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Sarah K Schaefer
- 1. Sarah K. Schaefer 11624Foley BLVD NW Coon Rapids MN 55448 763-377-2562 Skschaefer74@gmail.com Summary • Health Insurance Claims reconciliation • Administration of Family Medical Leave Act (FMLA) • Initiate leave process upon employee or client request • Managed Family Medical Leave Act (FMLA) Administration Education and Training • Clinical Coding and RHIT In Process College of St. Catherine, St. Paul, MN • Minnesota X-Ray Operators License September 2004 High Tech Institute, Brooklyn Center, MN Skills • Strong Knowledge of Medicare Part A and B Billing and claims payment • Knowledge of LCD/NCD Guidelines, APC and DRG pricing guidelines • Familiar with reading EOB’s from multiple payers • Proficient in communication with Health Insurance payers in working on claims payments and appeals • Medical Records Certifications • Excellent Communications - Oral and Written • Proficient with Medical Terminology and HIPPA Laws • Strong Knowledge of Electronic Health records (EHR) • Excellent Time Management • Accurate Chart Assembly, Deficiency, Abstraction and Redaction • Knowledgeable in Release of Information (ROI) Procedures • Proficient with Microsoft Office • Knowledge of Health Insurance claims/ appeals, and reconciliation • Strong Supervisor • Effective Trainer Professional Experience Professional Services Bureau Elk River MN January 2015- Present Health Insurance Claims Specialist
- 2. • Review patientvisits focusing on health insurance claim payments for provider client • Check Health insurance payments against CMS payable rates for patient visits • Follow up with health insurance companies regarding payments on visits • File appeals for payments on claims that are unsatisfactory or not within CMS guidelines • Report back to provider client if claims need to be resubmitted or if patient accounts need to be adjusted to reconcile the outstanding balance VIVA USA/Accenture at Best Buy- Richfield, MN December 2013- July 2014 Leave Case manager • Administration of Family Medical Leave Act (FMLA) • Confirmation of employee eligibility for FMLA and company medical leaves • Initiate leave process upon employee or client request • Review all documentation and correspondence needed to support leave request • Communicated directly with Healthcare providers offices on behalf of Employees or client to obtain clarification of required documentation • Tracked absences for Intermittent leaves • Confirmed employee return to work and completed the leave process by closing the case • Responding to inbound call center for employees of client companies and HR contacts with clients Kelly Services/Ceridian Absence Management- Bloomington, MN July 2013 – December 2013 Leave Case manager • Administration of Family Medical Leave Act (FMLA) • Confirmation of employee eligibility for FMLA and company medical leaves • Initiate leave process upon employee or client request • Review all documentation and correspondence needed to support leave request • Communicated directly with Healthcare providers offices on behalf of Employees or client to obtain clarification of required documentation • Tracked absences for Intermittent leaves • Confirmed employee return to work and completed the leave process by closing the case • Responding to inbound call center for employees of client companies and HR contacts with clients Virtelligence /Honeywell - Minneapolis, MN July 2011 - April 2013
- 3. Health Services Administrator •Managed all Medical Records • Provided Support to Occupational Health Nurse and Occupational Health Therapist • Managed Family Medical Leave Act (FMLA) Administration • Support Employee First Aid and ERT • Maintained inventory of medical supplies • Coordinated Medical monitoring programs Volt Staffing Solutions- Minneapolis, MN March 2009-August 2010 Health Insurance Data Processor • Experienced doing data entry of health insurance rates • Processed rate changes for health plans • Assisted in processing daily premium checks for scanning • Prepared mail to plan members on average more than 500 pieces of mail a day. Prostaff - Minneapolis, MN August 2008 - March 2009 Administrative Assistant • Provided general office support as well as customer service in a call center setting. • Responsible for processing claims for large vendor contract Human Services Inc. - Oakdale MN May 2007 - July 2008 Medical Records Specialist • Legally transported medical records • Accurately opened and closed out records for clinicians • Accessed and retrieved information for clinicians as needed • Flagged charts for errors that needed corrections • Prepared charts for offsite long term storage