Data Entry Medical Billing

Capri Marsette

**** **** ******* **** ********, Georgia 30092 404-***-**** ads66w@r.postjobfree.com

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nterprising, hard-working and technically skilled known for accuracy, attention to detail and timeliness in managing disbursement functions for diverse-industry employers. A/P, Billing, and Collection’s career spans over 19 years of experience in the insurance field claims which includes accountability for up to 20,000 invoices per month, collections, claims, and Underwriting.

Key Skills

Accounts Payable Processes & Management

Invoices/Expense Reports/Payment Transactions

Corporate Accounting & Bookkeeping

Assist in reducing delinquency rate

Vendor Management

Conflict resolution

Extremely Organized

Records Organization & Management

Strong Data Entry Skills

Ability to quickly master new systems, processes, and workflows

Spreadsheets & Accounting Reports

Team liaison

Self-Motived

Professional Experience

CHUBB GROUP OF INSURANCE – ATLANTA, GA Sep/2014 – Present

oUnderwriting Assistant III-Sept/2021-Present

oClaim Operations Coordinator-Dec/2016-Sept/2021

oMonitor Specialist-Oct/2016-Dec/2016

oSr. Claims Assistant-Sept/2014-Oct/2016

Key Results:

Distribute Work Comp Assignments to adjuster; Maintain Polups buckets (3); Maintain Monthly Unreported Losses Report; Maintain Lines Payment Buckets (3); Implement File Conversions from ICW to ClaimVision; Implement File Transfers within ClaimVision; Claim Operations Workload Distribution; Process Checks (Stop Payments/Voids); General Tasks (Schedule appointments, process payments, Forms & Correspondence, and Billing inquiries); Maintain Monthly CareMC Report; Trained in all 7 EDI states; Process and validate data and documents from underwriting team to ensure accuracy and completeness; Ensured policy transactions such as quotes and renewals were issues timely and all changes documented and recorded accurately; Updated specification changes records tracking and client communication as necessary; Analyzed applications and screened reports policies and forms for specific details as required

FRESENIUS MEDICAL CARE – KENNESAW, GA Feb/2013 - Sep/2014

oCollections Patient Account Rep

Key Results:

Work the Commercial Insurance aging work list, which identifies unpaid commercial claims that have qualified for follow up initiate need for insurance changes; Initiates re-bill of unpaid or underpaid claims; Initiates appeal request per payer guidelines; Process no cash related adjustments per established guidelines; Ensures that all Medical Justification Requests are submitted within the established timeline; Ensure that claim follow up is completed within the established timeline avoiding timely filing issues; Prepares bad debt write-off packages with supporting documentation per established guidelines; Notifies the legal department and places collection activity on hold when bankruptcy notice is received per bankruptcy policy; The Remittance Discrepancy work List, identifies claims were payment was paid less than expected reimbursement

CRAWFORD AND COMPANY (BROADSPIRE) – Atlanta, GA Feb/2006 - Mar/2012

oClaims Intake Specialist-Jan/2008-Mar/2012

oBilling Coordinator Feb/2006-Jan/2008

Key Results:

Weekly/monthly/yearly financial Reports; Managed the accurate and timely processing of up to 20,000 invoices monthly; Assessed and closed A/P sub-ledger on a monthly basis, validated content and resolved various issues; Trained Admin, case management staff on implemented systems; Set up Medical Work Compensation claims for initial case management contact; Headed and corresponded a department move from one location to another, staff and equipment; Facilitated “no-fault” internal and external audits as a result of sound recordkeeping and thorough documentation;. Instituted thorough cross-checking of receivers and invoices that halted a previous history of thousands of dollars in underpaid claims; Consistently maintained accuracy in calculating figures and amounts such as discounts, interest, commissions, proportions and percentages; Billed case management’s administration and assessment charges daily

GEORGIA KNEE AND SPORTS MEDICINE – Decatur, GA, Jan/2004 - Feb/2006

oBilling and Collections Specialist

Key Results:

Entered Office and MRI charges; Processed Work Comp and Med pay claims with dictation; Reviewed and resolved rejected and pending claims; Posted payments from insurance carriers, patients, and guarantors; Handled statement/collections call; Followed up on patient and insurance aged accounts; Sent claims electronically and by paper daily; Resolved months of backlogged work, restored order and organization to processes/records in disarray; Operated financial computer systems and furnished senior physicians with A/P liability summaries and cash flow reports; Handled the processing, distribution, accuracy verification and maintenance of invoices

ESSEX COUNTY JAIL – Newark, NJ Jan/2002 - Mar/2003

oMedical Secretary

Key Results:

Scheduled inpatient/outpatient appointments for inmates in three correction facilities; Prepared Hospital Invoices for payment; Processed new hires with security clearance through Internal Affairs; Processed Payroll; Entered Inmate demographics and medical history; Order and maintained all office supplies and equipment; Provided weekly confidential charts for custody of inmates scheduled to leave the facility

Education

Georgia State University Perimeter College – Clarkston, Georgia 2012

Middle Georgia College- Dublin, Georgia 2011-2012

World Outreach Medical Institute- Stone Mountain, Georgia 2003-2004

oCertified in Medical Billing and Coding through the National Healthcare Association

REFERENCES AVAILABLE UPON REQUEST

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