Experience

Spectrum Orthopaedics Inc

• United States
• Medical Practices
• 1 - 100 Employee

• Scheduling Specialist

  • Feb 2020 - Present

• Referral Specialist

  • Feb 2018 - Present



MaineOrtho

• United States
• Medical Practices

• Scheduling Specialist

  • Oct 2017 - Present

  Schedule appointments for Orthopedic patiens, Workers Compensation, verify insurance and referrals , take payments and payment arrangements. Schedule appointments for Orthopedic patiens, Workers Compensation, verify insurance and referrals , take payments and payment arrangements.



Mercy

• United Kingdom
• Retail Art Supplies
• 1 - 100 Employee

• Reimbursement Technician

  • Jun 2014 - Mar 2017

  • I worked cooperatively with the patients, insurance company, hospitals and doctors to process the insurance bills to have them paid properly. • Processed 50 patient accounts a day by reviewing documents, edits and finalized documentation for redetermination for commercial, state, federal and third party insurance billing on the following medical billing systems: Ability, Allscrips, Craneware, Meditech, National Government Services and Connex, Relay Assurance Plus, Siemens Gold and Soarian Stockamp.. • Reviewed Evidence of Benefits for all denials of payment and inappropriate payments to the hospital, and processed the appeals for the patient to the insurance companies and resubmits insurance claims to the appropriate insurer for the patients. • Worked and followed all the HIPPA laws, rules and regulations when I processed all patient billing. Show less



Dr. Steven S. Shaw

• Dental Office Manager

  • May 2012 - Apr 2014

  • Responsible for billing the insurance companies for the patients’ procedures from the medical records received from the hygienist, and dentist. • I scanned all the medical records, x-rays, and insurance information for three hundred patients for the dentinal office using the Paterson Dental Billing System. • I was accountable for processing, ordering, and payment of the dental supplies and special orders for the dentist and hygienist. • Distributed and administered the HIPPA rules, regulation and laws for nine office staff. Show less



Unum

• Norway
• IT Services and IT Consulting
• 1 - 100 Employee

• Intake Specialist

  • Oct 1997 - Nov 2010

  • I managed 50 special unit accounts and short term disability claims, working closely with the claims payers, account managers, and the department management to help the patient process their disability claim. • Communication with the employee, doctors, employer, and insurance companies to request missing information and documentation that was need by the claims representative to complete the process to pay the employees disability claim • Created excel spread sheets for Insurance Rating Discounts for companies and employees options. • A member of the UNUM Safety, First Responder and OSHA Team for ten years. Show less