Porchelle Steverson

**** ********* **, ******* ** 37013

Contact #: 615-***-****

ad3gse@r.postjobfree.com

Experience

Department of Veterans August 2018 – August 2023

Medical Reimbursement Tech

Verifying Insurance coverage

Submit reimbursement claims in a timely manner

Communicating with insurance companies, patients, and healthcare providers

Evaluate payments received for correctness and apply payments accurately to the system

Staying current with changes in insurance policies and regulations that may affect reimbursement procedures

Follow up on invoices submitted to ensure prompt and timely payments

Applies payments correctly to the correct patient’s account

Call payer to verify claims submitted was received and ensure prompt and timely payment

CGS August 2016 – August 2018

Claims Processor

Provided customers with excellent service

Examined insurance policies to determine coverage type

Verified whether a company or insurer should cover claims or client losses

Prepared claim forms and necessary paperwork and reviewed files for completeness

Contacted clients to gather missing information and added data to clients forms

Calculated the claim amount and request checks to be sent to clients

Process new insurance policies and modify existing policies

AIG August 2014 – August 2016

Claims Processor

Provided customers with excellent service

Examined insurance policies to determine coverage type

Verified whether a company or insurer should cover claims or client losses

Prepared claim forms and necessary paperwork and reviewed files for completeness

Contacted clients to gather missing information and added data to clients forms

Calculated the claim amount and request checks to be sent to clients

Processed new insurance policies and modified existing policies to reflect coverage protocols or client’s requests

DSI Inc. March 2012 – June 2014

Payment Poster

Post Payment for 120 Clinic and Hospital Facilities

Medicare, Medicaid and Commercial Payment Posting

Recoupments (take back) and Overpayments

Process cash-link deposits and e-payment in a timely manner

Perform quality audits of deposit

Southside Church September 2012- June 2013

Administrative Assistant (Part-Time)

Conducted various membership surveys that led to a 10% increase in weekly attendance

Answered incoming calls and documented noted for the minister all other staff members

Set appointments and personal reminders for leaders of the congregation using Google Calendar

Typed rough draft of lessons for the minister

Provided the treasury with a second count of collection funds and made weekly deposits

Advance Financial December 2011 - August 2012

Customer Service Representative

Keep records of customer interactions and transactions, recording details of inquires complaints, and comments, as well as actions taken

Check to ensure that appropriate changes were made to resolve customers’ problems

Determine charges for services requested, collect deposits or payments, arrange for billing

Local market outreach for the development of business

International fund transfer; Process cash-link deposits

Funds payout (small business, person to person, payroll)

Posting payment to customer accounts: Perform quality audits of deposits

Walgreens Pharmacy September 2011 – January 2012

Internship

Confer with customers by telephone or in person to provided information about products and services

Enter customer order numbers, cancel accounts

Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as action taken

Check to ensure the appropriate changes were made to resolve customers’ problems.

Determine charges for services requested, collect deposit, payments or arrange billing

Refer unresolved customer grievances to designated departments for further investigation

Complete contract forms

Order test that could determine the causes of product malfunctions

Centennial Medical Center April 2007 – July 2009

Dietary

Prepared and delivered meal trays to patients rooms

Prep kitchen area

Skills

Type 55 wpm

Excellent 10 Key Data Entry Skills

Cashier Experience

Switchboard operator

Prescription Processor

Education

Hillsboro High School August 2004 – May 2008

Paul Mitchell School of Beauty August 2009 – May 2010

Tennessee Technology

Pharmacy Technician Certificate August 2010 – January 2012

References Available Upon Request

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