PATRICE CUNNINGHAM 401-***-**** adxkfi@r.postjobfree.com

OBJECTIVES: MAIN PURPOSE AND GOALS ARE TO UTILIZE MY SKILLS AND EXPERIENCES THAT I HAD OBTAINED THROUGHOUT MY EMPLOYMENT HISTORY

EDUCATION: GRADUATED FROM HIGH SCHOOL. INVESTED FOUR YEARS IN RHODE ISLAND COLLEGE, COMMUNITY COLLEGE OF RHODE ISLAND AND JOHNSON & WALES UNIVERSITY. TOOK MANY COURSES IN BUSINESS MANAGEMENT.

WORK HISTORY: NEIGHBORHOOD HEALTH INSURANCE OF RHODE ISLAND. WORKED IN THE PROVIDENCE AND SMITHFIELD RI OFFICES. LISTED BELOW ARE ALL POSITIONS HELD IN THE CLAIMS DEPARTMENT BETWEEN 2001 AND 2022.

CLAIMS CLERK: SORTED, INSERTED, BATCHED INCOMING MEDICAL INSTITUTIONAL AND PROFESSIONAL CLAIMS, PULLED CLAIMS THAT WERE LISTED ON THE REJECTED REPORTS. MAILED SENDBACK LETTERS TO OUR PROVIDERS, DAILY SCANNED LARGE QUANTITY OF CLAIMS RECEIVED FROM THE MAILROOM, DATA ENTRY INPUT, CREATED ACKNOWLEDGEMENT LETTERS ELECTRONICALLY FOR OUR PROVIDERS THAT CONCERNED THE STATUS OF THEIR ADJUSTED CLAIMS, CREATED ISSUES FOR THE RECONSIDERATION AND ADJUSTMENTS CLAIM'S TEAM, CREATED JIRA ISSUES FOR NEW OR REINSTATED RENDERING PROVIDERS AND SUPPLIERS, MANTAINED MEDICAL FILE RECORD, PACKED CLAIMS RECORDS IN BOXES FOR OFF-SITE STORAGE AND PROVIDED ASSISTANCE TO THE MAILROOM DEPARTMENT.

CLAIM EXAMINER: KEYED MEDICAL CLAIMS INTO COMPUTER SYSTEM, ADJUDICATED CLAIMS, WORKED RADIOLOGY AND MULTISURGERY REPORTS, RESOLVED PROVIDER’S RELATED ISSUES ASSIGNED TO ME, PROVIDED BACKUP COVERAGE TO THE CLAIM PROCESSOR'S TEAM AND WORKED REMOTE TWO TO THREE DAYS A WEEK ON DAILY WORK FUNCTIONS.

CLAIM PROCESSOR: BATCHED PROFESSIONAL AND INSTUTIONAL CLAIMS PROCESSED REJECTED ELECTRONIC REPORTS, DATA ENTRY, MAINTAINED WEEKLY REPORTS OF ALL CLAIMS PROCESSED, FILED CLAIM DOCUMENTS, PULLED RECORDS FOR OTHER DEPARTMENTS WITHIN THE COMPANY, COUNTED AND PACKED MEDICAL PROFESSIONAL CLAIMS FOR OFF-SITE CONTRACTORS TO PROCESSED FOR US AND TRAINED NEW HIRES WIITHIN THE CLAIMS DEPARTMENT.

DATA ENTRY: REPETITIVELY KEYED MEDICAL PROFESSIONAL AND INSTITUTIONAL CLAIMS INTO COMPUTER SYSTEM, ASSIGNED SUPPLER AND RENDERING PROVIDER ID NUMBERS TO PROFESSONAL CLAIMS TO BE PROCESSED AND PROVIDED CLERICAL ASSISTANCE TO CLAIM'S CLERK TEAM WHEN NECESSARY.

SKILLS:

DATA ENTRY

FILING

TYPE 55 WPM

SCANNING

REFERENCES:

CAN BE PROVIDED UPON REQUEST