Deb Fleming Email & Phone Number

● Responsible for ensuring assigned 45-75 Physical/Occupational/Speech Therapy offices’ claims are submitted as cleanly as possible for maximum payment.o This included: - Developing a relationship with the member via email and/or telephone. - Working SalesForce tickets submitted by members by either resolving or forwarding them to the appropriate department. - Setting up insurance carriers in the Billing system according to the billing guidelines for the state where the member is located. - Resolving internal and external failures. - Monitoring newly onboarded members for out-going claim issues and possible additional training needs. - Audit pending claims according to special billing instructions for each member. - Reviewing charge updates and rebill as necessary. - Adding or updating the fee schedule according to member requests, CMS, and AHIMA guidelines.• Audit team members insurance carrier setups to ensure accuracy.• Assist on urgent or special projects.

United States

Eagan, Minnesota, United States

● Developed, coordinated, and delivered claims specific training for operations staff and vendor.● Created and maintained claims scenario test bed for software implementation, forms deployment, and government mandates. Assisted Business Analysts with testing process.● Served as claim entry subject matter expert (SME) internally and for other blue plans.● Advanced within the operations frontend to serve as a resource to claims staff, mailroom staff, and other departments in resolving complex claim entry or processing issues by researching multiple systems.● Provided data entry support with 98% or higher quality and 120% or higher production rate.

West St Paul, Minnesota, United States

● Guest account entry, rental, and purchase transactions● Issue resolution● Start/End of day financial set-ups and paperwork.● New hire training● Store cleaning● Rental/Sales organization (display) and promotion

Certificate, Healthcare Billing And Coding

Associate'S Degree, Health Information/Medical Records Technology/Technician

Pre-Medicine/Pre-Medical Studies