Jessica Moretti Email & Phone Number

Peoria, AZ, US

Phoenix, Arizona, United States

• Assembled datasets and reports to support company initiatives
• Wrote technical documentation outlining the purpose, inputs, and deliverables for existing processes
• Refactored monthly processes to enable automated generation and delivery of aggregated insurance group data
• Refreshed content on team SharePoint site to allow visibility of data to other departments
• Used Azure DevOps to keep track of active work and present completion of work to management

Phoenix, Arizona

• Review and analyze suspending medical claims based on department and corporate guidelines
• Order medical records as needed for Specialist and/or Medical Director review
• Process claims based on benefit provisions and exclusions and Specialist review
• Assist with internal medical records and medical review inquiries
• Screen medical records and attach related claims to Work Items for Specialist review
• Review and direct correspondence to the appropriate Work Item or department

Remote

• Review reports to ensure patient accounts are billed in compliance with all insurance guidelines
• Verify coding and charging match before billing of claim is released with use of Code-Correct
• Examine insurance plans to ensure timely reimbursement using Nebo-electronic billing process
• Calculate appropriate insurance discounts
• Compare insurance EOB with internal EOR when problems arise
• Professionally work through insurance discrepancies with insurance companies

Remote

• Perform Patient Representative responsibilities from home office
• Coordinate, assist, monitor, and evaluate daily performance of team members
• Delegate research for account receivable correspondence to team members
• Review team adjustments and refunds for approval
• Coordinate training requirements with management to meet set goals and achieve continuous quality improvement
• Maintain and update knowledge of policies and procedures

Decatur, Illinois

• Conducted chemical and physical tests on food products and raw materials per SOP
• Compiled and interpreted results for tests and analyses
• Supervised team members and trained entry level lab technicians as needed
• Maintained a safe work environment by participating in the Values Based Safety program
• Timely and accurate data entry into LIMS

Bachelor Of Arts (B.A.), Mathematics

Certified Professional Coder