LHralth Claim Analyst

Constance Powers, CPC

**** ****** **. **********, ** 53546 608-***-**** ***********@*****.***

OBJECTIVE

To obtain a permanent position in the healthcare industry where my skills and experience can be best utilized while continuing to expand my knowledge and strengths. EXPERIENCE

Manual and on line processing of medical, vision, dental, disability and life claims; cost containment, medical management, customer service, subrogation settlements, worker’s compensation, auditing, training, fraud investigation, aggregate stop-loss recovery, escrow account balancing, enrollment, authorizations, and creating insurance plan documents/benefit building. Functioned as supervisor, manager, patient accounts, collections, and billing. SKILLS

Competent in use of computer, general office equipment, Microsoft Office, medical coding (ICD9, CPT, HCPCS), Medicode, & medical terminology.

EDUCATION & TRAINING

AMERICAN ACEDMY OF PROFFESIONAL CODERS 2004

· CPC (Certified Professional Coder)

MADISON AREA TECHNICAL COLLEGE MADISON, WI 1976

· Pre-nursing/CNA (Certified Nursing Assistant)

EMPLOYEMENT

MERCYCARE HEALTH PLANS JANESVILLE, WI 2003-PRESENT CLAIM ANALYST II

GREAT WEST LIFE INSURANCE ROCKFORD, IL 2000-2002 CLAIM ANALYST

BENCHMARK HEALTH INSURANCE ROCKFORD, IL 1995-2000 ADJUSTMENT SPECIALIST

FIRST ADMINISTRATORS MADISON, WI 1991-1995

CLAIM MANGER

TRAVELERS PLAN ADMINISTRATORS ROCKFORD, IL 1987-1991 CLAIM ANALYST

AETNA LIFE & CASUALTY ROCKFORD, IL 1976-1985

ASSISTANT SUPERVISOR