Analyst Specialist
Resume:
Luetrina Broderick
PROFESSIONAL SUMMARY
Experienced healthcare professional most recently working for Parallon Business Solutions/HCA as an Insurance Verification Specialist for the past 3 years
Verified patient demographics and eligibility
Pre-registered patients for upcoming services at the facility
Performed upfront collections on patients to establish liability
Verified overpayments from healthcare payers
Verified and uploaded insurance benefits in patients records
Received inbound calls from patients for pre-registration
Knowledge and usage of ICD9, CPT, deductible, coinsurance, and copays
Issued refunds and maintained records of all transactions
Available to interview with 24-hour business days’ notice
PROFESSIONAL EXPERIENCE
Parallon Business Solutions/HCA
Insurance Verification Specialist
05/2017 – 06/2020
Verified patient demographics and eligibility
Pre-registered patients for upcoming services at the facility
Verified and uploaded insurance benefits in patients records
Performed upfront collections on patients to establish liability
Received inbound calls from patients for pre-registration
Knowledge and usage of ICD9, CPT, deductible, coinsurance, and copays
Love that Jerk Catering
Manager
07/2014 – 12/2017
Owned and managed a catering delivery food service company
Performed bookkeeping, ordering of supplies, and payroll
Hired and trained new employees
Parallon Business Solutions/HCA
Overpayment Analyst
08/2001 – 07/2014
Verified overpayments from healthcare payers
Read and determined per contract if there were true overpayments
Accessed multiple networks
Issued refunds and maintained records of all transactions
Adjust Meditec system to reflect correct payments
BCBS of Georgia
Claims Examiner
6/1994 to 4/2000
Process healthcare claims according to contract guidelines
Assign appropriate codes to either pay/deny procedure
Assign appropriate ICD9 code to procedures code
Pay/deny claims according to the contract
Knowledge of CPT and DX coding
Update system to generate EOB
EDUCATION
Potomac High School
High School Diploma
Contact this candidate