Medical Billing Follow Up
Resume:
Wanda
Wenner
Tiffin, Ohio 44883
*************@***.***
Experience
**/**** – 07/2017
Medical Billing / Promedica - Fremont, OH
Charge posting, charge review, monthly company billing, monthly CMS 1500 and UB-04 billing for all BWC claims, payment posting, and invoice follow up. On the Medicaid side: Daily claim review and submission as well as following up those claims to ensure proper and timely reimbursement.
01/2011 – 07/2012
Provider Phone Representative / United Healthcare – Phoenix, AZ
My division was United Healthcare Community Plan, which administers AHCCCS, Arizona's version of Medicaid, and Dual Complete, a Medicare HMO. Providers call to request Benefits and Eligibility and to obtain Claim Status. If my research determined that a clean claim was processed incorrectly, I noted the specifics, including contractual expectations, then routed the claim for review. If I discovered a billing error, I would clarify the issue to the caller then explain rebilling, reconsideration request, and appeal rights.
Education
06/1997
Associate of Arts / Ohio State University – Marion, OH
Elementary Education
06/1982
Diploma / Mohawk High School – Sycamore, OH
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