Looking for a job

LYNN GLEICH

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

Springfield, VA 22512

P: 703-***-****

OBJECTIVE

To obtain a position in the medical field where I am able to utilize my skills and experience to benefit my employer.

EXPERIENCE

11/03-Present Med-Tel International Corporation McLean, VA

Contracts Administrator/Verification Team Lead/Insurance Verification Specialist

Contracts Administrator – Maintain contract pricing database, negotiate case rate agreements for non-contracted entities. Create, maintain, and update network of Provider contacts for integrated problem solving in reference to insurance payment and/or contract issues.

Verification Team Lead – Supervise staff of 4-5 Insurance Verification Specialist’s. Create and analyze error reports and convey findings to the Business Office Manager. Handle operational issues in reference to insurance issues and policy protocols with Center staff.

Insurance Verification Specialist – Obtain insurance benefits, confirm utilization review requirements, and verify prior authorizations/pre-certifications for the correct procedure, date, and Center location.

03/98-04/03 CBCA Administrator Melville, NY

Claims Repricer/Team Leader

• Examine and reprice medical claims through provider networks

• Identify Proper CPT-4 and ICD-9 Coding

• Involved in planning, testing, and implementing the ‘Onyx’ Program for repricing

• Daily contact with providers, hospitals, and customers

09/84-7/01 Huntington Townhouse Huntington, NY

Personnel Helper

• Hired and trained wait staff

• Scheduled shifts for up to 80 employees

1992-1995 Prescription Drug Service Hauppauge, NY

Client Services

• Corrected claims that were rejected from Pharmaceutical Services

• Processed prescriptions for a variety of Union groups

• Validated and filled prescriptions claims

EDUCATION

1998 Dover Technical School Ronkonkoma, NY

Medical Assistant Certificate

1987-1990 SUNY of Old Westbury Old Westbury, NY

Bachelor of Science in Education

1983-1986 Suffolk Community College Brentwood, NY

Associate in Applied Sciences

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