Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Jahannah Goehler

Sr. Claims Processor
Wauseon,Ohio

Summary

Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.

Overview

1
1
Certification
2
2
years of post-secondary education
21
21
years of professional experience

Work History

Claims Processor/ Insurance Follow up

Fulton County Health Center
Wauseon, OH
06.2012 - Current
  • Process claims for all governmental Insurances.
  • Keep up to date on ever changing Medicare/Medicaid policies.
  • Train new employees on registration process.
  • Managed large volume of medical claims on daily basis.
  • Reviewed provider coding information to report services and verify correctness.
  • Communicated effectively with staff, including members of operations, finance and clinical departments.
  • Responded to correspondence from insurance companies.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.

Patient Access Trainer

Fulton County Health Center
Wauseon, OH
06.2012 - Current
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
  • Trained and mentored new employees in registration department, answered questions and provided insight on patient services.
  • Developed highly effective communication, interpersonal and active listening skills, which were used for interacting with people of all different backgrounds and cultures.
  • Educated all registration staff personnel regarding updates and changes to job positions.

Caregiver/ Shift Leader

Adapt INC
Coldwater, MI
01.2007 - 01.2010
  • Delivered superior training and leadership to teams to boost performance and help team members achieve performance targets.
  • Documented residents' behavior in terms of mental status, sleeping and eating patterns in medical record books.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Assisted clients with daily living needs, including bathing and personal grooming, to maintain self-esteem and general wellness.
  • Performed household tasks such as laundry, dusting, washing dishes and vacuuming.
  • Offered social support by transporting individuals to events and activities, in addition to medical appointments and shopping trips.

Caregiver

Private Residence
Oceanside, CA
01.2007 - 01.2007
  • Helped clients manage money, pay bills and shop for groceries or personal items.
  • Worked to improve and enhance patient lives through effective and compassionate care.
  • Offered social support by transporting individuals to events and activities, in addition to medical appointments and shopping trips.
  • Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
  • Helped family members plan healthy meals, purchase ingredients and cook meals to provide adequate nutrition for client wellbeing.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Assisted clients with daily living needs, including bathing and personal grooming, to maintain self-esteem and general wellness.
  • Traveled to clients' homes to provide healthcare services and promote continuity of care.

Education

Associate of Applied Business - Office Administration/ Medical Support

Northwest State Community College
Archbold, OH
08.2010 - 05.2012

Skills

    Claims review

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Certification

Certified Specialist Accounting and Finance

References

Jean Calms

· Health Information Director 419-376-4123

Kelly Albright

· Charge Poster and Contracting 419-583-9400

Whitney Shindorf

· Patient Access Trainer and Charge Poster 419-410-2709

Joline Mudhank

· Denial Management Team 419-466-2403

Timeline

Certified Specialist Accounting and Finance

02-2021

Claims Processor/ Insurance Follow up

Fulton County Health Center
06.2012 - Current

Patient Access Trainer

Fulton County Health Center
06.2012 - Current

Associate of Applied Business - Office Administration/ Medical Support

Northwest State Community College
08.2010 - 05.2012

Caregiver/ Shift Leader

Adapt INC
01.2007 - 01.2010

Caregiver

Private Residence
01.2007 - 01.2007

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Jahannah GoehlerSr. Claims Processor