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Data Entry Claims Processor

Location:
Wausau, WI
Posted:
April 01, 2023

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Resume:

Melissa Hedstrom

Assistant Manager AFH, Health Care Business

Schofield, WI 54476

adv9t6@r.postjobfree.com

715-***-****

Examine approaches to running more efficient organizations, improving coordination of services, enhancing the value of patient care, and boosting medical and economic outcomes. At the same time,build the leadership competencies required to drive change, manage people, provide optimal care, and deliver results across this organization. Work Experience

Assistant Manager

Opportunity Inc - Wausau, WI

May 2015 to Present

Oversee staff and clients to ensure that thier health & safety ate priority and the state guidelines are all being practiced appropriately. Lead with integrity and a positivity. Advancing independence and productivity in clients with disabilities. Oversee the MARS, cycle fill and that all meds are available in correspondence with the doctors orders, not expired. In contact with Young's longterm care & PCP for medication needs. Occasional appointments and assessments. Monthly budgeting and shopping for the house and each client. Keeping running totals of on-hand money and fund accounts. Make the menu each month and pull food out as fit. Train new hires. Complete fire drills and monthly maintenance requirements. Follow DHS88 guidelines. Remain professional and approachable. Help with appointment needs, evaluations and assessments. Be welcoming and understanding of family/guardians/case workers when applicable. Work the floor with staff and clients. Cook, clean, use of mechanical lifts. I have a lot to offer!

VA Claims Processor

WPS - Wisconsin Physician Services - Wausau, WI

October 2014 to May 2015

Responsibilities

Timely correction and submission of claims.

Knowledge of computers, applications, government databases, keyboarding, 10 key pad touch Medical Terminology

Learning, flexibility in a new contract and the processing of claims Accomplishments

I have great compassion with this job and I continue to work overtime and learn more. There were just a group of people hired as temp-to-hire and they extended that indefinitely to see how the contract goes. As of this point, we are doing above expectations in our claims processing. Skills Used

Timeliness, adjusting, learning, computer skills having anywhere from 12-20 programs/applications running at a time depending upon which roles your in. I am in extra roles such as adjustments and inpatient claims processing.

Licensed Insurance Agent

Bankers Life and Casualty Company - Wausau, WI

May 2014 to July 2014

Experienced commission based insurance sales 05/2013-6/2014 Internship

Aurora & Pine Crest Nursing Home - Merrill, WI

May 2013 to May 2014

Merrill, WI

• Recognize the importance of voice quality and how it can be improved through correct diction, pacing, and tone

• Communicate with an approach to inspire others, creating a positive image Internship; Aurora Community Services 05/2013

• Coordinate 120 hours working in a health care business office setting Lead Certified Nursing Assistant

Allison House Assisted Living - Rothschild, WI

May 2008 to December 2011

Practiced HIPPA and privacy rules and regulations

• Establish rapport and solved problems for patients who might be anxious, ill, or worried about their medical status

Certified Nursing Assistant

North Central Health Care Center - Wausau, WI

January 2007 to April 2008

Showed compassion and empathy while adapting to diverse working conditions, creating a collaboration of care

Achievements

• President's List, high honors and honors

• Volunteer at Hawthorn Hills Elementary School and Boy Scouts Education

Health Insurance & Business

Northcentral Technical College - Wausau, WI

May 2014

Medical Coding Diploma in Medical Coding, terminology and billing. Northcentral Technical College - Wausau, WI

2007 to 2014

Two lines of authority through WI; Life and Casualty Insurance Licensure in Insurance

State of Wisconsin, Pearson Vue - Wausau, WI

2014

High school diploma or GED

Skills

• Experienced clinical and business sides of Health Care, keyboarding 50+ GWAM, claims processing

• Medical Coding

• 10 Key Data Entry

• HIPAA

• Medical Terminology

• Computer literacy

• English

• Medical Records

• Databases

• Medical Scheduling

• Developmental Disabilities Experience

• Assistant Manager Experience

• Patient Care

• Vital Signs

• Insurance Sales

• Medical Office Experience

Awards

President's List twice

90 college credits through NTC

Presidents List

High Honor

Honors



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