Billing Clerk





Jacqueline D. Moodywn Drive 



3826 Fa Apt 2D Indianapolis, IN
46254   317.809.6051   moodyj72@gmail.com





 



 



CLAIMS
PROCESSOR



Energetic
and knowledgeable professional with over 10 years of expertise in operating
systems, auditing processes, and correcting and resolving issues, while
ensuring a high level of customer service with clients and providers at all
times.



 



SUMMARY OF
QUALIFICATIONS



   • Microsoft Office                                          • Medical Key Terms        



   • High Level Customer Service                    • ICD9 – Knowledge  



   • Data Entry                                                 • Medical Coding



   • Client Relations                                         • Provider Relations



 



WORK EXPERIENCE



Zerox                                                                                       Beech Grove,
IN 



Associate
Claims Processor                                          
April 27-May
23, 2014 




  • Ability
    to identify problems logically, research with minimum assistance to locate
    answers and appropriate reference materials

  • Detail
    oriented

  • Good
    oral and written communication skills







 



Univita Health
                                                                                  
Carmel, IN



Claims
Processor                                                                       
December 2013-March 2014




  • Interpret
    and apply fundamental policy language to claim scenarios

  • Perform
    investigations and research on standard claims, including obtaining proof of
    loss

  • Communication
    with service providers regarding billing questions or clarification of billing 







 



ConAgra Foods                                                                             Indianapolis,
IN 



Bottle Line
Votator Operator
                                     September 2012 – October 2013




  • Responsible for supporting the ConAgra Performance
    System (CPS) by auditing the process and inspecting and lubricating the lines

  • Conduct analytical quality testing on the production
    line

  • Perform sanitation and sterilization procedures on
    milk and product flow systems between production cycles

  • Responsible for operating and making adjustments to
    various components, such as Case packers, Hot Glue Systems and Case Code Dater
    machinery









 



Wellpoint                                                                                      Indianapolis,
IN 



Claims
Processor
                                                    January 1999 – November 2011




  • Processed
    all new claims pricing inventory in manual mailboxes for dual platform/networks

  • Identified
    steps necessary to process a varying complexity of contracts for pricing
    accuracy and followed audit protocols and workflows to ensure quality goals

  • Researched,
    analyzed and calculated claims in accordance with provider contracts

  • Worked
    in Application to correct claims due to matching errors

  • Processed
    data entry of claims into Application for auto-pricing and handled claims and
    manual pricing for customers

  • Managed
    pending and open claim reports to ensure timely processing

  • Partnered
    with matrix organization to resolve pending claims issues and ensured that
    appropriate action was taken to identify and implement high

  • potential
    process improvements

















 



 



Kroger Bakery                                                                         Indianapolis,
IN



Line Worker –
Production
                                              June,
1987 – October, 1996




  • Responsible for supporting the Kroger Bakery
    Performance System (CPS) by auditing the process and inspecting and lubricating
    the lines

  • Conduct
    quality of product, expiration dates of timely manner

  • Perform sterilization procedures on milk and product
    flow systems between production cycles

  • Check temperature control on ovens

  • Responsible for operating and making adjustments to
    various components, such as, Line Packaging Assembly, Hot Glue Systems and
    Product Code Dater machinery











 



EDUCATION



Thomas
Carr School – HS Diploma

  • ID#: 83537
  • Location: Indianapolis, IN , 46254

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