Jennifer Herring Email and Phone Number

Angel Intuitive CertificateCertified Angel Card ReaderCertified Life Purpose CoachHeal to Evolve Podcast Host

Reviewed, edited, and updated COVID patient immunization records for the California Immunization Registry.Merged old and new immunization records according to patient information per the pending backlog system.Transcribed doses from the CDC COVID-19 vaccination card into the California Immunization Registry.

Entered new or modified claim rules into the Dedicated UAT Xeohealth Claim Adjudication System.Performed quality assurance testing with the entry of claims against the new or modified claim rules into the Dedicated UAT Xeohealth Claim Adjudication System for testing.Created test plans, scenarios, test cases, and test data.Provided feedback to the Director of Claims consistently and provided input for the actual rules or rules loading into the system.Assisted with Pennsylvania state encounter claim with research.

Researched claims adjustments before retraction. Reviewed and processed third-party liability claims in two operating systems.Sent back adjustments and claims to providers for correction.Contacted providers by phone regarding missing information from adjustments request forms.Loaded rules for Business Rules Management into Xeo testing and production environments.

Investigated and examined claims to determine if an adjustment was requiredResearched claims that were paid incorrectly, recovered overpaid and underpaid claims dollars from multiple sources, and ensured all necessary transactional steps were taken to process claim adjustments accurately. Experience with PPO, HMO, and COB healthcare claims.Implemented (HIPAA) – Health Insurance Portability and Accountability Act of 1996 and federal law regulations regarding healthcare.