Claims Associate Data Entry
Resume:
Vandaline L. Hicks
Florence, SC 29506
Phone: 843-***-**** (H) 843-***-**** (C)
Email: **********@*****.***
QUALIFICATIONS
Business Administration/ Business Management
Experienced Trainer & Technical Support for HCSR
Finance Experience/ Customer Service Skills
Microsoft Word, Excel, Data Entry, Medical Coding
Completed HMDA & High Cost training
EDUCATION
Florence Darlington Tech Business Degree 1984-1985
Wilson High School High School Diploma 1980-1983
EMPLOYMENT
2009 – present Insurance Representative / McLeod Regional Medical Center
Primary representative for reservations and scheduling
Provide patients, office and other specified facilities with insurance verification and eligibility for outpatient and inpatient procedures
Obtain authorizations for prior, current and future procedures and completing necessary documentation to assure payment
Respond to both outside and internal representatives in other departments to ensure that proper protocol is taken for successful processing of claims
2001-2009 Pricing Specialist I/, Washington Mutual Bank
Substitute as a manger of Pre-Funding Lab of 18 FTE.
Communicate and enforce WAMU policies and procedures to staff.
Responsible for all management, quality and production reports.
Review loan files for quality/accuracy. Validate that the loader was loading accurately.
Trained all new employees in the department to load tax and insurance lines on the Fidelity System.
Monitor Audit Reviews, Validations and Funding of correspondent loans.
2001-2002 Loan Service Rep II/Washington Mutual
Research/Track Loans using Omni Rim functions
Correspond with various Tax Offices and Business Partners to verify loan data
Process daily, weekly, and monthly results of findings- Load findings into the Database
Verify and correct Homeowner’s information on Alltel, Lereta, and Transamerica
1989-2001 Claims Associate II/ BCBS Florence, SC
Data Entry and corresponding with Business Partners and patients
Code and correct medical insurance claims using ICD 9 and numerical codes
Research and develop for missing information by phone or written communications.
Process Institutional Claims, Skill Nursing Claims, and Pharmacy Subscriptions
Organized documents by filing, faxing, and copying
Worked effectively in a fast-paced environment
(References available upon request)
References
Londrea Spears
2804 Alligator Road
Effingham SC 29541
Email: ********@***.***
Fannie McCallister
610 Brockton Lane
Florence SC 29501
Email: *****************@*****.***
Michael Swaringer
1014 Birch Circle
Florence SC 29501
Email: ****.*********@******.***
Naomi Eaddy
408 S Wallace Road
Florence SC 29506
Email: ********@*********.***
Contact this candidate