STACY L. KING
Little Rock
Summary
Seeking an entry level position where I can advance in the HealthCare Industry using the skills I have gained as a Claims Specialist and Adjuster.
Overview
25
25
years of professional experience
Work History
Patient Accounts/Accounts Receivable
Arkansas Spine and Pain
10.2023 - Current
- Key charger timely and accurately, check coding waivers, modifiers to ensure clean claim submission.
- Post all receipts from patients in a timely manner, post insurance payments, and submit refund requests with appropriate documentation to Accounts Payable in a timely manner.
Enrollment/Billing Representative
Cigna/Accredo
09.2022 - 10.2023
- Provide financial related support for banking and billing related functions to new and existing accounts.
- Work with internal/external customers, vendors and partners to resolve issues.
- Create, analyze and respond to standard and/ or non-standard reports, bill and collect outstanding/delinquent payments or issues payments.
Claims Adjustment Specialist
Arkansas Blue Cross Blue Shield
02.2000 - 09.2022
- Guided by internal procedures, GCPS, Medipak, Facets, Blue2, Blue-Exchange and ITS Formats, Database configuration documentation, group plan benefits, and legal requirements for processing claims; including additional investigation or communication in order to obtain necessary information to complete the claim.
- Including adjustments, refunds, and coordination of benefits.
- Also, responsible for accurately evaluating original claim payment and performing the appropriate adjustment.
- Ensuring appropriate systems and member information is updated.
- While maintaining divisional quality assurance review and meeting defined quality and product standards.
- Coordination of Benefits, Third Party Liability, and Medicare claims.
Education
BUSINESS ADMINISTRATION -
HEALD BUSINESS COLLEGE
01.1996
Skills
- Customer Service
- Proficient in Word
- Proficient in Excel
- Time Management Skills
- Administrative Skills
- Organizational Skills
Timeline
Patient Accounts/Accounts Receivable
Arkansas Spine and Pain
10.2023 - Current
Enrollment/Billing Representative
Cigna/Accredo
09.2022 - 10.2023
Claims Adjustment Specialist
Arkansas Blue Cross Blue Shield
02.2000 - 09.2022
BUSINESS ADMINISTRATION -
HEALD BUSINESS COLLEGE
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