Morgan Anders
Woodland Hills,CA
Summary
Seeking a lucrative position with a growth orientated company that will allow me to fully utilize my communication, organizational, multitasking, and problem-solving skills. Highly skilled Subrogation Specialist with comprehensive experience in insurance claim recovery. Familiar with legal terminology, negotiation tactics, and regulations related to subrogation. Strong analytical skills coupled with ability to manage high-volume caseloads for efficient resolution and recovery. Notable contributions include streamlined procedures that improved overall productivity and recovery rates in previous role.
Overview
19
19
years of professional experience
Work History
Billing Assistant/Independent contractor
Law Offices of Atousa Saei, APLC
09.2014 - Current
- Read and log emails exchanged between all parties for billing purposes for all attorneys in the firm
- Collaborate emails for each client for monthly invoices
- Open and read documents exchanged between all parties and log time for each document for billing purposes
- Part time
Third Party Subrogation Specialist
Claims Recovery Management
Woodland Hills, CA
02.2012 - Current
- Support the administrator of the company
- Negotiate Third party subrogation medical liens
- Investigate and identify possible TPL claims for compensation recovery
- Maintain relationship with 20+ HMO medical groups to recover TPL claims
- Review and prepare medical billing for insurance companies and personal injury attorneys
- Prepare monthly data reports for clients
- Maintain internal databases and business programs
- Implement and organize new clients
- Delegate tasks and projects to fellow employees
- Manage and maintain client's revenue.
Credentialing Quality Assurance
Inpatient Consultants Hospitalists
North Hollywood, Ca
11.2011 - 02.2012
- Over see the credentialing process, audit, and ensure quality for hospitalists in 26 regions
- Ensure proper enrollment into Medicare for providers and facilities
- Audit the credentialing team for quality and accuracy
- Assist the business with tracking reports, billing issues
- Identify issues and create projects to resolve credentialing issues.
Credentialing Specialist II
Health Net of California and Oregon and Washington
Woodland Hills, Ca
11.2008 - 11.2011
- Credential individuals and facilities and ancillary medical/surgical providers to ensure all credentialing standards and internal requirements are met and maintained
- Follow all CMS and NCQU standards
- Gather data from CAQH and other credentialing databases
- Verifies and maintains all networks, individual and facilities providers' information
- Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups to resolve any issues
- Responsible for overall accuracy of credentialing database
- Assists in the preparation of file reports and binders for monthly credentials, committee including pre and post committee functions.
Eligibility Rep I&II
Health Net of California
Woodland Hills, Ca
03.2006 - 11.2008
- Provide a high level of customer service
- Maintain accurate eligibility records for assigned employer groups
- Conduct periodic audits of group eligibility data, reconcile group eligibility report to monthly statements
- Enter daily eligibility data: new enrollees, changes, cancelations
- Respond to all written and telephone eligibility inquiries from assigned employer groups
- Manage the UCOP system account for 23 campuses.
Education
Bachelors - Business Management
University of Phoenix
Woodland Hills, CA07.2012
Skills
- 20 years medical terminology and HIPAA
- Typing: 90wpm
- Strong Organizational and analytical skills
- Excellent interpersonal skills, phone manner, and office etiquette
- Strong Customer Service Skills
- Strong computer and business application skills
- Internet proficient
- Comfortable with scanning technology, and applications
- Microsoft office applications
- Internet and computer experience
- HIPAA Regulations
- Expert
- Currently used/10 years
- Currently used/10 years
- Decision-making capabilities
- Effective communication abilities
- Claims Investigation
- Claims Processing
- Team Collaboration
- Critical Thinking
- Settlement Negotiations
- Verbal Communication
- Workers' compensation claims
- Microsoft Office Suite
- Self Motivation
- Case reporting
- Investigation Management
- Analytical Skills
- Data Interpretation
- Litigation Support
- Time Management
Affiliations
- Love to travel and explore new countries and cities
- Plant care
- Roller skating
- Culinary arts
References
References available upon request.
Timeline
Billing Assistant/Independent contractor
Law Offices of Atousa Saei, APLC
09.2014 - Current
Third Party Subrogation Specialist
Claims Recovery Management
02.2012 - Current
Credentialing Quality Assurance
Inpatient Consultants Hospitalists
11.2011 - 02.2012
Credentialing Specialist II
Health Net of California and Oregon and Washington
11.2008 - 11.2011
Eligibility Rep I&II
Health Net of California
03.2006 - 11.2008
Bachelors - Business Management
University of Phoenix
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