Claims Processor 6 years

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Jennifer L. Clark

Data Entry Clerk

Claims Processor (Remote)

Work History:

CLAIMS INTAKE PROCESSOR I (Remote) 2022-2023

SKYGENUSA.COM, MENOMONEE FALLS, WI

. Processing of dental claims using ImageNow into Explorer.

. Special handling for attachments, i.e., EOB or REMIT. Read attachments.

. Data-entry of NPI Provider data for Treating doctor, TIN, Location.

. 20 claims per hour 6 months/39 claims per hour - 1 year.

(Relocated from CALIFORNIA to ARIZONA (02/2022)

CLAIMS PROCESSOR/CLAIMS RESOLUTION COORDINATOR 2019-2022 UC SAN DIEGO HEALTH, SAN DIEGO, CA

UCSD PHO MANAGED CARE

. Responsibilities: Strong knowledge of HCFA 1500, UB04 claims, Epic Tapestry.

. Enter claim information, member eligibility, account information, patient demographics.

. Adjudicate of very long claims to capture all services rendered with correct codes. Temporary Assignments 2018

DATA ENTRY SPECIALIST/ENCOUNTER FORMS 2017-2017

UC SAN DIEGO HEALTH, MEDICAL RECORDS, SAN DIEGO, CA

. Enter multi-specialty abstracts from coders handwritten forms into Epic Tapestry received from Shiley Eye Center.

Temporary Assignments 2015-2016

DATA ENTRY EXAMINER I 2013-2015

AMERICAN SPECIALTY HEALTH, SAN DIEGO, CA

. Enters data from MNR forms and/or CQE worksheets (20 MNR forms per hour required).

. Verify patient’s demographics & DOB, checks for duplicates. Customer Service: Phone calls to Chiro’s office for missing information. MEDICAL CLAIMS PROCESSOR 2008-2011

UNITED HEALTHCARE, SAN DIEGO, CA

. Entry of new patients and update existing patients into GE/IDX, processing of HCFA1500

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Jennifer Clark

Resume, continued …

and UB-04. Verify all information, name, dob, patient demographics, vendor information. MEDICAL CLAIMS PROCESSOR 2005-2006

MANAGED CARE/CLAIMS DEPARTMENT

SOUTHERN CALIFORNIA PHYSICIANS, SAN DIEGO, CA

. Claims Department: Data Entry of new patients and update existing patients with HCFA-1500, UB-04 claim forms. Processed paper and electronic claims. Trained on “scanning” of new claims received from the mail room.

Qualifications:

HCFA-1500, UB-04 (6 years)

10 key skills, 55-58 wpm, 11,000 KSPH (6 years)

IDX, EZ-CAP, ICD-9, ICD-10, CPT, HCPCS, HIPAA (all claims positions)

Epic Tapestry for claims processing- (4 years)

MS Office: Word, Excel, Outlook, Access, MS Office 365. Core Competencies:

Medical Claims Processor (6 years)

Dental Claims Processor

EOB/Remit medical records, special handling

Medical Terminology (6 years)

Data Entry skills (6 years)

PC’s Window based

Good Math skills

Multi-tasker, good with numbers

Strong verbal and written skills

Customer Service – 1 year

Education:

HIGH SCHOOL DIPLOMA, GRADUATED

RIO LINDO ACADEMY, HEALDSBURG, CALIFORNIA

Courses: Typing I, II, III, Advanced Typing, Court Reporting. CONTACT ME @

2500 N. Desert Links Dr. #5104, Tucson, AZ 85715

619-***-**** (cell)

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

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