Summary
Overview
Work History
Education
Skills
Timeline
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Michelle Fleming

Kissimmee,FL

Summary

Detail oriented benefit verification specialist. Knowledgeable about buy and bill insurance process and excellent communicator with both patients and medical professionals.

Overview

10
10
years of professional experience

Work History

Revenue Cycle Specialist

AllianceRx Walgreens Prime
09.2018 - 01.2023
  • Assisted and analyzed patient account details (charges, payment, adjustments and answered detailed question from patients and payers regarding claims and/or account status
  • Verified the accuracy of data captured from scanned documents and make any necessary corrections
  • Allocated payments to patients accounts collected from insurance companies
  • Confirmed claim submissions are billed to correct insurance plans and are paid
  • Balanced and reconciled accounts.

Case Manager

Mckesson Corporation
01.2014 - 08.2018
  • Ran live and test claims
  • Processed claims, prior authorizations and copay assistance
  • Verified insurance benefits (Medicare, Commercial, Major Medical, Medicaid) and explained benefits and financial responsibilities to patients
  • Identified care needs of individual patients and coordinated responses based on physician advice
  • Coordinated services with other agencies
  • Monitored clients' progress and tracked client services to provide crisis interventions.

Benefits Counselor

Univers Workplace Solutions
10.2012 - 01.2014
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone and email
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options
  • Enter employees benefits assigned in system

Credit Counselor

Consolidated Credit Solutions, Inc
01.2013 - 07.2013
  • Examined client financial state and helped to formulate plan to reduce debt and build assets
  • Responded to client concerns and questions about credit scores and methods to improve numbers.

Education

Coursework in Computer Information Systems , Management Theory and Entrepreneurship -

Bachelor of Science - Business Administration

Walden University
Minneapolis, MN

Skills

  • Excellent communication skill
  • Insurance Verification
  • Insurance Benefits Understanding
  • Detail-Oriented
  • Excellent Time Management

Timeline

Revenue Cycle Specialist

AllianceRx Walgreens Prime
09.2018 - 01.2023

Case Manager

Mckesson Corporation
01.2014 - 08.2018

Credit Counselor

Consolidated Credit Solutions, Inc
01.2013 - 07.2013

Benefits Counselor

Univers Workplace Solutions
10.2012 - 01.2014

Coursework in Computer Information Systems , Management Theory and Entrepreneurship -

Bachelor of Science - Business Administration

Walden University

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Michelle Fleming