1. MARINA MANN
5717 Mango Lane, Hilliard, Oh 43026
(614) 402-1789 • mmann10@aol.com
SUMMARY
Bi-lingual business professional with over 9 years of experience in Hospital and Professional claims,
appeals, customer service and follow up, bringing qualities such as high work ethic, accuracy and
excellent customer service to the job market. Profound understanding of UB04 and HCFA1500
billing structure, CPT and ICD9 coding and federal guidelines pertaining to health insurance industry
Brought additional revenue to large medical teaching facility
PROFESSIONAL EXPERIENCE
The Ohio State University Wexner medical Center
Columbus, Ohio July
2012 to present
PATIENT REVENUE CYCLE SPECIALIST
To review and follow up outstanding medical claims with various insurance companies in order
to receive maximum reimbursement
 Heavy phone contact with insurance companies.
 Review all claims for correct payment through diagnosis & procedure codes within individual
contracts and medical guidelines.
 Contacting the insurance carrier and/or member to resolve any outstanding issues.
 Maintain and manage accounts with proper file management techniques.
 Send appeal correspondence for certain claims to insurance carrier.
 Performs related duties or special projects as required
Aetna, New Albany, Ohio June 2010 to July 2012
CLAIM BENEFITS SPECIALIST
Process hospital and professional Medicare Advantage claims. Review and adjudicate routine
claims in accordance with Medicare claim processing guidelines.

2. * Apply medical necessity guidelines, determine coverage, complete eligibility verification.
* Increased productivity with excellent accuracy.
* Got nominated for Peer to Peer award
The Principal Financial Group, Columbus, Ohio January 2006 to March 2010
MEDICAL CLAIMS EXAMINER
Processed hospital and Professional medical claims according to specific benefits plans. Made
appropriate decisions based on various contracts and plan provisions which included evaluation of
claim per plan provisions, determination of eligibility, identification of correct benefit level, calculation
of fee schedule and making corrections.
* Ensured correct payment of claims, using multiple resources to increase productivity.
* Reduced errors of payment of claims by investigating claim history, increasing accuracy and
identifying the need to adjust mistakes.
* Consistently paid claims in date order with high quality results.
* Answered customer service calls from providers, members and agents.
Limited Logistics Services, Columbus, Ohio May 1999 to January 2006
MERCHANDISE PROCESSOR
Sorted wholesale products received to prepare for shipment to customers. Handled special orders
for customers.
* Worked in teams to conduct inventory control of warehouse
* Trained and mentored employees on operation on new warehouse management system.
Assist, Dublin, Ohio January 2003 to January
2004
INTERPRETER
* Assisted in establishing accurate communication between medical personal and
patient.
EDUCATION
BRYMAN INSTITUTE, Gahanna, Ohio
Medical Billing and Coding Certificate – GPA 4.0
Completed course in August 2005
Moscow University, Moscow, Russia
Major in English as second language
Graduated in 1992