CHRISTINE Mongeon
CHARLTON,MA
Summary
A dynamic Managed Care Coordinator with a proven track record at Overlook Visiting Nurse Association, I excel in healthcare knowledge and insurance expertise. Demonstrated success in improving patient care coordination and resolving denied claims, showcasing strong organization and teamwork. Achieved significant reimbursements, highlighting my ability to navigate complex insurance processes efficiently.
Overview
10
10
years of professional experience
Work History
Managed Care Coordinator
Overlook Visiting Nurse Association
10.2020 - Current
- Responsibilities are securing authorization for all patients who are seeking home care treatment.
- follow up phone calls to payers
- reviewing clinical documents and submitting them
- patient statements and mailing them out
- running insurance and checking eligibility, make sure patients insurance covers homecare, copays and co insurances
- keeping up with all payer portals and making sure of all changes that are required for authorization
- processing patient payments through TD bank portal
Medical Billing Specialist
Auburn Podiatry
02.2017 - 09.2020
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
Medical Biller
New England Medical Management
11.2014 - 02.2017
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Education
High School Diploma -
Bay Path Vocational Tech
Charlton, MA06-1995
Skills
- Strong Organization
- Healthcare knowledge
- Insurance Expertise
- Teamwork and Collaboration
Timeline
Managed Care Coordinator
Overlook Visiting Nurse Association
10.2020 - Current
Medical Billing Specialist
Auburn Podiatry
02.2017 - 09.2020
Medical Biller
New England Medical Management
11.2014 - 02.2017
High School Diploma -
Bay Path Vocational Tech
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