Gina Richardson Email & Phone Number

Jacksonville, Florida

· Lead to Reconsideration Analysts (RA1s) and Appeals Specialist. · Research Medicare Claims Systems (MCS) for RA1s, Appeals Specialists, and or upper management when needed for Medicare Reconsideration Appeals. · Monitors the production and quality of work of RA1s to ensure goals are met; including compliance with company standards and policies prior to presenting the report to the supervisor.· Assures compliance with regulatory, contractual and accreditation entities and maintains strict adherence to confidentiality and security policies and procedures.· Acts as a liaison between the Part B South contract of C2C Innovative Solutions, Inc. and the Medicare Administrative Contractor (MAC), and/or internal staff dealing with specialized case matters (e.g., late filed, missing data, unique cases, corrections) to verify they are completed in compliance with Centers for Medicare & Medicaid Services CMS timeframes and deadlines.

Jacksonville, Florida

· Builds a case file for a for reconsideration appeal review from evidence submitted and received and analyzes each case to ensure it meets the requirements for a valid reconsideration request as mandated by Centers for Medicare and Medicaid Services (CMS) or other customer entities.· Thoroughly reviews the documents submitted to be sure no possible Protect Health Information (PHI) errors occurs.· Became a subject matter exports- allowing me to assist fellow RA1s with prepping reconsideration appeals on cases prior to decision review.

Bachelor Of Arts - Ba, Sociology And Anthropology, 2.58 On 4.0

Activities and Societies: NAACP Stockton Chapter Member. Eastern Service Workers Association (New Jersey Office) Volunteer.Dual major.

Pre-Nursing Studies

Majored in Pre-Nursing/Nursing until I transferred to Richard Stockton College of New Jersey.