Claim processor
Resume:
Kirsten S. Brantley
Savannah Ga *****
***************@*****.***
EXPERIENCE
Cardinal Health
Sept- November 2023
Care Coordinator II
Enroll patient in patience assistance program
Communicate with case manager
Verify patient application is updated
Outbound to provider on file verify ICD -10
Enroll in patient program
US Med
June 2023 - July 2023
Billing And Authorization
Verification of ICD-10
Facet claims
Make correct to denial claims
Update provider notation on claims
Process claims in timely manner
Process adjudication
Anthem (BCBS)
December 2022 - April 2023
Dental claims
Medical claims
Pharmacy authorization
Medical override
Data entry
Collection on billing systems
Processing adjudication
Handle love with Care Home health
May 2020 -current
CNA
Home health/private duty
Daily essentials need for clients
Feed assistance
Bathing
Medication reminder
Physical therapy
Humana
July 2021 - December 2022
- Dual CSR
Medicaid
Medicare
Medical claims coding
Claims correction
Enrolled eligibility
Web department
Data entry
Collections
Pearl interactive network- CDC CSR Vax II
March 2012 - July 2021
Schedule vaccination
Scheduled ride to vaccinate
Language line
Customer call resolution department
Alorica, work from home — insurance verification provider August 2017 - March 2021
Verify coverage levels and works with individuals to educate them on their benefits information Medical billing
Customer service resolution
Medical terminology
Everise, Work from home — Customer Resolution Specialist September 2018 - January 2021 Investigating claims and analyzing supporting documents to resolve complaints. ... Provide members with accurate and appropriate information to answer questions, troubleshoot issues, and resolve member complaints
Hermann Memorial Hospital (NICU) (CNA)
2019 March - February 2021
Setting up a health monitor, IVs, and other health equipment, changing diapers, feeding newborns, cleaning equipment and rooms, stocking storage areas, and getting medications from the pharmacy
Kindred At Home Care (Hospice), Katy Texas — CNA/ CMA May 2015 - March 2021
assists with various personal care issues including changing bedding, changing clothing, bathing hospice patients and helping with hygienic routines such as brushing teeth, washing hair and keeping wounds and dressings cleaned.
Medial assistant
Medical coding and billing
medical appointments in a electronic industry record system (EMR/EHR) EDUCATION
Foster High School, Richmond Texas —High School Diploma August 2005 - May 2010
Prairie View A&M University,Prairie View — Bachelor Degree August 2011 - May 2016
Major - Management Information System
Minor- Social work
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