Objective:
 

A Job Where My Full Skills Can Be Implemented


Work Desired:Full Time - Permanent
Citizenship:US Citizen
Resident Of:State: RhodeIsland - Area Code: 401
Willing To Relocate:No
Posted By Candidate:09/02/11
Experience:More than 3 years of work-experience
Technical Skills:
Work Experience:
1117 Douglas Avenue, Unit 109
North Providence, RI 02904	Phone#: (401)559-1738
E-Mail: [Send email using form at bottom] 
Kelvin Ryan Bedisee
Experience	04/2008–Current     Ingenix/Caretracker/United
HealthGroup	Providence, RI
Senior Billing Associate, A/R Representative
•	Assist physicians with correction and resubmission of denied/unpaid claims
•	Reverse and re-billing of incorrectly entered or updated charges for claims
•	Assist coworkers in the department by helping with unpaid/denied claims for
their clients when out for sickness/medical leave/etc.
•	Handling medical claims for Orthopedic specialty primarily as well as Surgical
facility and Allergy specialties
•	Finding the most effective, easiest and efficient methods to ensure that
medical claims are being paid properly for each client/physician 
•	Lead Medicaid based teams in updates and continuing education on
policies/procedures of all Medicaid related insurance plans to facilitate
insurance processing/payment.
•	Continually educating members in department of new workflow and insurance
policies
•	Reviewing denied appeals for associates to try to find alternate methods to be
used to try to obtain payment
•	Fielding questions/concerns/issues within the department regarding their
clients claim issues.
	2004-2007	Walgreens Pharmacy	Providence, RI
Senior Pharmacy Technician (Cpht. Certified)
•	Inventory management and maintainence (warehouse returns, vendor returns,
warehouse order check-ins)
•	Training district-wide, new employees and interns on pharmacy software and
HIPAA regulations
•	Correcting and handling insurance charge backs
•	Ensuring all staff are updated on software/hardware changes to computer
systems and robotics in the pharmacy
	
	
Education	2001-	New York University	New York, NY
•	B.F.A. Performance Arts – Graduation Date Undetermined

 

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