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Correne Strickler Harris
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- Insurance
- Claims Management
- Healthcare
- Data Entry
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Bio
Experience
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DST Health Solutions
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Harrisburg, Pennsylvania Area
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Healthcare Claims Specialist
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Aug 2013 - Aug 2014
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Harrisburg, Pennsylvania Area
Responsible for processing the following claim types – trade psych, paysubrogation, provider ID, and MSG, using company standards and state and federal claims processing guidelines. Data research using Independence Blue Cross databases to determine correct provider billing numbers, address and federal tax ID numbers.
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Novitas Solutions, Inc.
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Mechanicsburg, PA
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Medicare Credentialing Specialist
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Oct 2012 - Jul 2013
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Mechanicsburg, PA
Responsible for prescreening and credentialing CMS-855I, 855R, 855B, 855O, 588, 460 applications for revalidation, initial enrollment and/or change of information into the US Medicare System. Review application for completeness and accuracy of information using CMS approved procedures, guidelines and rules. Contact with providers via telephone, email, fax and US mail to acquire needed information to complete application process. Data entry of application information into multiple CMS-approved software applications so that all provider information in all software systems is complete and matches.
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Health Claims Examiner
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Apr 2012 - Oct 2012
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CBHNP PerformCare an Amerihealth Mercy Company
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Harrisburg, Pennsylvania Area
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Claims Examiner/Claims Customer Service
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May 2010 - Apr 2012
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Harrisburg, Pennsylvania Area
Process Pennsylvania Medicaid behavioral health claims submitted via paper and electronically - process Primary and Secondary payer (Coordination of Benefits) claims, claim types include Professional Charges, Outpatient Services, Residential Treatment Facility, Inpatient Stays, and ACT 62 (i.e. Autism) using Department of Public Welfare mandates and company standards - using eCura, Sidekick, Cabinet NG and DPW software - answer telephone calls from providers regarding claims questions about claims status, denials, corrections, electronic submissions; advising providers on solutions to claims problems to facilitate claim payment
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Suggested Services
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Industry Focus. “Healthcare and Medical Services”
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