Vickie Jensen

Maintain confidentiality and adhere to all HIPAA guidelines/regulations.

Accurate and timely work of filing insurance claims. The role demonstrates medical insurance knowledge by determining correct and/or ongoing eligibility, coverage, and related insurance reimbursement claim details, including commerical, government, and all various plan coverage.

Excellent problem-solving abilities and organizational skills.

Identify order and reimbursement deficiencies, route claims for appropriate actioning, and document actions taken within the systems for claims lifecycle tracking.

Also, supports the activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software, and communicate insurance information to ancillary departments and other teams within the reimbursement operations departments.

Ability to work with others in a spirit of teamwork and cooperation.

Disciplined, self-motivated and reliable; able to stay focused on a task and work independently; motivated to perform quality work; diligent about arriving to work on time and completing tasks that are assigned in a timely manner.

Responsible for responding to telephone calls to resolve medicaid claims.

Responsible for responding to and placing telephone calls to resolve inquiries from agents, members and providers concerning benefits and claims processing.
Worked with HIRSP and Family Care for State of WI for medicaid providers.
Proven ability to control difficult situations to comply with benefits and claims processing to
benefits.

Computerized register knowledge/counting down money.

Ordering supplies and merchandise.

Cleaning store.

Stocking

Delivery and pick up appointments for drivers and entering appointments onto computer.

Tracking pallets and trailers adding to spreadsheets.

Compiling and retrieving information of forms for lawsuits and members policies.

Proof reading letters and documents.

Ordering and maintaining forms for policies for all lines of health business.

Working with medical images and putting them into microfilm or scanning/indexing onto computer.

Opening mail and answering phones/switchboards.

Entering claims for processing and pulling claim files for adjustors.

Typing forms for underwriters and checks to send to hospitals/clinics for medical records.