Licensed Insurance Agent - Medicare Expert - Remote Seller/Account-cus
Resume:
Denise Baker
Life Insurance Agent/Broker
Medicare Insurance Agent/Broker
Medical Insurance Reimbursement Specialist
*****.*********@*****.***
Authorized to work in the US for any employer
Licensed Insurance Agent
DH Insurance Group April 2023- February 2026
Responsible for selling Medicare Advantage Plans & Medicare Advantage DSNP’s. Appointed and 2023 certified with Aetna, Anthem BC, Cigna, Humana, United Healthcare and Wellcare using SEP’s at this time. Worked remotely, licensed in 42 states.
Broker/Licensed Agent
Health IQ April 2021- December 2022
Responsible for selling Whole Life Insurance policies, Final Expense and Accident Insurance policies. Appointed with Gerber, TruStage, Mutual Of Omaha & Americo.
Responsible for selling Medicare MediGap/Supplement Plans, PDP’S and Medicare Advantage Plans during AEP and OEP. Used SEP’s the remainder of the year.
Appointed and certified with Humana, United HealthCare, Aetna, Wellcare, Cigna, Clover, CarePlus, CareFree, Simply More and Anthem BC and others. Worked remotely. Licensed in 50 states
Broker/ Licensed Agent
Connexion Point Sept 2020-March 2021
Responsible for selling Medicare Advantage Plans during AEP and OEP. Appointed and certified with Humana, United HealthCare, Aetna, Wellcare and Anthem BC. Worked remotely. Licensed in 42 states. Medical Insurance A/R Collection Specialist
Advanced Medical Care Services – Tampa FL., January 2019 to March 2020 Responsible for aging of accounts receivable for South Tampa Surgery Center & Advanced Anesthesia Care. Specialized in working out of network accounts. Corrected billing issues, modifiers, cpt codes and icd10 dx codes. Verified benefits when necessary. Communicated with Workers Comp case managers regarding authorizations and payment. Responsible for posting all payments and month end report. Claims Resolution Specialist
Fountainhead Practice Management Solutions - Saint Petersburg, FL July 2017 to December 2018
Responsible for determining the reason for nonpayment of medical claims filed by Neurological, ENT and Eye practices. Specifically, for claims filed with BCBS and Humana, whether denied by the insurance companies or rejected at the clearinghouse level. Corrected claims, HCPC’s, DX codes and resubmitted or wrote appeals. Claims Specialist
CCS Medical - Clearwater, FL December 2016 to June 2017 Temporary/contract employee- Placed by staffing company VACO. Handled Medicare 1st level Appeals. Responsible for gathering patient's medical records, writing appeals and making sure it got to the correct destination in a timely manner. Production schedule of 30 per day.
A/R Collections Specialist
National Pain Care - Marietta, GA January 2014 to September 2016 Responsible for Georgia and Kentucky Worker Compensation intake and authorizations.
Communicated with Case Managers and Attorney’s to insure proper reimbursement. Responsible for GA & KY Motor Vehicle Accident intake coordination, communicating with PIP/Med pay insurance adjusters and lawyers to insure timely and correct reimbursement on each case.
A/R Collections Specialist
BAKO PATHOLOGY - Alpharetta, GA 2012 to 2014
A/R Collections Specialist - Responsible for resolving claims that were denied or rejected by Medicare, Medicaid and 3rd party insurance carriers. Responsible for verifying eligibility and benefits for Diagnostic Lab services. Handled appeals, demographic errors and patient responsibility.
Education: Associate's degree in business management 1981. Alfred State University - Alfred, NY
*Certification in Medical Insurance Billing 2001
*State Of Florida 215 Health, Life and Annuity License issued 8/5/20
*Georgia State Health and Accident License issued 1/24 Proficient In: Medicare Advantage Plan Sales, Medicare Medigap Insurance Sales, Life Insurance Sales, Insurance Verification, Medical Claims Billing, Authorizations, Medical Insurance Collections
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