Data Entry Customer Service
Resume:
Kathleen L Chillemi
518-***-**** (M) (***) ***-319 **********@*****.***
SUMMARY
Successful employee of 30
years with Insurance verifications, preauthorizations,
follow-up for payments, troubleshooting complicated denials, Medical Billing, Accounts Receivable, Strong Customer Service experience, Data Entry and Microsoft Office.
SKILLS
CONFLICT HANDLING
MS OFFICE
DATA ENTRY
TIME MANAGEMENT
PAYMENT TRACKING
ACCOUNT RECONCILIATION
DEBIT COLLECTION
CASH HANDLING
MANAGERIAL SKILLS
INVOICE PROCESSING
EXCELLENT COMMUNICATION SKILLS
WORK EXPERIENCE
DOH-HEALTH RESEARCH INIATIVE (HRI) May 2024- October 2024
Accounts Specialist
Data entry of claims for the American Indian Nations program consisting of five separate nations.
Knowledge of claim forms, procedure codes and billing codes.
Scanning all claims and documents into system.
NYS DEPARTMENT OF LABOR April 2020 - January 2024
Employment Security Clerk
Data Entry of claimant files for benefits, claim amounts, denials
System verification of entries already keyed for errors and correcting to the accurate entry.
Data entry of Special accounts in multiple systems - 4-hour deadline
Processing Union members eligibility in unique system as received directly from Union
Met Providing excellent customer service to Interdepartmental Units.
Anthem Health –Albany NY January 2019 - May 2019
HEDIS STATEWIDE PROJECT January 2018 -May 2018
Hedis Team Facilitator January 2017 -May 2017
Coordinated daily workflow for 22 staff and trained new employees. Assisted staff as needed.
Resolved Setup most efficient means of securing medical records from 100 or more requests
Creating and maintaining multiple spreadsheets for Manager to determine current productivity goals
Processed payment requests from Providers Maintained high customer relations with Providers
Northern Rivers/Parsons-Albany NY July 2018 to Sept 2018
Account Specialist
Billed student’s monthly tuition to local schools or Medicaid
Reconciled monthly attendance records between multi-system
Contact Patient’s guarantor for status of Medicaid applications
Sorted and handled all incoming mail for all facilities, including researching returned mail
St. Peters Health Partners JUNE 2017-September 2017
Account Representative
Reviewed and mail monthly Private Pay billing
Reviewed aged accounts receivable for collection purposes
Utilizing NYS Epaces system to check claim system for payments and denials
Contacted Patient’s guarantor for status of Medicaid applications
Upper Hudson Planned Parenthood June 2016 to December 2016
Revenue Cycle Assistant
Utilizing the state online E-paces system, review Medicaid weekly reports for approval and ID numbers.
Corrected and process rejection notices received from NY Health Options for Family Planning Benefit Program
Daily contact to the NYHO Family Planning Unit to discuss statues of patient applicants.
Contacted local DSS county offices for assistance on patient’s Medicaid application.
Researched Blue Cross rejections on the online
Processed slide adjustments (fee scale) to patient accounts
Maintained and updated Excel Medicaid enrollment worksheets
Anthem Health –Albany NY January 2016 to May 2016
Hedis Associate II January 2015 to May 2015
Daily contact to provider’s offices, across NYS, to verify members are patients
Requested records based on specific measures of project via fax or email
Updated provider information in system
Analyzed need to refer to research team
Met daily, weekly and monthly production quotas per project deadlines
Completing follow-up calls in addition to new accounts daily
Determined appropriate flags and verification codes to update
Billing Medicaid, Fidelis, CDPHP, MVP and all other payor
Processed timesheets for payroll
Other Professional Experience:
Albany Medical Center and
Ellis Hospital
EDUCATION
BUSINESS MANAGEMENT HUDSON VALLEY COMMUNITY COLLEGE
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