Data Entry

Bonita Hodges

*************@*****.*** 510-***-****

WORK HISTORY

Claims Processor 2 at Aetna – Catalyst Solutions

March 2022 - April 2024 (2.5 Years)

Processed adjudicated Medicare Medicaid Claims, UB and HCFA 1500, followed SOP’s for proper processing, COB processing, Carc Rarc guidelines, most processed edits 205, 8000 6000 series, 600 series and Cotiviti Claims

Patient Follow Up Rep at Conifer – Ready Works Agency January 2022 - July 2022 (0.5 Year)

Verified EOBRE’s and proper financial codes, denials follow up, finalized aged claims, performed patient Medicare calls (prior to routing to billing dept.) Claims Examiner-Adjudicator at Maximus – Ready Works Agency September 2020 - March 2021 (0.5 Year)

Adjudicated unemployment claims on pending cases (DNA, AA, Separations), daily interactions with Employers Claimants regarding Claim Certifications, daily updates to spreadsheets and system corrections in Mainframe, HOD, successfully processed 40-60 Fact Finding issues weekly

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SKILLS

Accounts Payable, To complete

Accounts Receivable, To complete

Billing, To complete

Calculations, To complete

Call Centers, To complete

Spreadsheets, To complete

Claim Processing, To complete

Customer Service, To complete

Communication, To complete

Data Entry, To complete

Finance, To complete

Standard Operating Procedure, To complete

Grammar, To complete

Interpersonal Skills, To complete

Medicaid, To complete

Medicare, To complete

Stress Management, To complete

Requirement Prioritization, To complete

Coordinating, To complete

Administration, To complete

Genesys, To complete

QNXT, To complete

LANGUAGES

English, Native/Bilingual

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