Claims Processor Receivable Clerk
Resume:
Danuta B Fedycki
********@*****.***
Professional Summary
Diligent professional with over 10 years of experience in medical industry. Committed to working closely with patients, medical insurances and other professionals for well-rounded medical care.
Handles tasks with accuracy and efficiency
Work Experience
Claims Processor II at R1 RCM
Remote - 11/06/2022 — present. My position was outsourced from Sutter Health. I still work for Sutter Health as a contractor. Same responsibilities
Claims Processor II at Sutter Health
9100 Foothills Blvd, Roseville, CA 95747 United States
11/19/ 2012 - 11/05/2022
Skills
•Clerical
•Time management
•Excellent analytical and research skills
•Strong attention to detail and accuracy
•Proficient in MS Excel, Word,Outlook, and Teams
•Ability to work independently and as part of a team
•Strong Time management and organizational skills
•Experience in Accounting, Auditing and Collections
•Ability to communicate effectively and professionally in person, electronically, by telephone, with internal and external customers
Education
2 years non-degree program in Economics
High School Diploma
Experience
•In-depth knowledge of medical terminology, anatomy, and a general understanding of health records
•Experience in Health Care Claims, Contracts and Coordination of Benefits
•Knowledge of CPT/HCPS coding, ICD-10
•Knowledge of health insurance concepts and requirements, including HMO, PPO, Medicare, MediCal and other federal and state agency
•In-depth knowledge of the laws and regulations related to disclosure of health information Privacy Act and HIPPA
•Worked with insurance companies to resolve patient billing/carrier issues to ensure expected payment.
• Advanced knowledge of medical terminology specific to understand medical diagnosis and procedures
•Analyzed and resolved credit balances accounts
•Ability to communicate effectively and professionally in person, electronically, by telephone, with internal and external customers
•Experience in Accounting, Auditing and Collections
•Career highlights included being awarded "Employee of the Month” in 2017. I also, served as a Patient Advocate.
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