Claims Specialist - Cognizant Technology Solutions
(2021-06)
- Review claims/ Process claims
- Request medical records/HCFA-1500
- Coordination of benefits
- ICD-10 /HCPC/Procedure codes
- Process medical/dental/vision claims
- HCFA-1500
- Facets/ CIP
- BC/BS/B2/Medicare/Medi-cal
Billing Support Clerk - Change Healthcare
(2019-01 - 2021-01)
- Review claims
- Request medical records
- Attach EOB and COB's to HCFA-1500
- Attach medical records for workers comp
- Request workers comp auth HCFA-1500
Claims Examiner - Western Growers/Pinnacle
(2018-07 - 2019-01)
- Review claims/ Process claims
- Request medical records/HCFA-1500
- Requesting/Coordinating EOB
- Coordination of benefits
- ICD-10 /HCPC/Procedure codes
- Process medical/dental/vision claims
- Process medical/radiology/prenatal/PT, OT ect claims
Customer service specialist - Lincare
(2017-06 - 2018-02)
- Receptionist/Multi lines/customer service
- Verify Insurance/obtain authorizations
- Coordinate with doctors, nurses and discharge planners
- ICD-10 / CPT Codes
- Medicare/Medi-cal/private insurance billing
- Data Entry/10 key /AS400 software
- cpap/bipap/oxygen/vent/bent medal
Claims examiner - Santé Health Systems/Advantek
(2016-06 - 2017-02)
- Claims examiner
- Reviewing insurance payments
- Medi-Tech software
- Dual coverage claims/ Delta health
- HCFA-1500/EOB
- Requesting medical records
Admissions Rep - Fresno Surgical Hospital
(2015-07 - 2015-09)
- Scheduled Surgery Procedure Dates
- Receptionist Multi-Lines
- 10 Key/switchboard
- Collect Copayments
- Attach Payments to Accounts
- Update Demographics/vitals
- Register for Surgery
- Transport to Pre-Op
Customer service lead - Apria Healthcare
(2007-07 - 2015-04)
- Train/Teach/Lead
- Insurance Verification/obtain authorization
- Receptionist
- 10 Key /switchboard
- cpap/bipap/vent/O2/bent medal
- EKG/Vital Signs
- Filing / Charting
- Medical Terminology
- ICD 9 / CPT/CMN/RX's
- Billing / Collecting Copayments
- Suspended Billing
- Managing Presentations
