Experience

MCR Health, Inc

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Medical Records Specialist

  • Dec 2021 - Present

  United States



Robert Half - Porter Starke (Temporary to Permanent)

• Medical Billing Specialist

  • Sep 2019 - Apr 2020

  Valparaiso, Indiana, United States • Managed reviewing medical claims for ICD-10, CPT Codes, Patient information, and Insurance Information utilizing EPIC, before they were electronically sent to Insurance Companies. • Corrected Medical Claims that were incorrect. • Resolved Denied Claims, the Claim Edit Workque, and the Follow Up Workque through EPIC. • Managed Dental Claims from start to finish through Dentrix. • Posted Payments from patients and all medical and dental insurance companies.



Dunkin'​

• United States

• Crew

  • Apr 2018 - Jun 2019

  Crown Point, Indiana, United States • Leveraged Customer Service Skills working in a fast-paced environment. • Utilized Food Service Skills stocking meats and cheese for the food prep station. • Oversaw 5-7 employees when management was not on the premises.



Lasalle Staffing Network

• Follow Up Representative (Temporary assignment)

  • Jan 2018 - Feb 2018

  Westmont, Illinois, United States • Reviewed all denied claims from commercial insurance companies for coding issues and personal data issues. • Utilized Cirius and Cerner Revenue Cycle, handling over 60 denied claims a day. • Entered accurate data into multiple computer systems. • Conducted inquiries via phone, mail, fax and email to follow up on accounts that have not been denied and resubmitted for payment.



Express Staffing

• United Kingdom
• Staffing and Recruiting
• 100 - 200 Employee

• Optical Shop Technician

  • Aug 2017 - Sep 2017

  Schererville, Indiana, United States • Handled incoming calls from patients regarding appointments, orders and billing. • Ordered frames and lenses via phone and interoffice courier. • Adjusted glasses for patients. • Utilized Lensometer to check the prescriptions in the lenses when received before dispensing • Processed payments via cash, check, and credit cards.



Kforce Finance & Accounting Staffing

• United States
• Financial Services
• 1 - 100 Employee

• Senior Account Representative

  • Jun 2017 - Jul 2017

  Chicago, Illinois, United States • Handled incoming calls from customers and physicians for incoming DME orders. • Verified insurance via phone, and processed requests requiring preauthorization. • Entered orders into multiple systems, following up with the order through delivery.



Community Healthcare System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Denial Management Specialist

  • Feb 2016 - Sep 2016

  Munster, Indiana, United States • Reviewed all denied claims from commercial insurance companies for coding issues and other issues for all departments of the Hospital. • Utilized EPIC and handled over 60 denied claims a day. • Entered accurate data into multiple computer systems. • Conducted inquiries via phone, mail, fax and email to follow up on active accounts, determined reason if denied and resubmitted for payment if appropriate.



Women's Cancer Center

• United States
• Hospitals and Health Care

• Billing Coordinator

  • Nov 2002 - Sep 2003

  Allentown, Pennsylvania, United States • Leveraged customer service skills to interact with patients and staff. • Prepared all billing and processed claims across all insurance companies. • Managed insurance credentialing, insurance company updates and account reconciliation.



Core Orthopedics

• United States
• Medical Device

• Billing / Medical Records / Reception

  • Feb 2002 - Nov 2002

  Exton, Pennsylvania, United States • Managed patient scheduling, chart updates, and processed billing. • Managed disability forms, pre-certifications, and medical records, escalating Insurance issues. • Leveraged customer service skills to address patient issues.



Colonial Personnel

• United States
• Strategic Management Services

• Billing / Customer Service

  • Jun 2001 - Feb 2002

  Norristown, Pennsylvania, United States • Managed customer relations, client order database, and inventory control. • Processed collections, including delinquent accounts. • Managed migration to “in-house” billing (from a contracted service).



IMT Network Services

• Administrative Assistant

  • Dec 1999 - May 2001

  Norristown, Pennsylvania, United States • Exceeded customer service and office administration goals. • Managed timesheets, expense reports, travel arrangements, job scheduling, reports, management summaries, organized filing system. • Processed quotes and all invoicing.



Keystone Health Plan Central

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• IPOS Member Service Representative

  • Aug 1998 - Dec 1999

  Camp Hill, Pennsylvania, United States • Managed customer service inquiries from members and providers. • Administered all aspects of corporate accounts, including escalation of customer/provider issues. • Performed project management across multiple special projects.