1. AMY FORD
1160 Balaton Lane #101 | Greenwood, Indiana 46143 | 317-431-8707 | amyf2448@yahoo.com
OBJECTIVE
Accomplished Insurance Supervisor, Claims Processor, Auditor and Trainer searching for a
position with a well-established firm where my experience will be utilized to the fullest.
SKILLS PROFILE
 Over 20 years of insurance experience both in billing and processing.
 Vast knowledge of LCS, Aldera, Adminsys, KWIK, Replicon, FEPS; Microsoft Office
Suite
 Proficient in ICD-9 and CPT codes
 Practice Management Certification 2016
EMPLOYMENT HISTORY
Remote Implementation Consultant, AdvancedMD, South Jordan, Utah 04/2016-Present
 Responsible for managing the implementation process for an assigned client list
including identifying, prioritizing and managing strategic needs to help to ensure an
efficient and effective implementation.
 Client list consists of Providers who are setting up an Electronic Data Interchange (EDI)
via the AdvancedMD billing system.
 Communicate and manage internal and external implementation requirements and
expectations.
 Serve as a single point of customer contact during the implementation; train the Providers
through key product learning; meet weekly during the implementation to review
processes and develop or update workflow plans.
 Coordinate data conversion, interface and other timeliness and expectations. Hand off to
Client Support when Providers have successfully completed process.
Insurance Team Lead, Xerox Corporation, Indianapolis, IN 12/2014 – 04/2016
 Hired to be part of the new TPL created to serve as the operational backbone for
HealthyCT managing CO-OP (Consumer Operated and Oriented Plans) programs and
their members under the Affordable Care Act (ACA).
 Responsible for overseeing day to day operations of productions, from processors as well
as enrollment specialist; set up guidelines for processing claims and procedures.
 Assisted with the processing of complicated claims and adjustments.
 Attended daily conference calls with company administrators located in Connecticut to
discuss various issues (Pricing, Claims Tower, ICD-10, Provider Issues and
Authorizations).

2. Group Claims Supervisor, International Medical Group, Inc., Indianapolis, IN
11/2004 - 09/2014
2013-2014 Group Claims Supervisor
 Managed a team of 8 employees; assigning day to day tasks to team members, annual and
monthly reviews, productions reports, auditing claims and answered Group
Administrators emails or phone calls.
 Provided 1-on-1 group training to Group Administrators using various training delivery
methods.
2011-2013 Plan Builder/Auditor
 Build plans in the company’s main processing system (LCS) in order to ensure claims
were processed correctly and according to the certificate wording.
 Auditor duties: Responsible for reviewing processed claims to verify that that they were
processed correctly before payments were issued.
2004 – 2011 Mission Claims Processor
 Worked with a large volume of self-funded missionary groups including working with
UB04, CMS1500 as well as Overseas claims with processing an average of 60 claims per
day. Was instrumental in developing training strategies on new systems as well as new
certificates.
 Determined covered insurance losses by studying provisions of policy or certificate.
 Documented medical claims actions by completing forms, reports, logs and records.
 Resolved claims by approving or denying documentation; calculated benefit due; initiated
payment or composed denial letter.
ADDITIONAL EXPERIENCE
 Billing Specialist, Winona Memorial Hospital Billing Office: Responsible for billing
secondary Physicians clams to Medicaid and Medicare on a CMS1500
 CSR/Biller, Community Hospital of Indianapolis- Responsible for billing on UB04 and
CMS1500 to Blue Cross Blue Shield and Commercial Insurance Carriers
 Processed claims on the RIMS system
EDUCATION
Associates Degree in Human Resource Management, Southern New Hampshire University,
February 2016-Present
References upon request