Belinda Turner
207 STONESRIVER RD LA VERGNE, Tennessee,37086 256-945-4116 belindaturner1@hotmail.com
Objective
Seeking a position where I can use my talents and skills to grow and expand with the company.
Education
JF DRAKE STATE, HUNTSVILLE, AL 2003
Licensed Practical Nurse
ď‚· Admitting new residents
ď‚· Performing assessments
ď‚· Explaining treatments and procedures
ď‚· Managing care plans
Qualifications Summary
ď‚· Medicare/Medicaid reimbursement
ď‚· CPT/ICD 9 codes
ď‚· Medical terminology
ď‚· Prior Authorizations
ď‚· Appeals
ď‚· Auditing
ď‚· Billing
ď‚· Data analyst
ď‚· Accounts payable/receivable
ď‚· MSOffice proficient
ď‚· Office management
ď‚· CSP/ Facets proficient
ď‚· Retention
ď‚· Resolution
ď‚· Customer Service
ď‚· Cross training
ď‚· Written and verbal communition
ď‚· InterpersonalSkills
Work Experience
UNITED HEALTH GROUP, FRANKLIN, TN
Claims Adjustment Specialist, May 2014 – present
ď‚· Adjust medical/hospital claims from multiple states
ď‚· Manually manage metrics for myself in a numbers driven environment
ď‚· Reconcile Explanations of Benefits
ď‚· Insure processing accuracy
ď‚· Adhere to Medicare/Medicaid reimbursement policies
ď‚· Generate and send denial letters to providers as needed
ď‚· Provide project instruction clarity if needed
ď‚· Able to process on both CRT(projects) and Singles production environment
ď‚· Able to process ARO,RMU,ODAR,SNFA,TNDSNP claims
INVESTMENT HOMESUNLIMITED LLC, HUNTSVILLE, AL
Office Manager, Mar 2009 – Mar 2014
ď‚· Booked travel arrangements
ď‚· Distributed mail
ď‚· Inventoried and stocked supplies
ď‚· Scheduled and met with inspectors
ď‚· Set up job orders
DIRECTV, HUNTSVILLE, ALN
Retention Specialist, Feb 2007 – Feb 2009
ď‚· Deescalated calls
ď‚· Provided solutions for customers with billing, equipment or service issues
ď‚· Provided coaching to staff when needed
ď‚· Communication and interpersonalskills
ď‚· Exceptional Customer service
ď‚· Subject Matter Expert
INVESTMENT HOMESUNLIMITED, HUNTSVILLE, AL
Receptionist, Apr 2003 – Dec 2006
ď‚· Administrative support
ď‚· Alpha/numeric data entry
ď‚· Communication and interpersonalskills

Titan UPDATED

  • 1.
    Belinda Turner 207 STONESRIVERRD LA VERGNE, Tennessee,37086 256-945-4116 belindaturner1@hotmail.com Objective Seeking a position where I can use my talents and skills to grow and expand with the company. Education JF DRAKE STATE, HUNTSVILLE, AL 2003 Licensed Practical Nurse  Admitting new residents  Performing assessments  Explaining treatments and procedures  Managing care plans Qualifications Summary  Medicare/Medicaid reimbursement  CPT/ICD 9 codes  Medical terminology  Prior Authorizations  Appeals  Auditing  Billing  Data analyst  Accounts payable/receivable  MSOffice proficient  Office management  CSP/ Facets proficient  Retention  Resolution  Customer Service  Cross training  Written and verbal communition  InterpersonalSkills Work Experience UNITED HEALTH GROUP, FRANKLIN, TN Claims Adjustment Specialist, May 2014 – present  Adjust medical/hospital claims from multiple states  Manually manage metrics for myself in a numbers driven environment  Reconcile Explanations of Benefits  Insure processing accuracy  Adhere to Medicare/Medicaid reimbursement policies  Generate and send denial letters to providers as needed  Provide project instruction clarity if needed  Able to process on both CRT(projects) and Singles production environment  Able to process ARO,RMU,ODAR,SNFA,TNDSNP claims
  • 2.
    INVESTMENT HOMESUNLIMITED LLC,HUNTSVILLE, AL Office Manager, Mar 2009 – Mar 2014  Booked travel arrangements  Distributed mail  Inventoried and stocked supplies  Scheduled and met with inspectors  Set up job orders DIRECTV, HUNTSVILLE, ALN Retention Specialist, Feb 2007 – Feb 2009  Deescalated calls  Provided solutions for customers with billing, equipment or service issues  Provided coaching to staff when needed  Communication and interpersonalskills  Exceptional Customer service  Subject Matter Expert INVESTMENT HOMESUNLIMITED, HUNTSVILLE, AL Receptionist, Apr 2003 – Dec 2006  Administrative support  Alpha/numeric data entry  Communication and interpersonalskills