Claire Marvel
Baltimore,MD
Summary
Qualified and hardworking Reimbursement Specialist with expertise in policy research and customers service. Offering experience in analyzing coverage and securing collection for claims. Excellent written and verbal communication skills.
Overview
41
41
years of professional experience
Work History
Reimbursement Specialist
Nations Health Care LLC
Owings Mills, Maryland
10.2017 - Current
- Managed data compilation and billing for facilities
- Created and electronically transmitted Medicare Enteral invoices
- Generated and transmitted electronic CPAP and BIPA invoices
- Verified and validated DME Delivery tickets
- Reviewed accounts in two systems and made necessary adjustments. Assisted in picking up equipment and handling private pay calls. Printed private pay statements and mailed them to patients.
- Managed order confirmation and documentation for DME billing, including preparation and organization of CMNs, LMNs, Recertification's, and Diffs.
- Processed Claim Denials and rejections, ensuring accurate submission electronically
- Successfully handled phone responsibilities beyond regular working hours, including troubleshooting equipment problems, estimating delivery times for DMN and Infusion patients, and prioritizing urgent calls for Nurses and Pharmacists.
Day Care Provider
Marvel Day Care
Timonium , Maryland
01.2001 - 10.2017
- Supervised children during outdoor playtime to ensure safety at all times.
- Ensured compliance with state regulations pertaining to health codes and safety standards within the facility.
- Assisted in potty training children while providing positive reinforcement when successful.
- Encouraged creativity among students through open ended questions about their interests and ideas for projects or activities.
- Organized and implemented activities to stimulate physical, emotional, intellectual, and social development of children in a daycare setting.
Order Management Supervisor
Aether Systems
Owings Mills, MD
06.2001 - 09.2005
- Effectively maintained client and supplier relationships
- Managed order tracking system to address any obstacles in delivering orders on time
- Assisted in the resolution of problems with order identification
- Provided support to internal departments by tackling order status inquiries and resolving miscellaneous issues
- Coordinated with warehouse to ensure prompt delivery and resolve any issues
- Managed payment issues and processed credit card transactions
- Conducted interviews and made successful new employee selections
Purchasing Manager
Fidelity and Deposit Company of Maryland
Baltimore, MD
07.1983 - 06.2001
Education
Associate of Science - Interior Design
The Community College of Baltimore County
Catonsville, MD09-2000
High School Diploma -
Dundalk High School
Baltimore, MD05-1983
Skills
- Medical Billing
- Eligibility Verification
- Insurance Verification
- Payment posting
- Claims Processing
- Payment Processing
- Statement Distribution
- Account Posting
- Invoice Generation
Timeline
Reimbursement Specialist
Nations Health Care LLC
10.2017 - Current
Order Management Supervisor
Aether Systems
06.2001 - 09.2005
Day Care Provider
Marvel Day Care
01.2001 - 10.2017
Purchasing Manager
Fidelity and Deposit Company of Maryland
07.1983 - 06.2001
Associate of Science - Interior Design
The Community College of Baltimore County
High School Diploma -
Dundalk High School
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