation accounts to resolve patient and insurance issues, communicating with patients by telephone and in person, processing patient/ insurance correspondence, reallocation of accounts receivable payments, patient/insurance refunds, updating the data base of patient/insurance information, an understanding of insurance hospital and physician billing.
PRINCIPAL FINANCIAL GROUP January 1982 to Dec 1991
711 High Street Administration Clerk A
Des Moines, Iowa 50392-0001 October 1998 to October 1999
Benefit Specialist
Coding and inputting data via CRT terminal. Reconciliation of group and individual bills, lost policyholder accounts, company checks, accounts receivable, company expense accounts & active telephone contacts with clients.
To provide accurate & helpful customer services through the Health Information Line. Calculating medical & mental, physical benefits for providers & employees from the numerous group health insurance plans provided by employers.
EDUCATIONAL HISTORY:
BUSINESS AND BANKING INSTITUTE GRADUATED 1992
609 Merle Hay Tower, Des Moines, Iowa 50310
PRINCIPAL FINANCIAL GROUP
711 High Street, Des Moines, Iowa 50392
Continuing education 1982 - 1991
References
Professional:
Tork Hook/Director - Cellphone# 515-***-****
Fana Goitom/Manager - Cellphone# 515-***-****
Kathy Martinsen/Manager - Phone# 515-***-****
Co-workers:
Marge Lause - Cellphone# 515-***-****
Cindy Brinkman - Phone# 515-***-****
Deanna Reinholt - Cellphone# 515-***-****
Contact this candidate