Flora Nelson

Atlanta, GA *****

ad2tfi@r.postjobfree.com

+1-470-***-****

Authorized to work in the US for any employer

Work Experience

Customer Service Representative

Kaiser Permanente - Atlanta, GA

September 2021 to Present

· Submits and reviews documents to make sure customers have the proper information for billing purposes

· Resolves patient insurance claims or questions related to medical care and benefits information

· Prepares patient intake paperwork, sets appointments, data entry, and maintains referral files

· Directs patients to proper resources for assistance with issues sending and receiving correspondence Claims Representative

United Health Care - Atlanta, GA

December 2017 to March 2020

· Determines if the loss is covered, negotiates insurance settlements, authorizing payouts & reimbursements

· Investigates medical claims made by policyholders to corroborate the accuracy of files evaluating facts

· Processes paperwork related to the claims, interview customers, and contacts third parties for consultation

· Studies provisions of insurance policies, prepares reports, and ensures compliance with regulations Education

Certificate Medical billing coding in Medical Billing & Coding Miller-Motte College

September 2023 to Present

Skills

• Medical Terminology Practice (2 years)

• Obtains Medical Info/Records (4 years)

• Reviews Bills/Payment Details (2 years)

• Verifies Coverage & Eligibility (5 years)

• Proficient with Microsoft/Google Apps

• Processes Documents (2 years)

• Operating Systems

• Computer Networking

• Medical coding (3 years)

• ICD-9

• ICD-10

• Typing (4 years)

• Customer service (6 years)

• Medical terminology (4 years)

• Technical support

• Negotiation

• Operating systems

• HIPAA (4 years)

• Computer networking (3 years)

• Medical Billing

Certifications and Licenses

Medical Coding Certification

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