Looking for a job

catherine glenn

@catherineglenn

Medical Billing Specialist at Aspirus Health, reprocessing denied claims, submitting appeals, and following up on unpaid claims.

United States

Message

At Aspirus Health, I sort denied and aged claims, reprocess claims, submit appeals and corrected claims, and follow up on unpaid claims. I also print EOB forms and verify patient benefits and eligibility.

My experience includes medical billing, coding, and claims examination at Karmanos Cancer Institute, DMC Harper University Hospital, and HAP Midwest Health Plan. I’ve processed Medicare, Medicaid, and third-party claims, worked with ICD-9, ICD-10, HCPCS, and CPT codes, and used Epic, Pega, and Facets.

Experience

Work history, roles, and key accomplishments

Current

Medical Billing Specialist

Current

Aspirus Health

Apr 2022 - Present (4 years 6 months)

Processed denied and aged claims, reprocessed and appealed claims, and followed up on unpaid claims. Verified patient benefits and eligibility and printed EOB forms.

Medical Billing Claims Processing Appeals EOB Benefits Verification Eligibility Verification

Customer Service Representative

CVS

Oct 2021 - Mar 2022 (5 months)

Resolved customer inquiries via inbound calls, processed insurance claims, and entered patient information for prescription orders. Upheld HIPAA guidelines and used MS Teams and Excel.

Customer Service SPFx Insurance Claims Microsoft Teams Excel HIPAA

Medical Biller / Coder

Karmanos Cancer Institute

Oct 2019 - May 2021 (1 year 7 months)

Processed insurance claims, verified coverage using Medicare and Medicaid systems, and handled inpatient coding with ICD-9 and ICD-10 codes. Updated patient demographics, posted payments, and trained new employees.

Medical Billing Medical Coding ICD 9 ICD 10 Medicare Medicaid Epic EHR Patient Confidentiality

Medical Secretary / Billing and Coding

DMC Harper University Hospital

Oct 2018 - Apr 2021 (2 years 6 months)

Served as initial point of contact, scheduled procedures, verified insurance, and accepted payments. Coded using ICD-9, ICD-10, and HCPCS codes and used Epic EHR software.

Medical Billing Medical Coding ICD 9 ICD 10 HCPCS Epic EHR Scheduling Insurance Verification

Claims Examiner

HAP Midwest Health Plan

Sep 2016 - Mar 2018 (1 year 6 months)

Followed up on denied claims, generated appeals, and processed third party, Medicare, and Medicaid claims. Completed UB-04 and CMS 1500 forms and handled accounts receivable and payment inquiries.