Amy Kellogg Email & Phone Number

Florida, United States

Greenwood Village, Colorado, US

Bloomington, Minnesota, US

• Processed QC review for fee schedules built based on contract language, quarterly fee schedule updates & maintenance based on Medicare, and yearly full fee schedule updates based on Medicare’s first quarter update
• Reviewed & Audited claims adjudication for compliance with contract rates & terms
• Developed Single Network File Receipt & Validation Report Master Spreadsheets for tracking status of daily files sent & accepted at external processing company
• Cleaned up unused and duplicate files in shared drive folder while reviewing fee schedules & combined fee maintenance file data into one QC Master Spreadsheets for quicker processing, review and tracking of files
• Reviewed & processed fee configuration daily contract log spreadsheet corrections & fee schedule maintenance
• Reviewed & processed older claims to catch up to state processing requirements

Plano, Texas, US

(Client - Centene WellCare)Short Term Project

Plano, Texas, US

• (Client - AvMed)
• Provided assistance with provider data entry & changes during client outsourcing and system transition to HealthRules Payor software
• Built new participating physician & facility records in accordance with contractual or credential information provided
• Resolved HealthRules Payor migration errors with Provider Data while processing claims to catch up & maintain State of Florida claims under 30 days processing requirements
• Developed SOF Claims, SOF Claims 2Q and Encounters PDM Report Instructions
• Developed PDM Reference Spreadsheet with Department claim processing notes

Oklahoma City, OK, US

• (Client - AvMed)
• Provided assistance with provider data entry & changes during company outsourcing transition
• Built and updated all provider records and demographical information for the provider network in all geographic regions
• Loaded all non-participating providers and resolved provider set up issues that create pending claims
• Ensured accuracy of data entry as provider record set up’s impact claims payment, directory publications, data interfaces with support system, and IRS reporting
• Processed older claims to catch up & maintain State of Florida claims under30 days processing requirements

Alachua, FL, US

• Managed, administrated and supported users on Corporate Internal Sites, Navigation, Settings, Applications, Access & Permission Rights and Profiles
• Provided guidance, support and training for site owners, teams and both internal & external company users on Architecture & Navigation, Managed Metadata, Settings and Collaboration Applications
• Managed and administered site backups, restructuring & migration within SharePoint sites and reviewing of usage reports
• Developed, configured, implemented, maintained & trained Staff on SharePoint Online O365 sites/ site collections for US Locations & Czech Republic division and SharePoint 2010 Intranet sites for all locations
• Developed, configured and maintained department & project Document Libraries, Lists, Web Parts, Pages, Content Types, Managed Metadata, Calendars, Tasks, Out of the Box Workflows, Versioning, Templates, Taxonomy
• Created SharePoint User Guides, Work Instructions, Standard Operating Procedures and Forms