Jenifer Atkinson Email & Phone Number

Punta Gorda, FL, US

Punta Gorda, FL, US

Remote

Chicago, Illinois

Enrollment Specialist Team Lead Passport Health/Premera 9/2018 -Present*Represent Eligibility Department on twice weekly client facing meetings for On/Off Exchange clients and biweekly Passport Medicaid meetings. *SME for 834 Files, PCP Assignments, ID Card QA, and Eligibility Issues for On Exchange/Off Exchange and Medicaid clients.*Deep Dive Analysis of.

Chicago, Illinois

Enrollment Specialist I 8/2017-9/2018 * Updated member records through internal tickets, emails and workflow queue. * Working with the Enrollment team to review 834 X 12 files, resolving any errors. * Created tracking for Daily File Load metrics.* Communicated to client through Assigned and worked Share Point/JIRA Tickets. * PCP assignments. * Training new.

Chicago, Illinois

*Responsible for customer service calls, completion of loss notices, claim data entry, verification of coverage and internal claim referrals. *Initiate subrogation process on claims where another insurance has liability. *Collect information from hospitals, providers and injured parties for bodily injury claims. Confirms billing information and summarizes.

Madison, Wisconsin Area

• Electronic Data Interchange - Help Desk - WPS CorporateMedicare MAC J5/J8, VAPC3, TRICARE For Life/TRICARE–Overseas/WPSHI/EPIC/Arise
• Respond to telephone and written inquiries from providers, medical billing services and computer software vendors concerning electronic submission concerns.
• Receive and respond to telephone and written inquiries regarding PCAce Pro32 software. Serve as primary backup for setup/installation, training and administration.
• Review electronic test files for accuracy and completeness using the electronic claim file specifications for each line of business claim filing requirements.

Madison, Wisconsin Area

Identify fraudulent practices of providers and beneficiaries with TRICARE For Life.Perform validation audits and obtain case specific data to develop cases to be sentto the Department of Defense. Every case presented to Department of Defense received highest possible rating.Several cases were ultimately investigated by the Inspector General.Consult with.

WPS

TRICARE Encounter Data (TED) records are based on clinical encounters submitted on the UB04 and HCFA 1500. TED records are submitted by the MCSC, audited and claims paid by the Financial Intermediary (FI), and sent to the TED system for final auditing and government payment. -Developed data indicated as “required” in the data element definition not.

Madison, Wisconsin Area

Due to staffing requirements I worked for several months in Provider Certification, then as needed.WPS has contractual authority for provider certification and accountability for the TRICARE Encounter Provider (TEPRV) file for providers in our jurisdiction. Upon receipt of a claim or request for provider certification information involving a provider not.

Greater Atlanta Area/Indianapolis/Madison

Duties included:Daily processing of the cash deposits per TRU guidelinesBalancing cashier tillsProcessing week ending and month ending book work Preparing bank deposits Ordering and processing change from the bank Maintaining Associate files. Employee counseling when appropriate. Maintaining filling system per company policy. I was also involved in loss.