Data Entry Billing Specialist
Resume:
KELLIE GLASS
nd
Oklahoma City, OK **159
HIGHLIGHTS OF QUALIFICATIONS
Sharp and enthusiastic
Works well independently and as a cooperative team member
Results-oriented
Ability to adapt quickly to change
Excellent communication skills
Training
PROFESSIONAL EXPERIENCE
11/2021 to Current
Intake Coordinator Amerita Option One
Oklahoma City, Oklahoma
Review Referral for complete information including all demographics and insurance
Evaluate Insurance for probability and patient responsibility
Communicate with several departments to get information needed for referral to be processed including pharmacy and delivery
Convert Medications /formulations to run through patient’s PBM coverage _Initiate new authorizations/reauthorizations and appeals as needed 07/2021 to 10/2021
Billing Specialist Midwest Revenue Cycle
Oklahoma City, Oklahoma
File Rural Health Claims for several clinics on both UB forms and HCFA claims for all payer sources including Medicare, Medicaid, commercial insurance and marketplace plans.
Ensure correct data entry, correct provider coding information and appropriateness of reported services.
Critique chart information to make sure billing documentation for services is correct.
Review Availity for any error and trends to report to management. 02/2020 to 06/2021
Billing Specialist Good Shepherd Hospice
File all billing forms for reimbursement from payer sources Oklahoma City, Oklahoma including Medicare, commercial plans and marketplace plans.
Ensure correct data entry, correct provider coding information and appropriateness of reported services.
Enter and process paper and EDI claims (HCFA 1500, UB04) within the claims system.
05/2019 to 02/2020
Claims Adjuster Kemper Health
Review and evaluate routine and complex electronic and paper Oklahoma City, Oklahoma claims in accordance with plan provisions, including medicare supplement plans, dental plans, and vision plans.
Ensure correct data entry, correct provider coding information and appropriateness of reported services.
Enter and process paper and EDI claims (HCFA 1500, UB04) within the claims system.
Review and complete work orders given by different departments. 12/2015 to 05/2019 Frates Benefits Administrators
Client Services Oklahoma City, Oklahoma
Work HSA accounts for several Clients
Including but not limited to self funded plans
Reconcile all accounts for HSA Clients
Work reports for aged clients and dependents
Answer customer service calls
Work on systems including Windows 10, Excel, and Adobe 06/07 to 11/2015 Oklahoma Physical Therapy
Biller Oklahoma City, Oklahoma
Bill claims using HCFA 1500
Reconcile all accounts
Work the Accounts Receivable report for unpaid claims
Prepare and Submit appeals
Work on systems including Mysis
EDUCATION
Northlake Community College
Irving, Texas
30 hours
PROFESSIONAL DISTINCTIONS
Frist Humanitarian Award
HCA Healthcare
1998
Founding member, Leadership Committee
Patient Financial Services, OU Medical Center
2000-2001
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