Charlene Burke
St Louis,MO
Summary
Highly-motiated employee with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
9
9
years of professional experience
Work History
Lead Coding Analyst
Centene Corporation
Farmington, MO
08.2020 - Current
- audit high dollar claims
- identify opportunities for macro
- identify payment discrepancies between contracts and Amisys
- verifying authorizations and levels of care in Trucare
- Running Goldens for inventory, macros, and claim history
- verifying pend code trends in Amisys
- coaching and assisting team members
- processing high dollar claims when needed
- responding to audits
- training team members in high dollar processes
- delegating work and assignments
- monitoring inventories
- working in collaboration with plans to identify issues with payment/configuration
Coding Analyst
Centene Corporation
Farmington, MO
12.2016 - 08.2020
- Maintained high accuracy rate on daily production
- Managed and maintained inventory in multiple states/plans
- ensuring claims were processed per state contract/fee schedule
- communicate with plan when processing checkrun or overturning untimely/timely claims
- Assist other team members with inventory when needed
Advanced Analyst
Centene Corporation
Farmington , MO
10.2014 - 12.2016
- process first time claims and adjustments
- ensure claims processed per workflows
- keeping production and quality numbers within a certain percent
Education
Some College (No Degree) - Psychology
Southeast Missouri State University
Cape Girardeau, MOSome College (No Degree) - Nursing
Mineral Area College
Park Hills, MOSkills
- Knowledgeable in Excel, Word, Powerpoint, Amisys, Trucare, Webstrat, Golden, Emptoris, Cenpas, OMNI, PPS, Edifecs, Filenet
- Attention to Detail
- Inventory Controls
- Medical Billing Processing
- Inventory Coordination
- Verbal and Written Communication
- Data verification
- Billing Procedures
- Information Analysis
- Data Entry
- Data Verification
- Coding Error Resolution
Timeline
Lead Coding Analyst
Centene Corporation
08.2020 - Current
Coding Analyst
Centene Corporation
12.2016 - 08.2020
Advanced Analyst
Centene Corporation
10.2014 - 12.2016
Some College (No Degree) - Psychology
Southeast Missouri State University
Some College (No Degree) - Nursing
Mineral Area College
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