Data Entry Call Representative
Resume:
Jennifer Russo
Scarborough, ME *****
****************@*****.***
Work Experience
Denial Resolution Specialist
Aspirion Health Resources - Lakeland, FL
August 2022 to October 2022
Contacting healthcare insurance companies for updates, status’s or appeal denial information on medical claims.
Data entry of appeal and denial updates into patient accounts, addressing gaps of information needed in order to close an account. Forwarding information onto the account holder of the claim for further follow up. Managing a case load of 30 to 40 claims daily. Referral Specialist
Maine Medical Partners Neurology - Scarborough, ME October 2018 to July 2021
Data entry of medical and patient information.
Obtain authorization for testing; MRI, CT, PET Ultrasound, Dexa bone, to note a few, per specialists orders. Speak with various insurance companies, hospitals, clinics in the coordination of obtaining authorizations.
Assist nursing team with coordinating testing dates with imaging facilities. Contact with patients regarding their testing prior authorization status or denials. Explaining and working with patients to understand an initial denial, followed by working with insurance companies on possible alternatives to obtain a prior authorization for the patient. Experience with commercial, Medicare Medicaid insurances. Reimbursement processes and procedures. Endoscopic Technician
Portland Gastroenterology Center - Portland, ME
August 2018 to October 2018
Supported the RN with prepping the patient obtaining their vital signs and positioning the patient in the bed prior to the physician starting the procedure. Assisting the physician with the colonoscopy procedure, handing him/her the scope along with the removal of any polyp(s), biopsies, or any related specimen to be removed for testing. Appointment Specialist
Maine Orthopedics - Portland, ME
June 2017 to July 2018
Data entry of Scheduling appointments for 8 providers. Answering multiple lines while entering information into computer system. Multiple clerical duties. Verifying insurance and referrals prior to appointments.
Education
License practical nursing in Practical Nursing
InterCoast Career Institute-South Portland - South Portland, ME April 2011 to June 2012
Associate
Skills
• Medical Records (5 years)
• Billing
• EMR (7 years)
• Scheduling (3 years)
• Epic (3 years)
• Insurance Verification (3 years)
• Medical Scheduling (3 years)
• Medical Billing
• Medical Office Experience (3 years)
• Patient Care (2 years)
• Clerical Experience (3 years)
• Vital Signs (2 years)
• Experience Administering Injections (2 years)
• Microsoft Excel (3 years)
• Customer service (10+ years)
• Caregiving
• ICD-10
• Computer Skills
• Nursing
• HIPAA
• CPT Coding
• Anatomy Knowledge
• Hospital Experience
• Medical Terminology
• ICD-9
• Leadership
• Communication skills
• EHR systems
• Microsoft Outlook
• Medicare
• Filing
• Microsoft Office
• EMR systems
• Organizational skills
• Typing
• Managed care
• Medical Coding
• Transcription
• Physiology Knowledge
• Triage
• Quality Assurance
• Phone Etiquette
Certifications and Licenses
CPR/AED
August 2018
Assessments
Written communication — Proficient
September 2021
Best practices for writing, including grammar, style, clarity, and brevity Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
I would like to note further customer service experience while working for Nynex/Bell Atlantic, now known as Verizon, for 8 years. I started my career there as a Call Completion Operator which was mainly data entry of customer information. The last position I held was a residential call representative. Data entry of residential information as home address, phone number, credit card information and similar information as needed for the completion of the request. February 1993- April 2001
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