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 04/2008Current 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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