Maribeth Vogelman
Claims Analyst, Appeal Specialist, Claims Processor
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About
To gain employment on the field I am qualified with my experienced and my knowledge. Experienced in processing and analyzing claims from professional and hospital claims. Medicaid, Medicaire and commercial insurance. Over 10 yrs of experienced in claims processing mostly working at home.
Willing to relocate: Anywhere. Authorized to work in the US for any employer.
Experience
HC & Insurance Operation Senior Claims Processor - NTT DATA Services - Killeen, TX
(2016-08)
Processed Medical Claims (Medicare, Medicaid) Payor side.
Claims Analyst - Mediview, Austin Regional Clinic - Austin, TX
(2005-02 - 2013-12)
Evaluates and Process medical claims, sending payments to providers with their robs.
- Process Claims through EDI and Data Entering Claims and process them
- Adjudicate claims, manually price claims, work on Appeals, work with repricing claims
- Work on members elegibility, work with medicaid and medicaire and other funded government program
- Work on hospital and professional claims, work for TPA'S, commercial insurance and Employees Benefit Plans
- Help members with their benefits and eligibility with their plans
- Assisting customer service with members elegibility and claims
Claims Examiner, Claims Support - Amil International
(2003-03 - 2005-03)
Claims Processor, Data Entry - Amil International
(2003-03 - 2005-03)
- Creating Logs for providers and members
- Checking claims for their validity
- Processing claims through beech street providers
- Batch stamping and totaling claims
- Receiving and sending checks to providers
Production Assembly Lead - Cirrus Logic Inc - Austin, TX
(1994-06 - 2003-02)
- Handling Machineries, Final Visual Product
- Quality Assurance Personnel and Quality Control
- Work in Process clerk
- Shipping and Receiving products from overseas
- Assist engineers with their products and handlers
- Finalizing paper works for finished products
- Delegation and monitoring of employees performing their daily tasks
Assistant Manager - Stop N Go
(1992-03 - 1994-06)
- Scheduling employees
- Ordering and Purchasing merchandise
Education
High School Diploma - Consolatrix Academy (1977 - 1981)
