Medical

DIANE WILEY WALKER

**** **** ****** ****

Duluth, Georgia 30096

************@****.***

770-***-****

OBJECTIVE

=========

To obtain a position with a reputable company that focuses on professionalism,

experienced employees, and a company that will afford the opportunity for professional growth and learning opportunities that will benefit the organization’s vision,

mission, and overall success.

EXPERIENCE

==========

MEDICOR MANAGED CARE INC.

1999 – 2009

Medical Analyst-Team Leader

• Processed adequate amount of bills along with completing daily tasks

• Aware of client billing needs and obtains reports on request

• Responsible for incoming calls from clients and adjusters and handling in a

professional and effective manner

• Assigned daily work for each processor to maintain turn-around time

• Trained the team members on correct process of workflow, monitored work production

and accuracy

• Work with all 50 states to insure compliance with workers compensation state laws and

regulations

• Handled re-pricing of workers compensation for hospitals, medical and dental bills

according to plan designs and laws

CORVEL CORPORATION

1992 – 1999

Audit Support Specialist

• Reviewed hospital, workers compensation and auto liability claims using the Georgia Fee

Schedule and other State guidelines

Senior Medical Analyst

• Transmitted data and reviewed bills for accuracy

• Maintained extensive daily contacts with adjusters

• Provided customer support for provider

QUALITY INCORPORATED

1988 – 1992

Fee Schedule Supervisor

• Coordinated and administered tasks to employees

• Maintained daily fee schedule logs and responsible for merging data

• Handled monthly reporting

• Maintained extensive daily contacts with regional offices, doctors and clients

• Knowledge of insurance claim procedures

• Handled CPT and ICD-9 Coding

PRR Analyst

• Maintained all incoming, active and completed retrospective review cases

• Generated and invoiced all completed reports

GEORGIA CASUALTY AND SURETY COMPANY

1986 – 1988

Policy Typist

• Generated and mailed premium invoices for policies

• Added premiums to auto policies

• Generated workers compensation policies, property files and assigned risk policies

• Audited and mailed completed policies to agents and insured

EDUCATION

=========

Typing Certificate, Atlanta Area Tech

Certified coding, Southern Poly Tech

COMPUTER SKILLS

===============

Microsoft Office Suite; Word, PowerPoint, Excel, Outlook and various proprietary software programs

Professional References Available Upon Request

|

Contact this candidate