Summary
Overview
Work History
Education
Skills
Section name
Timeline
Generic

Charlotte Zook

Indianapolis,Indiana

Summary

Twenty Years in Medical Business Management and Insurance

Overview

27
27
years of professional experience

Work History

Direct Care Worker

TEAM SELECT
02.2023 - Current

Utilization Management Review

ELEVANCE HEALTH
06.2019 - 06.2024

Medical Management Specialist

ANTHEM
11.2017 - 06.2019
  • Achieved NO PAST DATES! . . . a decrease of nine bed days—meaning these members are moving to appropriate levels of care

Compliance Licensing Specialist

KEY BENEFIT ADMINISTRATORS
08.2015 - 02.2017
  • Improved search-ability and accuracy by changing the way data is collected and stored.

Medical Management Coordinator

COOPERATIVE MANAGED CARE SERVICES
12.2007 - 07.2015
  • Began as Health Care Coordinator—advanced to Medical Management Coordinator.
  • Trained interns and billing staff and developed new processes for goal achievement.

Billing Specialist/Medical Assistant

COMMUNITY PHYSICIANS OF INDIANA
06.2005 - 02.2007

Insurance Collection Specialist, Team Leader

INDIANA HEART ASSOCIATES
04.1998 - 02.2005
  • Developed and implemented new hire and employee training programs.
  • Named key person during computer conversion.

Education

30 Hours -

MARKSON MANAGEMENT
Washington, DC
01.1988

Diploma - undefined

NORWOOD HIGH SCHOOL
Norwood, Ohio
01.1986

Medical Assistant Certification - undefined

SCARLET OAKS CAREER DEVELOPMENT
01.1986

Skills

  • ICD-9, CPT Coding
  • MS Office
  • Accounts Payable/Receivable
  • Indiana Health Guidelines
  • Analyzing Claims
  • Insurance Payer Fees
  • Prioritizing Patient Care
  • Authorizing Patient Service Requests
  • Tracking Collection Problems
  • CAQH Files
  • Patient and Family Education
  • Multitasking
  • Communication, Referrals, Discharge Planning
  • Identifying Potential Case Management Members
  • Collection Follow-up on Insurance Claims
  • Assisting Nurse in Research and Maintaining Census
  • Explaining Complex Rules, Laws, and Contracts
  • HIPPA
  • Computer Updates: Electronic Data Implementation
  • FDA, Medicare, and Medicaid Research
  • Resolving Issues Resulting in Claim Payments
  • Agent Licensing, Auditing, Tracking
  • OSHA

Section name

  • “Charlotte’s productivity remains among the highest of our performers on the team. She regularly seeks additional duties and opportunities to help achieve our departments goals.” –Rebecca Dobbins, RN, BSN, Manager 1, Inpatient Utilization Management, ANTHEM
  • “Charlotte proved herself to be an able employee, a diligent worker, and talented insurance representative. Her research was always thorough and comprehensive, and fact checking always accurate.” –Burlene Atkins, Manager, INDIANA HEART ASSOCIATES
  • “Charlotte is able to see the whole picture in relation to how physicians are contracted and various network affiliations. She understands how PPO networks, POS, and HMO plans work. She is a loyal addition, outgoing and known as someone to be counted on to follow through with task at hand.” –Judy Bourquin, Director, Provider Relations, INDIANA PROHEALTH NETWORK
  • Analytical, Detail Oriented with Track Record for Achieving Goals

Timeline

Direct Care Worker

TEAM SELECT
02.2023 - Current

Utilization Management Review

ELEVANCE HEALTH
06.2019 - 06.2024

Medical Management Specialist

ANTHEM
11.2017 - 06.2019

Compliance Licensing Specialist

KEY BENEFIT ADMINISTRATORS
08.2015 - 02.2017

Medical Management Coordinator

COOPERATIVE MANAGED CARE SERVICES
12.2007 - 07.2015

Billing Specialist/Medical Assistant

COMMUNITY PHYSICIANS OF INDIANA
06.2005 - 02.2007

Insurance Collection Specialist, Team Leader

INDIANA HEART ASSOCIATES
04.1998 - 02.2005

Diploma - undefined

NORWOOD HIGH SCHOOL

Medical Assistant Certification - undefined

SCARLET OAKS CAREER DEVELOPMENT

30 Hours -

MARKSON MANAGEMENT
Charlotte Zook