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Teressa Turner

1609 W Glendale Ave, #239


Phoenix, AZ 85021
(623) 329-9875
TeressaTurner@cox.net

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OBJECTIVE
My objective is to gain a responsible and challenging, position with a company that will utilize
my education and my skills as a team-player, self-starter and energetic employee. I would like to
offer my knowledge and be able to expand my profession within your company.

PROFESSIONAL PROFILE
Self motivated and results oriented professional who is committed to professionalism, highly
organized and works under strict deadline schedules with attention to detail. Excellent written and
verbal communication skills with the ability to communicate with a diverse number of people.

SKILLS
Computer Experienced, Genelco, Sharepoint, Doc, DNA, Lawson, Boss, Oscar, Coin, Pix, GL,
Microsoft Word, Microsoft Office, Microsoft Outlook Windows 95, 97, 98, XP, Wordperfect,
Excel, Access, ICD9, CPT Coding, Spreadsheet, Payplus, Athena, Life Support Plus, Maximo,
Eldorado, Extra Personal Client, Novell, Softphone, Firstclass, Web-X, Internet, Loma, Typing,
Data Entry (Alpha & Numerical By Touch and Sight), Customer Service Oriented, Payroll, A/P,
A/R, Finance, Auditing, Postings/Cobra Insurance, Collections, Patient Scheduling, Collect
Specimens from Patients, Opening & Closing Work Orders, Filing, Cashier

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EDUCATION
Glendale Community College 08/06 - 08/07 (RN)
Attended University of Phoenix 05/04 - 04/05 (ACC)
Rio Salado High School

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Teressa Turner

PROFESSIONAL EXPERIENCE
08/2004 – 03/2010, Temporary assignments:
Primestaff Services, Adecco, Appleone, Corporate Job Bank
Positions
Allowance Auditor/Safeway Corporate Office/Primestaff (480) 551-1311
- Pull vendor files from boxes and review
- Audit the buyers file to make sure they were billed
correctly (Scan, Flats/Lump, Per Case Allowances, Slotting, Shorted Products, Pricing)
- Bill vendors
- Run queries
- Email vendors when we need further information
- Data entry
- Review bouncer logs
- Conduct special projects as required
Customer Service Representative/Harrington Benefit Options - Fiserv Health/Primestaff
(480) 551-1311
- Received inbound calls from providers and policy holders regarding medical claims and benefits
- Researched claims and did follow up calls to providers and policy holders regarding outcome of
research
- Received faxes and documented the information in the system
- Researched documentation in Web-X
****Was hired on permanently by Harrington Benefit Options****
ATM Claims Analyst II/Bank of America/Adecco Temporary Services (602) 266-6930
- Research GL
- Review claims
- Determine to pay or deny claims
Doc Control/AGIA/Appleone Temp Service (602) 978-1448-Nicole
- Add providers in the system
- Doc control
- Print and make claim audit files
- Sort through mail
- Return unidentified claims to providers or schools (student accident claims)
- Enter eligibility for student accident
Paper Data Processing/Census 2010/Corporate Job Bank (602) 995-1965-Bea Williams
- Data Entry
- Key from image
- Make decisions as to what was written on the forms
- Had to key 5400+ per minute

02/2007 - 07/2007 West Olive Family Medicine - Abrazo Health Care/VHS Outpatient Clinic
(623) 939-8618
Patient Service Representative 1
- Obtained authorization for patient visits
- Verified insurance coverage including exclusionary riders or pre-existing disclaimers/document
information in computer system
- Maintained current knowledge of third party billing regulations and requirements
- Canceled and rescheduled patient appointments as necessary according to availability, backlog and at
request of physician
- Answered the phone and took messages and/or route calls to appropriate personnel
Teressa Turner

- Scheduled patient appointments, both over the phone and in person, as determined by protocols
established by the Physician and the necessity of continuity of care
- Ensured integrity of accounts receivable through accurate registration and insurance verification.
Disseminates insurance information on covered services and protocols for ancillary services
- Worked the patient check in window
- Checked in patients
- Acted as a cashier in accepting payments for the un-obligated portion of the patient bill, and patients
previous account history
- Balanced cash receipts
- Made new patient charts
- Handled walk in patients
- Updated patient charts and patient info in the computer
- Reviewed claims in hold status and determined if claim balance needed to be dropped to patient
responsibility or needed to be resubmitted to insurance
- Contacted insurance company’s regarding claims
- Pulled charts and filed them away when needed

08/05 - 11/05 Primestaff Temp Agency (Harrington Benefit Options - Fiserv Health)
11/05 - 06/06 Harrington Benefit Options - Fiserv Health (602) 906-5043
Customer Service Representative
- Received inbound calls from providers and policy holders regarding medical claims and benefits
- Researched claims and did follow up calls to providers and policy holders regarding outcome of
research
- Received faxes and documented the information in the system
- Researched documentation in Web-X

04/01 - 06/04 Star HRG A Division of Mega Life Health Insurance Co. (602) 484-9633
Finance Claims Analyst II (04/02 - 06/04)
- Prepared information from department for presentations
- Received refunds and returned checks as well as researched the history on checks
- Make phone calls to either providers or insured policy holders
- Look up claims
- Log Spreadsheets
- Coordinate benefits with other insurance company’s
- Overpayments/Collections
- Check Run Outs
- Posted Cobra Insurance payments
- Claim processing
- Reviewed ICD9, CPT and HICFA 1500
Quality Control (02/02 - 04/02)
- Received incoming claims and letters
- Sorted through paperwork, logged in system and assigned control numbers
Customer Service Representative (04/01 - 02/02)
- Received inbound calls from providers and policy holders regarding medical and dental claims
- Answered questions on eligibility
- Helped other associates on the floor with questions and concerns
- Took over phone calls that other employees were not able to handle per supervisors permission/request
- Assisted Assistant Manager for Customer Service on escalated issues