Post Job Free

Resume

Sign in

Claim processor

Location:
Savannah, GA
Posted:
December 08, 2023

Contact this candidate

Resume:

Kirsten S. Brantley

Savannah Ga *****

832-***-****

ad1s1k@r.postjobfree.com

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



Contact this candidate