Grievance and Appeals
Resume:
Jessmin Lynn Kinstler
Holly Ridge, NC 28445
717-***-**** (Cell)
Professional Summary:
Certified Nursing Assistant with 6 years’ experience. Claim dispute experience with researching claims, authorizations, CPT codes, and denial codes for resolution on disputes. Patient and highly compassionate. Always looking for growth in the medical field. Key Strengths:
Medical Terminology
Microsoft Knowledge
Excellent Customer Service Skills
Professional Demeanor
Leadership Qualities
Employment:
Providence Place of Dover Feb 2015- Jul 2015 Personal Care Assistant/Receptionist
-Feb-June I was an Assistant Administrative which includes fax, copy, print, use of computer and phones. June-July I was a Personal Care Assistant which includes assisting residents with their Activities of Daily Living and serving food/drinks to residents. 3377 Fox Run Rd.
Dover, PA
Cedar Cove Assisted Living Oct 2015- Nov 2015 Certified Nurse Assistant
-Assist residents with their Activities of Daily living in Dementia Unit and serve food/drinks for the residents.
4200 Jasmine Cove Way
Wilmington, NC
Brunswick Cove Nursing Home Nov 2015- Jan 2016 Certified Nurse Assistant
-Help residents with their Activities of Daily Living and serve food/drinks for residents. 1478 River Rd
Winnabow, NC
Manor Care Nursing Home Feb 2016-June 2017 Certified Nurse Assistant
-Assist residents with their Activities of Daily Living in the Dementia unit and serve food/drinks for residents.
2625 Ailanthus Ln
Harrisburg, PA
The Kempton at Brightmore July 2017-Dec 2018 Certified Nurse Assistant/Medication Tech
-Assist residents with their activities of Daily Living and serve food/drinks to residents. Pass medications according to eMar. Which include getting blood sugars and giving insulin. 2298 S 41st St
Wilmington, NC 28403
Bryant Real Estate July 2019- Dec 2019 Reservationist Specialist
-Assist guest with their need during their stay, answer questions regarding properties, answer phone calls, email, fax, and print.
1001 N. Lumina Ave
Wrightsville Beach, NC 28480
Woodbury Wellness Center January 2018- April 2020 (PRN)Certified Nurse Assistant/Medication Tech
-Assist resident with their activities of daily living. Assist with a variety of needs. Pass medications according to eMAR. Which includes getting blood sugar and giving insulin. 2778 Country Club Dr
Hampstead, NC 28443
Arbor Landing April 2020-July 2020 (PRN) Med Tech/Nurse Assistant
-Assist resident with their activities of daily living. Assist with a variety of needs. Pass medications according to eMAR. Which includes getting blood sugar and giving insulin. Lowe’s August 2020- September 2020 Cashier
-Scan items, count and maintain cash in drawer. Stock items in front of house. 106 Wilkes Lane East
Hampstead, NC 28443
Onslow Memorial Hospital September 2020-November 2021 Patient Care Technician
-Assist patients with activities of daily living, assist nurses with daily care, obtain vitals, insert and remove foley catheters, remove IVs upon patient discharge, obtain blood sugars. 317 Western Blvd
Jacksonville, NC 28546
RemX Temp for McKesson November 2021-February 2022 Medical Insurance Specialist WFH
-Temporary job for McKesson which duties included outbound calls to insurance companies, confirming member benefits for specialty drugs. Working five9 outbound calling system.
Medix Temp for Bright Healthcare February 2022 - Current Provider Dispute Analyst WFH
-Responding to provider payment disputes, researching incoming disputes/appeals for member and provider appeals to verify accuracy of claim payment, member eligibility data, billing/payment status, and authorizations. Identifies trends and emerging issues and reports on solution to supervisor/manager. Confirm dispute/appeal is handled within established timeframe to meet company and regulatory requirements. Excel at working in a fast-paced environment and manage time sensitive task completion daily. Proven ability to prioritize and manage multiple tasks and job responsibilities. I served as a trainer with onboarding new hires. Working directly with my supervisor on projects regarding Optum Transplant pricing, Midland’s Choice, current remark codes SOP’s or investigating new denial remark codes. After several months of hard work and dedication I was hired on Full time at Bright Healthcare on 05/09/2022.
Education:
PA Cyber Charter School - High School Diploma
Midland, PA
Diploma received 2014
HACC – Nurse Assistant
York, PA
Graduated 2014
Penn Foster - Medical Billing and Coding
Scranton, PA
Graduated 2020
State Certified
North Carolina State Certified CNA and Med Tech
CPR/First Aid Certificate BLS
North Carolina driver’s license
References:
Kelsea DiMauro 508-***-**** Professional
Christie Ciolino 708-***-**** Professional
Brenda Addy 910-***-**** Professional
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