Data Entry Specialist
Resume:
MICHELLE L. KUNKLER
Taylorville, IL 62568
Cell: 217-***-****
*********@*****.***
SUMMARY:
AAPC Certified Professional Coder – Apprentice – March, 2011 – March, 2014
Educated, quick learning, hardworking, dependable, and positive
Motivated self-starter
Dedicated, compassionate, reliable, and conscientious
Excellent communication and PC skills
EDUCATION:
HSHS Emerging Leader Program – March, 2022 – August, 2022
Midwest Technical Institute – Medical Coder Specialist/Insurance Billing Specialist – Graduated February, 2011
oCommunications and Computer Applications
oMedical Coding using ICD-9, CPT, and HCPCS
oAnatomy and Physiology
oMedical Terminology
oHealth Insurance
Lincoln Land Community College
oComputer Systems and Business Applications
oMicrocomputer Operating Systems/Technical & Networking
oIntroduction to Networking
oWord Processing I
Morrisonville High School – Graduated 1986
WORK EXPERIENCE:
Trinity Health – 100% Remote
Payment Posting Rep - 1 June, 2023 – Present
Posts hospital payments based on EOBs from insurance companies and government agencies in an accurate and timely manner in the applicable systems (STAR and EPIC).
Post hospital patient payments to the appropriate date of service in an accurate and timely manner in the applicable systems (STAR and EPIC).
Post adjustments in an accurate and timely manner in the applicable systems (STAR and EPIC).
Software used in this position so far are as follows … Microsoft Office (Mainly Word, Excel, Outlook, and Teams), Atlas, QuickBase, Workday Payroll, Trac, Kronos Timekeeping, UKG Timekeeping, STAR and EPIC.
Skills used in this position so far are as follows … Working remote, proficient 10-key by touch, proficient typing skills, research skills (Internet, ICD-10, and CPT Codes), reading EOBs and COBs, and online data entry.
Assists with questions from co-workers within my department and other departments.
Assists with other duties as assigned.
Hospital Sisters Health System (HSHS Medical Group) - Springfield, IL
Variance Analysis Rep November, 2019 – May, 2023
Continue Payment Posting Rep responsibilities when fellow co-workers are out of the office (EPIC, Medicare EasyPrint, AllScripts, and AVID).
Mentor/train colleagues from the posting team.
Research and provide end results for assigned special projects.
Reviews, research, and processes credit balances created by the application of patient and/or insurance payments and/or adjustments.
Assists with patient inquiries related to credit balances or refunds.
Provides feedback about proration errors or inconsistencies in payment/adjustment application to management team with the goal of preventing, rather than processing, payment variances.
Coordinates corrective action and prepares required documents to applicable patient accounts.
Performs workflows in a productive and effective manner as defined by policies and procedures.
Possess the information, skill, and understanding of the work to be performed. Actively participates in continuing education opportunities and maintains certifications, licensure as appropriate.
Payment Posting Rep August, 2015 – October, 2019
Posts payments based on EOBs from insurance companies and government agencies in an accurate and timely manner in the applicable system (EPIC, AllScripts, and AVID).
Post patient payments to the appropriate line-item charge in an accurate and timely manner in the applicable system (EPIC, AllScripts, and AVID).
Research and resolve unapplied and/or unidentified payments to ensure monies are properly distributed among the correct providers in an accurate and timely manner in the applicable system (EPIC, AllScripts, and AVID).
Post adjustments in an accurate and timely manner in the applicable system (EPIC, AllScripts, and AVID).
Communicates payment variances from third-party and government agency payer in a timely manner.
Processes zero pay EOBs and refers them to appropriate resources for follow-up and resolution.
Performing workflows in a productive and effective manner as defined by policies and procedures.
Follows appropriate transfer of payment procedures.
Assists with questions from co-workers within my department and other departments.
Assists with other duties as assigned.
Patient Account Rep May, 2015 – August, 2015
Contact insurance companies to resolve outstanding accounts through website, e-mail, or telephone. If necessary, will contact the patient by telephone also.
Analyzes and resolves complex insurance denials, including coding review, to prevent errors within appeals process.
Appeals and resubmits unresolved invoices to insurance carries.
Researches and responds to insurance correspondence.
Updates registration information, posts denial codes, and posts adjustments.
Assisted Payment Posters while my mentor was out of the office on sick leave. I was asked if I would be interested in transferring to their department and I accepted the offer.
ScribeAmerica – Decatur, IL
Provider Scribe January, 2018 – March, 2019
In the Emergency Room setting, I would follow my assigned provider to each patient in order to take notes so the provider has full attention on the patient.. During the patient’s stay, I would make updates to their medical record filling in the presenting complaint, medical history, medication information, family history, treatment history, medical directives, lab results, consent forms, progress notes, and attach all films. Once I was finished, I would turn the patient’s record over to the provider for any additional notes they may have and sign off for final approval.
Scribe Trainee October, 2017 – January, 2018
Going through Courses 1-7 preparing for final exam in January.
