ANGELA KNICKERBOCKER
Parker,CO
Summary
Seeking a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
24
24
years of professional experience
Work History
Project manager
Cigna Healthcare
Greenwood Village, CO
01.2009 - Current
- Identify claims that were processed incorrectly and compile data into projects to forward to processors for review and follow project from beginning to end (oversight) to ensure that projects are completed in a timely fashion and communicate results to providers.
- Cross-train existing employees to maximize team agility and performance.
- Answer questions for any fellow team mate
- Evaluate employees' strengths and assign tasks based upon experience and training.
Large Dollar Claims Examiner
Cigna Healthcare
Greenwood Village, CO
01.2004 - 01.2009
- Reviewed medical claims over $50,000 in accordance with contract provision, using established policies and procedures, researching and adjusting claims that were previously processed incorrectly, identifying any saving initiatives and attempting to negotiate additional discounts with providers.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
- Responded to correspondence from insurance companies.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Team Lead
Great West Healthcare
Greenwood Village, CO
01.2003 - 01.2004
- Processed claims over $10,000
- Coached team members in techniques necessary to complete job tasks.
- Reviewed and rebutted any audit errors with examiners on my team.
- Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skills.
- Trained new team members by relaying information on company procedures and safety requirements.
Claims examiner
Great West Healthcare
Greenwood Village, CO
01.2002 - 01.2003
- Processed all claims associated with a single episode of care for a patient, including hcfas and UBs.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Responded to correspondence from insurance companies.
Provider Billing Specialist
Front Range Medical Management
Englewood, CO
02.1998 - 01.2002
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Performed targeted collections on past due accounts aged over 90 days.
- Followed up with insurance companies to determine information needed for prompt payment, such as medical records, itemized statement, etc.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Education
Bachelor of Science - English Language And Literature
Metro State
Denver, COBachelor of Science - Business Administration And Accounting
University of Nebraska
Kearney, NEBachelor of Science - Accounting
Western Nebraska Community College
Sidney, NESkills
- Workflow Planning
- Performance Improvement
- Managing Multiple Projects
- Cross-Training Skills
- Process Development and Implementation
Timeline
Project manager
Cigna Healthcare
01.2009 - Current
Large Dollar Claims Examiner
Cigna Healthcare
01.2004 - 01.2009
Team Lead
Great West Healthcare
01.2003 - 01.2004
Claims examiner
Great West Healthcare
01.2002 - 01.2003
Provider Billing Specialist
Front Range Medical Management
02.1998 - 01.2002
Bachelor of Science - English Language And Literature
Metro State
Bachelor of Science - Business Administration And Accounting
University of Nebraska
Bachelor of Science - Accounting
Western Nebraska Community College
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