Belinda Nethercutt
Westfield,NC
Summary
The majority of my career was with Aetna starting as medical claims analyst, patient advocate, overpayment analyst, subject matter expert and mentored co-workers. Prior to that I held data entry, customer service and bookkeeping skills. Detail-oriented professional committed to improving organizational outcomes by monitoring performance initiatives. Focused on planning, implementing and optimizing procedures. Specializing in 30 operations and dedicated to maximizing quality.
Overview
33
33
years of professional experience
Work History
OA Consultant
Aetna/ CVS Health
High Point, NC
01.1992 - 01.2023
- Unit Subject Matter Expert- Mentored co-workers
- Handled performance guarantee accounts
- Reviewed claims for overpayments and worked with providers and employees to ensure the overpayment has been received
- Unit Overpayment Payment System subject matter expert attended weekly calls about system issues
- Handled replacement checks inside and outside of overpayment system
- Recovery Savings Analyst- Reviewed overpayment files for accuracy
- Credited checks to overpayment files
- Medical claims analyst- Reviewed high dollar claims for accuracy
- Customer service representative- answered customer service calls and handled issues, complaints and any concerns with providers and members.
Accounting Clerk
Industries of the Blind
01.1991 - 01.1992
- Answered customer service calls and took orders
- Completed invoicing and billing.
Insurance clerk
William B. Smith Insurance Agency
01.1990 - 01.1991
- Reviewed motor vehicle declaration pages for accuracy and entered in the new policies
- Handled and mailed all insurance cards
- Reviewed billing.
Education
Accounting Certificate -
Brookstone Business School
High School Diploma -
Independence High School
Skills
- Continuous Improvement
- Expertise in overpayments of medical claims
- Data Analysis
- Quality processes
- Audit processes
- Test Automation
- Data Validation
- Software testing
- Quality Improvement
References
References available upon request.
Timeline
OA Consultant
Aetna/ CVS Health
01.1992 - 01.2023
Accounting Clerk
Industries of the Blind
01.1991 - 01.1992
Insurance clerk
William B. Smith Insurance Agency
01.1990 - 01.1991
Accounting Certificate -
Brookstone Business School
High School Diploma -
Independence High School
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