Customer Service Health
Resume:
Linda L Hill
Mooresville, NC 28115
Objective:
To obtain a position that allows me to use my experience in a challenging manner and provides the opportunity for personal and professional growth while benefiting my employer. Experience:
June 2019 to August 2019
Curo Health, Inc through Robert Half agency ( Temporary Position ) 164 Exmore Road
Mooresville, NC 28117
Medical claims processor for Medicare and Medicaid Hospice Claims. Verifying coverages, eligibility for Hospice payments and electronic transmission for payment. This was a 3 month contract, and when this contract ended all temporary workers were released.
January 2017 to June 2018
LTCG, Inc
7805 Hudson Road
Woodbury, MN 55125
LongTerm Care Claim Auditor
Auditing of LTC claims from date of claim, through patient end of life. Reviewing for all required State and Government requirements for facility type. Verification of needed ADL’s for continuation of care.
Working with Intake Nursing staff to verify all aspects of needed care were properly documented, and had been followed
Requirements of 99% accuracy in all audits. Reservicing notifications and follow up of reprocessed claims for accuracy
December 2016 to December 2016
HealthPartners Inc.
180 East Fifth Street
St Paul, MN 55101
Auditor for Health Insurance Claims
Reviewed daily accounting of Various clinic claims for accuracy prior to release of payment. Worked with Subrogation team in coordinating Workers Compensation and Auto/Home accident claims for re-imbursement or overages in payments Daily posting of corrections needed by each clinic audited to improve accuracy, and find possible solutions for employee training and growth within their positions January 2010 to November 2015
Medtronic Inc
18302 Talavera Ridge
San Antonio, Tx 78258
Government sales and service for Medtronic Diabetic division Provide customer service and technical support for customers with an issue or questions about their diabetes therapy devices (insulin pump and continuous glucose monitor) or related diabetes therapy products.
Work with all State and Federal Medicare/Medicaid claimants to process and document all required forms from Physicians and laboratories to satisfy all Government requirements for payment of services for Diabetic pumped supplies re-orders Conduct follow up calls with customers and research issues off line as needed Accurately and concisely document customer feedback and any troubleshooting completed during each call.
Meet or exceed key performance and productivity such as quality, courtesy, expertise, schedule adherence and other metrics as defined by management. Provide peer-coaching and mentoring.
February 2006 to December 2009
Coventry First Health Inc San
Antonio, Tx 78251
Benefits Claims Examiner
Claims processing for a Federal Benefit Health Plan @ 25 Claim per hour rate. 99% Financial accuracy. 99% Procedural accuracy
Knowledge of all Medicare Claim processing, including Medicare Part A, B and D Sept 2005 to February 2006 QVC, Inc.
San Antonio, Tx
Customer Service Rep
Inbound customer service in high volume fast paced call center Problem solving for members requests using Windows environment. EDUCATION
1977 - 1979
Century Community Coll
White Bear, MN 55110
2 year national accredited course in Dental Assisting Graduated CRDA / Associates in Science References
Wilson McShane Corp Vickie Lemke
3001 Metro Drive #500 1-952-***-****
Bloomington, Mn 55425
Delta Dental Plan of NC
333 Six Forks Road, Suite 180
Raleigh, NC 27604
Jensen, Bell Converse & Erickson,
Attorneys @ Law
100 North Sixth Street
Laurie Wall
Minneapolis, MN 55403
Caremark Pharmacy Plan
2211 Hamline Ave
St Cloud, MN 54366
Amanda McCormick
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