Colleen Davis

Colleen Davis Email and Phone Number

Configuration Analyst at TMG Health a Cognizant Company @ Dexian
Colleen Davis's Location
Dallas, Pennsylvania, United States, United States
Colleen Davis's Contact Details

Colleen Davis personal email

n/a
About Colleen Davis

I have a strong knowledge of Medicare guidelines for Managed Care Products as well as a strong knowledge of medical terminology, ICD-9 and ICD-10, and CPT/HCPC processing. I am detail oriented and have the ability to work in a team environment or independently. My current position also requires me to be well spoken both verbally and in a written format. I am a thoughtful, detail oriented individual who is used to working in a fast paced, ever changing environment.

Colleen Davis's Current Company Details
Dexian

Dexian

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Configuration Analyst at TMG Health a Cognizant Company
Colleen Davis Work Experience Details
  • Dexian
    Configuration Analyst
    Dexian Sep 2024 - Present
    United States
  • Congnizant
    Configuration Analyst
    Congnizant May 2013 - Sep 2024
    Teaneck Nj
    Configured benefits per client specifications on the Facets platform. Configured CMS transmittals as they are published. Ensures Local Fee Schedules were loaded within specified timeframes. Utilized Miicrosoft SQL to load scripting into Facets. Interpreted and configured provider contracts. Configured both Medicare and Medicaid benefits and other Facets modules as required.
  • Tmg Health
    Manager - Performance Reporting
    Tmg Health Jan 2010 - May 2013
    - Detail analysis of enrollment/disenrollment & claims data to prepare monthly performance reports. -Analyze Medicare guidance for changes/impacts. - Audit enrollment records to CMS standards/specifications for accuracy and timeliness.- Perform trend analysis to determine error trending.
  • Tmg Health
    Internal Audit, Supervisor
    Tmg Health Apr 2008 - Jan 2010
    Dunmore, Pa
  • Tmg Health
    Financial Analyst
    Tmg Health Jun 2007 - Apr 2008
    Dunmore, Pa
  • Tmg Health
    Compliance Auditor
    Tmg Health Apr 2004 - Jun 2007
    Scranton, Pennsylvania Area
  • Tmg Health
    Claims Analyst
    Tmg Health Apr 2001 - Apr 2004
    Scranton, Pennsylvania Area
  • Blue Cross Of Northeastern Pennsylvania
    Claims Analyst Ii
    Blue Cross Of Northeastern Pennsylvania Sep 1998 - Apr 2001
    Wilkes-Barre, Pa
    - Paid/denied HCFA1500 claims for Medicare Advantage Plan.- Reviewed and processed claim attachments.- Entered provider authorizations for members. - Priced non-participating provider claims as per CMS fee schedules. - Responsible for complying with Federal and State Regulations.
  • Wilkes Barre General Hospital
    Medical Secretary Ii
    Wilkes Barre General Hospital Jan 1997 - Sep 1998
    Wilkes-Barre, Pa
    I worked in the laboratory where I handled various types of specimens for the Medical & Pathology Technologists. This position required a lot of multi-tasking and a great regard for accuracy as we were responsible for ordering the appropriate lab tests for the appropriate patient.- I ordered the lab tests, labeled the specimens for processing, utilized various types of lab equipment to prepare the specimens for testing. This including drawing off samples for cytology/pathology, and utilizing the centrifuge. - I released lab results to physicians when indicated, and made outreach phone calls to note critical lab results when needed.
  • Visiting Nurse Association
    Admissions Clerk/Business Office
    Visiting Nurse Association Oct 1994 - Jan 1997
    Wilkes-Barre, Pa
    - Data entered and generated HCFA 485/487 Medicare forms within CMS timeframe and accuracy standards. - Billed various insurance companies with proper ICD-9 codes. - Reviewed charts for admission/discharge processing accuracy.- Assisted in the generation of month end balance reporting.
  • Dallas Veterinary Clinic
    Vet Technician/Receptionist
    Dallas Veterinary Clinic 1989 - 1991

Colleen Davis Skills

Hipaa Process Improvement Internal Audit Compliance Medical Terminology Performance Reporting Medical Coding Cms Medical Billing Root Cause Analysis Medicare Prescription Drug Plans Cms 1500 Enrollment Services Microsoft Office Medicaid Managed Care Medicare Advantage Claims Handling Multitasking Skills Medicare Guidance Laboratory Skills

Colleen Davis Education Details

Frequently Asked Questions about Colleen Davis

What company does Colleen Davis work for?

Colleen Davis works for Dexian

What is Colleen Davis's role at the current company?

Colleen Davis's current role is Configuration Analyst at TMG Health a Cognizant Company.

What is Colleen Davis's email address?

Colleen Davis's email address is cd****@****lth.com

What schools did Colleen Davis attend?

Colleen Davis attended College Misericordia, Dallas Area High School.

What are some of Colleen Davis's interests?

Colleen Davis has interest in Crossword And Logic Puzzles, My Kids, Cross Stitching, Soccer, Reading, Softball/ Baseball, Health.

What skills is Colleen Davis known for?

Colleen Davis has skills like Hipaa, Process Improvement, Internal Audit, Compliance, Medical Terminology, Performance Reporting, Medical Coding, Cms, Medical Billing, Root Cause Analysis, Medicare Prescription Drug Plans, Cms 1500.

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