MICHELE

KORTENKAMP

ad2knt@r.postjobfree.com

***-239-***-****

Dubuque, IA 52001

SKILLS

● KEY QUALIFICATIONS

● Payment Posting â-ª Scheduling

â-ª HIPAA Compliance â-ª

Medical Terminology

● Office Operations

● Accounts Payable and Accounts

Receivable

● Microsoft Office

● Claims

EDUCATION

Ultimate Medical Academy

Tampa, FL • 02/2020

No Degree: Medical Billing and

Coding

Hawkeye Community College

Waterloo, IA • 08/1990

No Degree: Dental Assissting

PROFESSIONAL SUMMARY

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Organized and dependable

candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added

responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

WORK HISTORY

ASTON CARTER / ELEVANCEHEALTH - Claims Processor

Remote / Contract • 12/2022 - Current

● Evaluated accuracy and quality of data entered into agency management system.

● Followed up with customers on unresolved issues.

● Collaborated with claims department and industry anti-fraud organizations to resolve claims.

● Established positive and trusting relationships with injured clients, administering efficient customer

service and processing claims quickly.

● Analyzed information gathered by investigations to report findings and recommendations.

● Checked documentation for accuracy and validity on updated systems.

● Verified client information by analyzing existing evidence on file.

● Generated, posted and attached information to claim files.

● Maintained strong knowledge of basic medical

terminology to better understand services and

procedures.

● Collaborated with claims department and industry anti-fraud organizations to resolve claims

Cognizant / CVS - Customer Service Representative

Remote / Contract • 08/2022 - 12/2022

Jesup Community School

Jesup, IA • 05/1985

High School Diploma

● Insurance Verification â-ª Insurance Claim Processing â-ª EOBs â-ª Co-Payments â-ª Deductibles

● Managed Care (HMO â-ª PPO â-ª POS) â-ª Government Payers â-ª Third Party Payers

● Greenway Prime Suite EHR â-ª Electronic Medical

Records (EMR) â-ª Electronic Health Records (EHR)

● Medical Billing â-ª Medical Coding â-ª ICD-9 â-ª ICD-10 â-ª HCPCS â-ª CPT

● Medicare â-ª Medicaid â-ª Tricare â-ª CMS 1500 â-ª CMS 1450 (UB-04) â-ª Fee Schedules â-ª Medical Office

● Procedures, Inbound calls for Open Enrollment

Accenture - Data Analyst/Claims/Analyst, -Intake

Coordinator

Remote / Contract • 08/2021 - 02/2022

● Back Office/Data Entry -Handle inbound calls to resolve customer enquire

● Supported office staff and operational requirements with administrative tasks.

● Applied specific subject matter knowledge to achieve project objectives and to contribute to impactful

outcomes.

● Viewed reports regularly to make sure processing was conducted efficiently.

● Maintained strict confidentiality with all personal data as per company guidelines.

Change Heath Care - Claims Representative

Remote / Contract • 10/2020 - 01/2021

● Handle all claims to approve/disapprove applications,

-Worked with Medicare & Medicaid claims

● Examined reports, accounts and evidence to determine integrity and accuracy of information.

● Worked productively in fast-moving work environment to process large volumes of claims.

● Evaluated accuracy and quality of data entered into agency management system.

● Checked level and type of coverage and evaluated contracts.

● Checked documentation for accuracy and validity on updated systems.

● Generated, posted and attached information to claim files.

● Maintained confidentiality of patient finances, records and health statuses.

● Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

● Modified, updated and processed existing policies. Sedgwick - Disability Representative Project

Coordinator

01/2003 - 01/2021

● Data entry -Put detailed packets together for Fortune 500 companies regarding Long & Short Term

● Disability

● Intake Coordinator

Concentrix - Data Analyst/Claims Analyst

Remote • 02/2020 - 10/2020

● Pulled claims data from CMS systems, completed PI redactions and imported data for further analysis.

● Assisted CMS with analysis in support of federal health program implementations.

● Led and contributed to planning and design of

claims-based analytical research and studies.

● Applied specific subject matter knowledge to achieve project objectives and to contribute to impactful

outcomes.

● Maintained strict confidentiality with all personal data as per company guidelines.

● Interacted with clients and employees, which helped cultivate positive working relationships.

● Followed up with insured individuals regarding

premium and deductibles payments.

Hills and Dales Child Development Center Group

Home - Personal Care Technician/ Data Entry specialist 08/2010 - 06/2013

● Provided companionship and personal care for special needs patients í Prepared meals, dispensed

medication and transported to doctor appointments í Took vital signs, monitored intake and output and

encouraged self-care by demonstrating use of walking aids í Taught appropriate ways to re-position

patients, handled light cleaning duties and maintained accurate records í Entered file information into system on day-to-day basis

Martelleâs - Cashier / Customer Service

01/2008 - 01/2010

● Processed transactions, accepted payments, and

provided prompt, courteous customer service í

Prepared food, stocked shelves and balanced tills í Worked as part of a team and interacted with diverse customers and staff members í Followed all policies as they related to customer confidentiality

Dr. Hall, DDS - Certified Dental Assistant/ Data Entry Specialist

06/1999 - 07/2000

● Greeted patients, managed appointments, and kept treatment records í Proficient in reception,

insurance, record-keeping, and general office

procedures í Assisted dentists with selecting

instruments, mixing dental filling materials and

cleaning work area í Organized and set-up

instruments and materials for dental procedures í Maintained knowledge of dental procedures and

terminology and provided outstanding customer service í Set up X-rays and other dental tests, ordered dental supplies and maintained stock í Entered medical

records into systems, adding patient information,

adding other related information through data entry. Hartsook, DDS - Certified Dental Assistant/ Data Entry Specialist

07/1991 - 02/1998

● Handled reception, billing, record keeping and general office duties í Answered inbound calls, scheduled appointments, greeted patients and ordered supplies í

Assisted dentists in the direct provision of primary care dental services í Prepared patient for

treatment, set up and sterilized equipment and took dental X-Rays í Entered medical records into

systems, adding patient information, adding other

related information through data entry

AFFILIATIONS

Hands-on, task focused professional who offers strong clinical and customer service skills gained through 12+ years of experience within high-volume dental practices. Follows policies, procedures and guidelines to ensure consistent quality and maintains and safeguards patient privacy and confidentiality. í Attentive to Detail: Review and correct errors, and maintains compliant documentation í Front Office: Verify insurance

coverage, Medicare & Medicaid coverage, schedule

appointments, and collect co-payments and deductibles í

Accuracy: Ensure correct and thorough demographic information for medical records database í

Administrative Skills: Microsoft Office Applications (Word, Excel, and PowerPoint) - Type 50 WPM Electronic Medical Records (EMR / EHR) Greenway Prime Suite EHR

.

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