Monique L. Donnerson

Assisting in the hiring process for individuals that is apart of the State of Indiana Impact Program. Also networking with other employers in different industries to help our participant gain employment.

• Promptly corresponded with applicants and coordinated and conducted interviews.
• Hired employees and initiated new hire paperwork process.
• Leveraged social media platforms and online job boards to advertise open positions and engage with potential candidates.
• Developed recruiting strategies to identify qualified candidates and build network.
• Oversaw full cycle recruiting for vacancies each quarter within the region 1 and surroundings counties.
• Evaluated strengths and weaknesses of candidates through effective screening processes.

• Responsible for processing hospital medicaid hospital claims
• Also, responsible using CPT 9 and 10 codes and adjudicating denied claims in a timely manger
• Applied working knowledge of election of claims applied knowledge of insurance, and medical terminology, EOBS, and Adjudications
• Drove medical billing utilizing medical terminology on a day-to-day basis.
• Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
• Partnered with billing analyst department to investigate and remedy any gross margin trend issues.
• Evaluated aging reports to identify members to be included in monthly outbound collection calls.

• Was responsible for client support, including answering inbound calls from employers to maintaining compliance with the affordable healthcare act throughout the year
• Assisted with filing year-end reports at to the IRS, utilizing Salesforce and Citrix.
• Monitored service capabilities and collaborated cross-functionally to meet needs and resolve escalated issues.
• Met frequently with technical, product management and service personnel to stay current on company offerings and business policies.
• Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.

Applied strong understanding of EOB’s, IDC 9&10 Codes, Medical Terminology, State of Indiana Medicaid Website for Eligibility.

• Initiated comprehensive account assessments to check viability, stability and profitability of business operations.
• Used accounting software to issue tax returns and prepare consolidated reports.
• Prepared working papers, reports and supporting documentation for audit findings.

• Supported application processing for Indiana state needy family resources such as Food Stamps, Medicaid and Tanf.
• Tested functional compliance of company products.
• Analyzed work to generate logic for new systems, procedures and tests.
• Monitored and updated back-end data by inter-communicating between State of Indiana Software.