Sheila Morgan
Project Specialist at Ascend, a MAXIMUS Company- Claim this Profile
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Bio
Experience
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Ascend, a MAXIMUS Company
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Project Specialist
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Jul 2020 - Present
Assign Independent contractors for assessments Assign Independent contractors for assessments
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Life Care Centers of America
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United States
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Hospitals and Health Care
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700 & Above Employee
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HIM assistant
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Apr 2014 - Oct 2014
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HCA Parallon
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Nashville, TN
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Medical coder I
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Sep 2013 - Apr 2014
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HCA Healthcare
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United States
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Hospitals and Health Care
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700 & Above Employee
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Birth Certificate Registrar
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May 2004 - Sep 2013
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Alternative Service Concepts
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2501McGavock Pike
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Claims Assistant / Med Only Adjuster
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Feb 2002 - Sep 2004
Assistant to Account Manager, screen calls, directing calls to adjusters and customer service, request stop-payments on checks, post refunds on accounts, indexing, cutting checks for various accounts Contact claimants, review and pay bills, setup appointments for physical therapy and additional care with providers. Assistant to Account Manager, screen calls, directing calls to adjusters and customer service, request stop-payments on checks, post refunds on accounts, indexing, cutting checks for various accounts Contact claimants, review and pay bills, setup appointments for physical therapy and additional care with providers.
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Willis North America
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Willis North America
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Customer Service / Claims Processor
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1995 - 2002
Major responsibilities included screening incoming customer calls for medical procedure approval. Retrieve insurance information to determine if pre-certification needed. Responsibilities included reviewing and processing medical bills (CMS -1500) and hospital bills (UB92) and pharmacy bills (CMS -1500). Preferred Provider Discounts were assessed according to provider’s contract along with COB. Bills reviewed for proper payment to providers. Customer Service Major responsibilities included screening incoming customer calls for medical procedure approval. Retrieve insurance information to determine if pre-certification needed. Responsibilities included reviewing and processing medical bills (CMS -1500) and hospital bills (UB92) and pharmacy bills (CMS -1500). Preferred Provider Discounts were assessed according to provider’s contract along with COB. Bills reviewed for proper payment to providers. Customer Service
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Education
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Volunteer State Community College
Associate of Applied Science, Health Information/Medical Records Technology/Technician