High School Accounts Receivable
Resume:
Annie Brieger
CONTACT
***********@***.**.***
Wallkill, New York
EDUCATION
DEGREE
Valley Central High School, Montgomery NY
LICENSURE & CERTIFICATIONS
Medical Terminology and Diagnostic Codes
Medical Policy
Insurance Processing and Systems
Computer Course 1 & 2 at Port Ewing Boces, NY
PROFESSIONAL PROFILE
A thorough and detail oriented professional with experience in the medical insurance and claim processing industry. Key strengths in researching and verifying policy coverage, exclusions and contingencies and ensuring complete and accurate documentation. Self-motivated with ability to work independently or within a team to complete projects producing quality results on schedule.
EXPERIENCE
Crystal Run Healthcare January 2020-October 2020
Patient clerk receptionists
Checked in patients for appointments
Communicated and retrieved medical documents such as X-Rays, Doctors notes, and Medical bills for patients
Accepted copayments and aided with medical billing processes
Magyar’s Service Center March 2019- December 2019
Receptionists
Handled reservations for RVs, Budget Trucks
Checked customers in, handled billing for rentals, and inspected vehicles before and after use to ensure there were no issues.
Institute of Family Health/ Accounts Receivable
Receptionists
Handled copayments, mailing out billing statements, checking for completed deposits
EMPIRE BCBS, Middletown, NY 1999 – 2015
Claims Adjuster 2005 – 2015
· Identified errors in claim process and made adjustments and corrections for completion of claims for payment. Managed 60+ policy reviews and corrections per day.
· Managed and reviewed approximately 70 electronic claims daily including, collection of benefits status, pre-existing conditions and Medicare status for adjustment, meeting necessary requirements and filing deadlines.
· Researched policy benefits and Blue Cross medical policies, eliminating errors and ensuring correct processing using computer based systems.
· Contacted providers for medical verifications and required information necessary for accurate and timely claim completion.
· Referred any claims larger than $50K to qualified large claim audit personnel for review and completion.
Claims Examiner 2003 – 2005
· Applied extensive knowledge of Medicare, COB, Pre-Existing condition factors for more precise processing of final approval and payments.
· Managed and organized employee medical claims from multiple large accounts including, IBM, Lenovo, Colgate, Corning, Omnicom and Hannaford, providing expert customer assistance and claims completion.
· Acquired skills and learning of new cs90 computer system for entering claims information more efficiently and assisted co-workers with questions and assistance in using the new system.
· Reviewed system tagged duplicate claims, determining validity (new claim, additional information) and correcting errors for proper and timely processing.
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