Data Entry Human Resources
Resume:
Loddie M Gillespie
Suite A7 899
Atlanta Ga. 30318
********************@*****.***
Summary
I have 20+ years of experience, including as a Medical Billing Specialist in pediatrics, as a Finance Analyst and as a Patient Access Representative in Healthcare Business Services. My skills and experiences include: File Management, Human Resources Benefits, Medical Terminology, Policy Analysis. I hold an Associate of Business Administration degree in Pediatrics from Missouri College
Experience:
As a Medical Assistant & Home maker…I left to travel back to St. Louis to help with finances and take care of my elderly mother from March 22, 2022 to July 25, 2025.
ChozenwonLLC, Chozenwon’s Apparel & Creations Atlanta Ga. Jan. 7, 2021 to Present
Loddie Gillespie Owner/Operator Retail and Author
Anthem Co, Stone mountain, GA Aug. 2021 to Feb. 2022
Provider Services
Performed duties such as processing Medicare Medicaid and commercial insurance Utilizing software of Epic and Solutions central. Received incoming phone calls from providers and
Recorded details of customer transactions and inquiries. Prioritized data entry daily to ensure customers needs were met. Appeals, data entry, filing, copying and faxing.
Washington University, St Louis, MO July 2019 to Oct. 2019
Medical Billing Anesthesia Specialist
Processed Government and commercial claims, insurance follow up, authorizations, pre certs, insurance follow up denials appeals and provider intake calls
Robert Half/Peoples Health center, St Louis, MO Feb. 2018 to Feb. 2019
Finance Analyst
Worked Nextgen and Epic systems by processing corrected and denials, credit card payments, posting insurance and patent sliding fees, bankruptcy data, insurance verification pre certifications, authorizations, provider calls, lawyer request, meeting patients one on one to print and discuss itemized bills, faxing and filing.
BJC/Northwest Health Care, St Louis, MO Nov. 2016 to Jan. 2018
Patient Access Representative
Registered patients for outpatient services such as Mammograms, CT's, X-rays, Ultrasounds, MRI's and Lab orders Accurately collecting copays/coinsurance payments and medical records pulling
Robert Half/Dohmen Services, St Louis, MO June 2016 to Aug. 2016
Liaison AnalystPerformed duties of providing Authorizations and Pre Certifications for Carticel Knee
Surgery Patients Insurance Follow Up/Verification for billing purposes ꞏ Precertification
and authorizations follow up for future surgery dates Busy phone duties to providers discussing problem solving issues
Parallon Health Solutions, St Louis, MO July 2015 to Sept. 2015 Appeals Analyst
Processed Appeals to completion on commercial and government insurances ꞏ Generated letters of Appeal approvals or denials to patients on claims that were medically and
non medically necessary Worked ATB Report on timely filing claims Busy phone duties
Conifer Health Solutions, St Louis, MO Apr. 2015 to July 2015 Claims Analyst
Processed Medicare/Medicaid, commercial and private pay claims Insurance Follow Up/Verification ꞏ Checked for authorizations and pre certifications on claims in hold up
status Worked Timely Filing Reports to completion.
United Seating and Mobility, St Louis, MO Jan. 2015 to Apr. 2015
Data Analyst
Processed claims for authorizations and pre cert purposes Insurance follow up/verification on patients that received Durable Medical Equipment Busy phone duties to
providers in getting authorizations extended on equipment
SSM Corporate OfficeMedicare Government Follow Up, St Louis, MO July 2011 to Dec. 2014 Government Clerk
Reviewed insurance policies to determine coverage Processed and recorded new insurance policies and claims Prepared insurance claim forms or related documents,
adjustments and review them to completeness Pre Certifications, Authorizations, Appeals and Referrals Worked with the Social Security Administration processing inmate
claims Provider services.
Perot Systems, St Louis, MO Aug. 2008 to June 2011
Claims Analyst
Medicare/Medicaid and Commercial Claims processing, Adjustments, Reimbursements, insurance verification/follow up, pre certifications, authorizations, referrals
Busy phone duties to providers discussing unresolved claim issues.
St. John's Mercy Health, St Louis, MO July 2006 to Aug. 2008 SeniorClaims Analyst
Verify accuracy of processing Medicare/Medicaid, Commercial Insurances and Private Pays Claims ꞏ Followed up on claims for payment, Phone calls to liaisons, denials, prepare itemized statements, invoices, insurance verification, authorizations, pre-certifications, appeals and referrals.
appeals and referrals ꞏ Worked (ATB) report for timely filing purposes and Team Lead
Children’s Healthcare, St. Louis Mo. March 2004 to January 2006
Performed duties such as billing and coding, claims processing, Medicaid & commercial, ER & outpatient admissions, authorizations and busy phone duties
Skills...
Balance Billing, Copy, Credit, Customer Relations, Customer Service, Data Entry, Fax, File Management, Financial, Forms, Government, Human Resources, Insurance, Legal Letters, Medical Terminology, Microsoft Access, Microsoft Office, Policy Analysis, Problem Solving, Telephone Skills, Word Processing
1996 Missouri College, St. Louis, MO
Associate of Business Administration (ABA): Pediatrics
Course Work Completed : Associates Certification ꞏ Medical Assistant/Billing and Coding/Pediatrics
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