Workers Compensation Benefits Specialist

(Rena) Alice L. Cushman

Phone: 608-***-****

Reliable, hardworking lead worker and team player with supervision experience driven to accomplish all work assignments given. I am a level- headed individual able to make smart, informed decisions with the ability to complete high volume workloads while preforming at a high level. My work history has provided experiences with many computer software programs including various company applications and the Microsoft Office Suite. UW Health / UW Medical Foundation 1997-2017

2008 - 2017 TEAM LEADER FOR WORKERS COMPENSATON / COMMERCIAL INSURANCE DEPARTMENTS

· Responsible for all training new staff.

· Making all decisions for all work related accounts with work comp staff.

· Daily auditing of provider surgeries and the Madison surgery center.

· Auditing of insurance payments, calculating contract adjustments.

· Daily contact with carriers for payment of bills in a timely fashion.

· Calculating payments, multiple surgery adjustments, review provider adjustments on all UW Providers surgeries, applying adjustments and payments to ensure all payments received are accurate and timely.

· Filing appeals with insurance carriers and with the state of Wisconsin Dept. of workforce development.

· Review all discount proposals with insurance carriers

· Maintain all work comp accounts on a daily basis to make sure bills are out and paid on a timely fashion.

· Distributions of duties and mail to all work comp staff.

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· April 2, 1990 to 2017 WORKERS COMPENSATION Follow Representative

· Sort and manage all medical bills for UW Health providers related to workers compensation injuries.

· All follow up on billings. Calculating contract adjustments, taking care of all outstanding bills.

· Auditing all accounts on a regular basis to keep all account and bills up to date. 2006 – 2008 FINANCIAL SERVICES REPRESENTATIVE.

· Daily audits of patient accounts.

· Contacting and taking incoming calls from patients setting up payment arrangements on outstanding charges.

· Reassigning accounts to different departments when insurance contact is needed. 2002 – 2006 PROVIDER ENROLLMENT / CHARGE DOCUMENTION SPECIALIST

· Enroll and keep provider enrollment current for all UW Medical providers.

· Design and update charge encounters for all UW Clinics.

· All encounters, update codes when changes occur – close contact with printing companies to keep all clinics supplied with encounters forms.

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· 1998 – 2000 WORKERS COMPENSATION INSURANCE FOLLOW UP REPRESENTATIVE

· . Training of all new staff

· . Daily audits of workers compensation accounts

· . Setting up all new accounts and follow up on all bills with insurance carriers.

· . Continuous review of payments with insurance carriers, auditing payments and contacting insurance

· carriers for accurate and timely payments of outstanding bills.

· . Appling payments and adjustments for all UW Providers 1998 – 1997 CORDINATION OF BENEFITS SPECIALIST

· . Coordination of benefits on patient accounts when more than one coverage was involved

· . Daily audit of accounts to verify correct payments from carries on patient accounts.

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· Education information, Training and References available upon request Page 2

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