Mary Rose Foisset
Claims Associate Representative
Mesquite,TX
Overview
2
2
years of professional experience
1
1
Certification
Work History
Claims Associate Representative
United Health Group, USA
Richardson, Texas
05.2021 - Current
- Review, research , process and resolved assigned work. This would include navigating multiple computer systems and platforms like pricing verification, prior authorization and applicable benefits
- Ensure that the proper benefits are applied to each claim by using appropriate tools, processes and procedures
- Independently complete in a daily basis all documentation and communicate the status of claim as needed adhering to all reporting requirements
- Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
- Learn and leverage new systems and trainings to help apply claims, processes procedures appropriately.
- Meet and maintain the performance goals established for the position in the areas of quality, production and attendance
Education
No Degree - Medical Coding And Billing
Bachelor of Science - Nursing
Lourdes College
Cagayan De Oro , Philippines03.2008
Bachelor of Science - Commerce Major Computer Science
University of San Jose Recoletos
Cebu City, Philippines03.1993
Skills
- Detailed-oriented
- Quality driven
- Optimistic
- Flexible
- Teamwork
Accomplishments
Successfully support Empire Team for their high Inventory workload from September 2022 to November 25, 2022.
Collaborate with Chico Group/West under Kristin Whitesel Team for their high volume of claims from December 5 to 16 , 2022
Satisfactorily assists CPO Team for their First-Pass Year-End Inventory from November 28 up to present.
Certification
Professional Coder and Biller certified by
the American Association of Professional Coders (AAPC) 2021
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Associate Representative
United Health Group, USA
05.2021 - Current
No Degree - Medical Coding And Billing
Bachelor of Science - Nursing
Lourdes College
Bachelor of Science - Commerce Major Computer Science
University of San Jose Recoletos
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