JENNIFER LYNN NHAMOINESU

** ******* ***** **** *****, CT 06516

203-***-****

ad18o4@r.postjobfree.com

SUMMARY

Organized professional with experience in the Health Care field specializing in customer service, medical collection and claim submissions seeking a position within the medical/insurance field. Respects and maintains strictest confidentiality while adhering to all HIPAA guidelines and regulations. PROFESSIONAL EXPERIENCE

SR ANALYST, PROJECT MGT • Network Electronic Data Interchange Investigations Aetna “owned by CVS”, Hartford, CT July 2022– August 2023

• Process bank return report, review and or update provider’s bank accounts

• Assist providers with problems/concerns regarding EDI transaction

• Assist the electronic remittance & payment team when needed

• Request system updates/changes when problems found

• Provide documentation requested by offices that was not otherwise provider to them. Electronic Remittance & Payment Team

Aetna, Hartford, CT January 2014 – July 2022

• Deployed ERA/EFT enrollment for medical providers

• Worked with provider & colleagues on complex enrollments

• Acted as liaison to multiple constituents (providers; venders/clearing house)

• Provided Education and support to newly enrolled providers on fundamentals of ERA/EFT/EOB

• Collaborated within Provider E solutions to support ERA/EFT business.

• Provided status updates to providers

• Provided Virtual credit card program enrollment and support. Patient Billing/Coding

Perioperative Services, LLC February 2016- April 2016

• Read, analyzed, and interpreted medical documents for Billing

• Providing eligibility and benefits for services, submission for Authorization

• Responsible for the timely clean professional medical claims to insurance companies on all platforms of submissions

• Collected, posted, and managed account payments, processed payments from insurance companies, verified the unbilled and aging reports, as well as wrote appeals when necessary.

• Demonstrated proficiency in CPT, ICD-10, ICD-9-CM, HCPC

• Exceeded Management’s expectations of daily billing volume by 50 %. Patient Billing and Collection Associate

CareCentrix, Hartford, CT July 2015 –February 2016

• Answered question from patients, clerical staff, and insurance companies

• Identified and resolved patients billing complaints

• Evaluated patient’s financial status and established budget payment plans

• Provided patients with out-of-pocket estimates

• Educated patients on medical supplies

• Collected, adjusted, and posted patient payments Medical Billing / Coder

West Haven Medical Group, West Haven, CT May 2012 – August 2013

• Read, analyzed, and interpreted medical documents for ERA & EFT.

• Submitted timely clean professional medical claims to insurance companies on all platforms

• Provided eligibility and benefits for services, submission for Authorization

• Collected, posted, managed account payments, processed payments from patient, insurance companies, verified the unbilled and aging reports, as well as wrote appeals when necessary.

• Demonstrated proficiency in CPT, ICD-9-CM HCPC

• Exceeded Management’s expectations of daily billing volume by 50 %. Medical Billing / Certified Nurse Assistant (Part – Time) Interim Health Care, North Haven, CT December 2011 – December 2012

• Performed various clerical and administrative functions.

• Executed patient care and provided a basic nursing service. TECHNICAL SKILLS

Availity, Microsoft Office, Rumba, (Word, Excel, Outlook, Access, and PowerPoint) EDUCATION

Certification Program in Health Claims Specialist, Branford Hall Career Institute, Branford, CT 2011 Certification Program in Phlebotomy, Gateway Community College, New Haven, CT 2005 Licensed Certification in Child and Adult CPR, Phlebotomy, and CNA, New Haven Adult Ed, New Haven, CT 2002 High School Diploma, Stamford High School, Stamford, CT 1997

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