Kelley Fleming Email & Phone Number

Birmingham, Alabama, United States

• Sort various document types.
• Index work scanned into system.

Birmingham, Alabama Area

• Ensure that all assigned claims billed to an insurance carrier reaches resolution.
• Review all insurance denials, determine the appropriate action and file all rejected claims as assigned.
• Determine proper assignment of balances owed, either patient balance or insurance balance.

Birmingham, Alabama

• Receive authorizations from attorneys’ offices to receive information regarding clients

Birmingham, Alabama Area

• Assign correct case type and initiate/activate correspondence batches within MCS to process work
• Process claim overpayments

Birmingham, Alabama Area

• Independently, accurately, and timely process Medicare claims and adjustments
• Utilize various processing tools to research, initiate, correct and adjudicate pending claims and/or adjustments
• Prepare and process Redetermination case files
• Identify and provide support documents and medical information to determine payment or denial of services based on CMS regulations and medical policies
• Receive claims through PEGA system, formerly SAS
• Review benefits in HIMR

Birmingham, Alabama

• Ordered files, sorted, identified and entered incoming work into Policy Tracker System
• Reviewed reports and assigned to appropriate team member
• Corrected addresses of returned mail
• Routed incoming mail to appropriate teams and team members
• Sent forms to make changes to insureds’ policies
• Generated bills to insureds

Birmingham, Alabama

• Fast Track Adjuster
• Responsible for investigating, negotiating and settling assigned property damage and minor casualty claims
• Ensured that claims were processed promptly, equitably and economically as appropriate to the damage and the provisions of the insurance contract, and in accordance with company policy and applicable lawPolicy Services.
• Received calls from customers regarding changes to policy; input changes into computer system
• Uploaded new polices into computer
• Reviewed motor vehicle reports for policy renewals