Letticia Fulse

** ***** ******

Windsor,Ct *****

860-***-****

adwcgq@r.postjobfree.com

OBJECTIVE: Health Claims Specialist-Experienced Professional, accurate,

detailed coding and billing, insurance, knowledge of Medicare and

Medicaid guidelines, I will ensure prompt reimbursement of claims.

PROFESSIONAL EXPERIENCE:

Consulting Cardiologist(Temp)

1/16/2023-3/17/23

Wallingford, CT

Getting authorization from insurance companies in a timely manner to make sure patients can be seen.

CPa Medical Billing

10/3/22-01/09/23

East Haven, CT

Duties

Retrieve remits daily

Post payments manually and electronically

Responsible for balancing and maintaining the reconciliation sheet

Meridian Medical Management

10/2017-02/14/2022

Windsor,CT

Duties

Pulling down the daily EFTs to be posted

Posted high dollar payments for St. Luke’s medical group

Work on cash log spreadsheet

Responsible for finding missing money

Distribute work to the posted by the posting team

Work closely with A/R Team

Worked credit balances

Was part of a credit balance team

Ram Radiology (Temp) 5/2017-9/2017

Middletown, CT

Duties

Working the outstanding A/R

Constitution Billing and Finance Services 8/2016-11/2016

Avon, CT

Medical Billing(Temp)

Duties

Work denials from all Insurance plans

Post Insurance and patient payments daily

Collection calls regarding patient account balances

Customer service

The Hospital of Central Connecticut 11/2011-02/2015

New Britain, CT

Charge Entry

Duties

•Entering charges for 4 different specialties groups with 20+

doctors

•Entering patients’ demographics

•Customer service

Advanced Medical Billing 08/2010 to 9/2011

Farmington, CT

Account Coordinator

Duties

•A/R collections on 15 different specialties with 200+

doctors

•Participated on a special projects team that resolved

taxonomy issues with Medicaid, NPI issues with Medicare

resulting in reimbursements over $100,000.

•Specialized in Anthem A/R and appeals process, while still

working all MCO, Commercial, and self-pay accounts

•Customer service

Phylogic Healthcare 04/2009 to 09/2009

Springfield, Mass

Billing Coordinator

Duties

•Responsible for the daily charge entry of 4 different

Specialties that were located out of state.

•Customer service call center

UCONN Health Center 08/2008 to 12/2008

K-Force Temp Services

Farmington, CT

Account Coordinator

Duties

•Audited denials from carriers to ensure correct coding

procedures were be followed

•Verified patient eligibility to ensure claims are going out

correctly the first time

•Experienced with the appeals process for United HealthCare

Phoenix Internal 10/2006 to 02/2008

Thomaston, CT

Account Coordinator

Duties

•Charge entry and payment posting for Skilled Nursing Facilities and

office visits for a general practice

•Accounts receivable collection calls for all carriers on a daily

basis

•Auditing of encounters to ensure patient eligibility

Computer Skills:

•Misys Vision, Misys Tiger, and SSIMED billing software systems

•Microsoft Office, and Excel

•Monarch Database

EDUCATION

Branford Hall Career Institute

Health Claims Certificate 2003 Windsor, CT

High School Diploma 1995 New Britain, CT

New Britain High School

References available upon request

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