Claims Processor Member Services

STACEY BROWN

BALTIMORE, MARYLAND · 917-***-****

***********@*******.***

EXPERIENCE

**/**** – PRESENT

KELLER WILLIAMS, REALTOR MARYLAND LIC REAL ESTATE ANGENT

CREATED OWN BRAND, IG, FACEBOOK INFLUENCER, 10K + FOLLOWERS.

04/27/15 – 11/04/2022

VERIFICATIONS/PATIENT ACCOUNTING MEDSTAR, MD

Responsible for overseeing Cardiac accounts ensuring that documentation and guidelines were followed and in compliance.

Help implement OLIV system for proper documentation and additional system interfacing

08/01/2014 – 04/01/2015

CLAIMS PROCESSOR, numotion, MD

Processes high volume of claims daily while ensuring federal and state guidelines were followed. Follow ups with doctors’ office and insurance companies required.

Prepared accounts with modifiers and guidelines for compliant federal claim submission

01/01/2010 -05/01/14

Johns Hopkins Home Care Group

Baltimore, MD

CLAIMS ADJUSTOR/DME LIAISION

Process claims and worked A/R Also worked as DME coordinator.

Prepared DME equipment for billing and discharge.

Responsible for following Insurance/medical guidelines for billing, spoke on daily basis w/ staff

06/01/2004 – 08/01/2009

Kaiser Permanente of Mid Atlantic/ Georgia

Silver Spring, MD

Member Services Rep/ Patient Accounting

Responsible for answering and providing benefits for patients and providers on a daily basis

Documented all calls according to departmental guidelines while adhering to CMS policy plans.

Provided excellent communication between upper management and employer groups.

EDUCATION

B.A, VIRGINIA STATE UNIVERSITYMAJOR IN ENGLISH WITH A MINOR IN MASS COMMUNICATION

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