JEN N IFER FLEC HL ER

2159 Rangoon Court | Cincinnati, OH 45240 | 513-807-4887 | jfl echler83@gmail.com

OBJECTIVE
To provide the highest quality customer service while applying skills and expertise acquired in the medical billing,
patient financial services, and pharmacy fields.
SKILLS PROFILE
Customer Service/Call Center experience
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New hire training experience

New hire mentoring experience

Medical billing experience

Credentialing experience

ACCOMPLISHMENTS
Recognized on Clermont College Deans List for four consecutive semesters
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University of Cincinnati Overall GPA 3.339, UC Clermont College GPA 3.614

Recognized as top performer in quality assurance

E M P LOY M E N T H I S T O RY
Assurex Health, Inc., File Maintenance Coordinator
5/28/2015-Current
Mason, OH
Verify new insurance payor claim submission information with plan and request new payor addition to
production billing system
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Process provider enrollment applications for company registration with new payors

Work Front End Errors related to system issues

Process revalidation/renewal applications for government and non-government payors

Work with third-party billing (system) company (XIFIN) with regard to claim submission and processing
issues

Process Medicaid and private insurance credentialing

Process enrollments for Electronic Remittance Advices (ERAs) and Electronic Funds Transfers (EFTs)

Omnicare LLC, Business Analyst I

5/19/2014-5/22/2015
Cincinnati, OH
Process daily, weekly, and monthly claims rejection reporting using Access databases and SQL
statements
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Process ad hoc reports for management

Analyze and explain root causes as well as any issues found within reporting

Work with members of management team in field to create user-friendly reports as necessary

Process mass rebilling for claims within billing system

Humana RightSource Specialty Pharmacy, Patient Financial

Services Specialist
Cincinnati, OH

2/7/2010 5/16/2014

Worked with foundations and manufacturers to find copayment assistance for specialty medications
based on diagnosis and medication

Submitted direct billing reports to partner foundations for patient copayments and process all credit
card-based program payments

Handled special projects assigned by management

Acted as Subject Matter Expert both within and outside of department

Assisted Cash Posting team with posting duties prior to implementation of larger team

Coordinated with Cash Posting team for AR adjustments and write-offs to patient accounts

Walgreens Medicare Part B Support, Medicare Consultant

Exceptions Department
West Chester, OH
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5/1/2008 2/5/2010

Assisted with creation of policies and procedures associated with business start-up for Medicare Part B

Diabetic Supplies
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Assisted with system testing prior to implementation

Obtained a basic knowledge of Medicare policies and requirements

Resolved order exceptions, followed up and retrieved Medicare-related documentation, entered orders,
contacted customers regarding any problems, searched for orders ready for shipment.

Assisted with audits and appeals for denied Medicare claims

Walgreens Specialty Pharmacy, Admissions and

Reimbursement Specialist
West Chester, OH

12/10/2003 5/1/2008

Verified major medical health insurance coverage, deductibles, out-of-pocket maximums, and patient
copayment responsibilities for specialty medications

Manually determined patient copayment responsibility based on benefits obtained

Scheduled delivery of specialty medications with patient and coordinated shipment with mail order
facility or for pick up at local Walgreens retail store

Provided medical claims billing for Medicare, Medicaid, and commercial payers

E D U C AT I O N
June 2001, Honors Diploma, Northwest High School, Cincinnati, OH
June 2012, Associates of Applied Science, University of Cincinnati-Clermont College, Batavia, OH
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December 2013, Bachelors of Technical and Applied Studies, University of Cincinnati-Clermont College,
Batavia, OH

Expected graduation Spring 2018, Associates of Applied Science Health Information Management
Technology