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Gina Huffman (Carson) profile image

Gina Huffman (Carson)

Case Examiner at Health Management Solutions
Intro Book
Gina Huffman is a seasoned healthcare professional with 23 years of experience in medical billing, case management, and claims management, holding various roles at prominent healthcare companies.
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Location
Marysville, Ohio, United States, US
Skills
  • Medical Terminology
  • Customer Service
  • Case Managment
  • Medical Billing
  • Healthcare
  • Show all
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Bio

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Gina Carson is a seasoned healthcare professional with 23 years of experience in case management, claims management, and medical billing. As a Case Examiner at Health Management Solutions, she has developed expertise in medical terminology, workers' compensation, and insurance, ensuring seamless processing of medical claims and adherence to state mandates and procedures. Her extensive experience spans multiple industries, including ProMedica Medical Management, Sedgwick/CompManagement Health Systems, and John Alden Life, where she honed her skills in evaluating medical treatment, maintaining excellent relations, and meeting quality and production standards.

Experience

  • Health Management Solutions
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Case Examiner
      • Feb 2001 - Present

    • Claims Examiner
      • Feb 2001 - Present

  • Great-West Life
    • Dublin, Ohio
    • Claims Examiner
      • Aug 1999 - Jun 2000
      • Dublin, Ohio

      Responsible for processing of medical claims, making determinations on State mandates & procedures. Obtaining quality & production standards in a fast pace environment.

  • Sedgwick/CompManagement Health Systems
    • Dublin, Ohio
    • Case Examiner
      • May 1997 - Jul 1999
      • Dublin, Ohio

      Responsible for evaluating & determining appropriate medical treatment based on eligibility, medical necessity & BWC guidelines. Maintain excellent relations & communications with all parties involved.

  • John Alden Life
    • Dublin, Ohio
    • Claims Examiner
      • Mar 1995 - Apr 1997
      • Dublin, Ohio

      Key medical claims into system for payment. Making decisions based on state & out of state mandates & procedures, medical terminology background. Meeting quality & production standards in a fast paced enviornment.

  • Corp Med Mgt/Ethix (New York Life)
    • Dublin, Ohio
    • Provider Services Rep/ Customer Service
      • Jun 1989 - Mar 1995
      • Dublin, Ohio

      Precertification for hospital admissions. Prepped files for the Nurse Case Managers. Mainted & updated the provider database system to keep track of the Board Eligible & Board Certified Providers for accurate & current information. Backed up system software.

Education

  • 1984 - 1986
    Eastland-Fairfield Career and Technical Schools
    Computer Programming, Specific Applications
  • 1982 - 1986
    Pickerington High School

Suggested Services

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Industry Focus. “Health, Wellness and Fitness”

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