Conifer Health Solutions- Springfield, IL
Physician Service Account Rep II January, 2015 – May, 2015
SPi Healthcare became a branch of Conifer Health Solutions. My job title was changed but my duties and responsibilities remained the same.
SPi Healthcare - Springfield, IL
Follow-Up Associate December, 2013 – December 31, 2014
Commercial and Medicare Insurance
Contacts insurance companies to resolve outstanding accounts through website, e-mail, or telephone. If necessary, will contact the patient by telephone also.
Analyzes and resolves complex insurance denials, including coding review, to prevent errors within appeals process.
Appeals and resubmits unresolved invoices to insurance carries.
Researches and responds to insurance correspondence.
Updates registration information, posts denial codes, and posts adjustments.
Updates and corrects claim/invoice information through TES Edits and EDI Claim Edits.
Professional Business Services - Springfield, IL
Data Entry July, 2011 – December, 2013
Prepare demos, reports, and insurance papers for scanning.
Work on Laserfische Client 8.1 and MED/FM (versions 6.1 and 7.0) to update the doctor, location, and insurance information; patient information; account charges; payment processing.
Express Employment Professionals - Springfield, IL
Professional Business Services – Data Entry October, 2010 – July, 2011
Prepare demos, reports, and insurance papers for scanning.
Work on Laserfische Client 8.1 and MED/FM (versions 6.1 and 7.0) to update the doctor, location, and insurance information; patient information; account charges; payment processing.
Judy’s Hallmark – Taylorville, IL and Springfield, IL
Sales Associate November, 2009 – August, 2014
Responsible for cleaning and stocking shelves, assisting customers with finding merchandise, operating cash registers and credit card readers, and opening and closing store.
Horace Mann - Springfield, IL
Programmer Analyst I, Programmer Analyst II, and
Programmer Analyst III September, 1999 – February, 2010
Responsible for completing date driven work requests, as assigned. Completion of the business cases included creating a test matrix of what was to be tested and process documentation for the customer’s approval, updating and/or creating new programs and table entries, and providing test output for customers to review and approve. Once approvals were received, implementation of all updates and retesting was completed to make sure all still worked properly. Program languages used were VS COBOL II, DB2, CICS, EASYTRIEVE PLUS, and various others.
During nightly processing, provided on-call assistance so the problem is corrected and processing can finish successfully.
Assisted co-workers when needed.
Programmer Analyst Trainee/Associate Programmer Analyst September, 1998 – September, 1999
Completed a six-month extensive study course, conducted in-house, to develop a profession in the field of Data Processing. After the six months were finished, I was given a work request of over 200 hours for completion. This included meeting with the customer to discuss what they expected to accomplish with this work request, creating a test matrix and business requirements for the customer to approve, updating and/or creating new programs and table entries, and providing test output for customers to review and approve. Once approvals were received, implementation of all updates and retesting were completed to make sure all still worked properly. A folder was created to hold all documentation showing what was tested, a copy of all the customer approvals, and the list of programs and tables that were either updated or created during this time period.
Technical Service Analyst I September, 1997 – September, 1998
Responsible for the setup and installation of new and used workstations with Windows 95, Windows 3.11, OS/2 2.11, and OS/2 Warp 4. Installation of software was also completed at this time from disk, cd-rom, or the LAN onto workstations.
Responsible for the backup and restore of users’ files and directories on Arcserve.
Repaired printers and CPU’s, mainly IBM and HP (ex. fuser assembly, rollers, and fans, system boards, hard drives, floppy drives, cd-roms, sound, video, and network cards, and adding memory).
Assist in projects as needed.
First of America Bank – Springfield, IL
Office/Branch Automation Support Analyst April 1994 - June 1997
Provide on-site and telephone support to end users, on both LAN and branch, by troubleshooting software and equipment failures, installing software, and connecting printers.
Responsible for RACF authorization to service affiliate/division needs to Hogan (a CICS mainframe application), LAN (NetWare 4.01 and Novell 3.12), Branch (UNIX based program) and cc:Mail.
Participate in interdepartmental projects to develop solutions to complex branch and office automation problems.
Responsible for new equipment installations and new software releases for LAN and branch.
Document problems/concerns to Regional Manager regarding new installs and releases.
Diagnose and dispatch field technicians for hardware problems involving UNIX controllers, DOS workstations and LAN components.
Communicate policies and procedures to end users.
Document Specialist and Help Desk Assistant February 1992 - April 1994
Responsible for hard copy and Dictaphone transcription for all bank correspondence.
Data Input Operator October 1991 - February 1992
Input General Ledger tickets into a mainframe application and balanced at the end of the day.
Insurance and Title Clerk February 1991 - October 1991
Responsible for maintaining insurance and titles for installment and real estate loans.
Administrative Assistant - Commercial Real Estate Department April 1990 - February 1991
Responsible for assisting three loan officers by answering phones, copying and faxing documents, typing documentation, and maintain filing.
TRANSCRIPTS AND REFERENCES AVAILABLE UPON REQUEST
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