Billing Specialist Member Services

**/**** - **/**** ********** & Billing Specialist

Common Ground Healthcare Cooperative, Brookfield, WI Review and enter individual and small group enrollment applications. Process enrollment related request through the Health Insurance Casework System

(HICS).

Monitor and audit the processing of monthly invoices for individual and small group members.

Process daily 834 file uploads.

Conduct projects to identify problems and improve work processes and systems. 11/2019 - 02/2021 Member Services Rep-Call Center

Common Ground Healthcare Cooperative, Brookfield, WI Confer with providers and members by telephone to advise of claim status, information about claims, or how claim was processed. Ensure appropriate changes were made to resolve providers concerns. Utilize resources to provide accurate information and a great member experience. Keep records of customer interactions or transactions, recording details or inquires, complaints, or comments as wells actions taken.

Participate in special projects to support other departments as well as side by side training with new employees.

06/2019 - 09/2019 Insurance Follow Up Rep

LanceSoft Staffing/Froedtert Corporate Office, Menomonee Falls, WI Prepare insurance claim forms or related documents and review them for completeness.

Review insurance policy to determine coverage.

Transmit claims for payment or further investigation. Research and resolve all unpaid insurance claims.

Follow up on all customers inquiries or complaints related to unpaid balances. 11/2014 - 04/2018 Fiscal Specialist

Waukesha County Department Of Health Human Services, Waukesha, WI Responsible for CRS Group Home Billing and CCS Group Home Billing. Lead for Open Access Walk In Clinic.

Assign clients to desired service/therapist.

Financial Counseling.

AP/AR.

05/2007 - 08/2014 Coding/Charge Entry Clerk

North Mississippi Hematology & Oncology, Tupelo, MS CPT and ICD-9 coding.

Review documents such as charge slips, or hospital records to compute fees or Charges due.

Prepare itemized statements, bills, or invoices and record amounts due for services Rendered.

Resolve discrepancies in accounting records.

Make referrals for patients to other specialist or specialty services. Jeaniffer Milledge

Lees Summit, MO

Phone: 662-***-****

Email: *******@***.***

Employment History

Medical Billing And Coding

1 Year at College or a Technical or Vocational School Herzing University, WI

Medical Billing

Education History

Occupational Licenses, Certificates and Training

Detailed References

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