Cindy Wilson
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Cindy Wilson

Cindy R Wilson
56 Davis Street #2
Phoenix NY 13135
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Summary
Professional Medicare Claims Processor and experience with medical claims processing, cob, Medicare secondary payer, etc.
Successful Medical Claims Examiner with experience as a recalculation specialist and claims trainer.
Responsible for processing various types of claims including medical, hospital, VNA, and medical equipment.
Researched claims and request information from providers regarding system issues.
Processed Medicare Part B Medicare Secondary Payer claims while conforming to the guidelines and quality and production expectations
Familiar with ICD-9cm, ICD-10cm, CPT-4, and HCPCS coding.
Worked with coordination of benefits, CMS and Secondary Medicare payment claims.
Recently retaken a course in HIPPA and blood born diseases.
Strong data entry skills.


Education
High School Diploma from Edward H. White High School, Jacksonville, FL [Completed]
Registered Medical Assistant from American College of Medical and Dental Careers, Jacksonville, FL, 1986


Skills
Strengths include organizing, planning and executing projects, sound problem solving skills.
Proficient with numbers and have a photographic memory.
Knowledge of using general office equipment, ten key machine, loading, burning and labeling cds.
Typing speed: 8800 to 8900 KPH
Microsoft Word, Excel, Outlook, and Power Point.

02/2016 - Have had several surgical procedures and broken bones.

Professional Experience

NGS at Wellpoint Now Anthem, East Syracuse, NY, Medicare B Claims Processor III, 9/2007 - 2/2016
Processed Medicare Part B Medicare Secondary Payer claims while conforming to the guidelines and quality and production expectations.
Analyzed and processed claims payment.
Proficient with multiple surgeries, global, and re bundling claims.
Trained on and used ecrs system for CMS.
Worked with coordination of benefits.
Researched claims and request information from providers regarding system issues.


RMSCO Inc., Liver Pool, NY, Void &Adjustment Coordinator, 9/2006 - 2/2007
Apply refunds and claim adjustments, while tracking trends for processor, system and provider billing errors.


DataBank IMX, East Syracuse, NY, Production Technician, 5/2005 - 9/2006
Filming and scanning of corporate documents for the purpose of microfilmed records.


Think Right Now! International, Inc., Camillus, NY, Production and Inventory Control Manager | Customer Support, 11/2004 - 3/2005
Entered customer orders and gave customer support.
Tracked inventory and production of cd programs and artwork.
Also did limited work with on-line company affiliates.


Medcom Inc., Jacksonville, FL, Medical Claims Examiner, 04/2003 � 07/2003
Examined Medical Claims for a third party administrator of company funded Insurance Plans.


Iron Mountain Records Management, Jacksonville, FL, Data Entry Specialist, 2002 � 2003
Prepared Transmittals
Impute Data in an all inclusive software program.


Prudential Insurance Company, Jacksonville, FL, Medical Claims Examiner, 1990 � 1998
Examined Medical Claims, worked as a Recalculation Specialist and Trainer.
Also worked as a liaison between Member Services and Claims departments.