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claim specialist
S ALLOW ME TO UTILIZES MY EDUCATIONAL AND PROFESSIONAL BACKGROUND. KILLS: COMPUTER SYSTEMS MICROSOFT EXCEL,WORD,NASCO,Q-Blue,ERISCO,RCOE,ITS,UCSW,EEC,HIQK,HEQK,TPOL,IMAGE,HEALTHQUEST,SILO,HCPCS,MODIFIERS AND UBO4'S,UB92.
Claims Adjuster
About Me
Industry: |
Insurance |
|---|---|
Occupation: |
Claims Adjuster |
Ideal Companies: |
Linda, corporate.com |
Education level: |
Specialist |
Will Relocate: |
No |
Location: |
East Orange, NJ |
Work Experiences
10/2007 - 3/2008
ARMANTI FINANICAL SVR
Entry Level
- DUTIES INCLUDE ADJUSTMENT FOR VARIOUS INSURANCE COMPANIES ACCORDING TO PATIENTS CONTRACT
RATE.SUCH AS IF PATIENTS RESPONSIBLE FOR COPAY,COINS,DED.AND PPO,POS,AND HMO PLAN, EMR CASE RATE. BILLING PATIENTS PRIMARY AND SECONDARD INSURANCE CARRIES IF NEEDED.
12/2005 - 8/2008
BLUECROSS/BLUESHIELD OF NJ
Entry Level
- MEDICAL ADJUSTER/CLAIMS SPECIALIST
MULTITASK PROCESSOR,DUTIES INCLUDE PROCESS ALL PROFESSIONAL AND FACULTY CLAIMS FOR PAYMENT.
MINOR CORRECTION IF NEEDED FOR FINALIZATION,VERIFY MEMBER ELIGIBILTY,ADJUSTMENT ACCORDINGLY.
CREATE EXCEL SPREADSHEET SUMMARIES,SCREEN HARD COPY CLAIMS FOR ROUTING CODES AND ENROLLMENT STATUS FOR MEDICARE OR MEDICAID ELIGIBILITY.
1/2002 - 3/2005
HEALTHCARE INFORMATION SVR
Entry Level
- DUTIES INCLUDE ANSWERING HIGH VOLUME OF CALLS,AS WELL AS EXECUTING SITUATION IN TIMELY MANNER.
BILLING PATIENTS FOR COPAY,COINS,DED FOR PAYMENTS.
DUTIES INCLUDE ANSWERING HIGH VOLUME OF CALLS,AS WELL AS EXECUTING SITUATION IN TIMELY MANNER.
BILLING PATIENTS FOR COPAY,COINS,DED FOR PAYMENTS.
FOLLOW-UP WITH CALLS AND LETTERS IF NEEDED.
Education
2009
Associate Degree
UNIVERSITY OF PHOENIX
- HEALTH CARE ADM
1979
High School/GED Degree
BARRINGER HIGH SCHOOL
- ENGLISH
