Java Developer Resume Profile
3.00/5 (Submit Your Rating)
Midlothian, VA
PROFESSION OBJECTIVE
I am seeking full time employment with opportunities for advancement in Customer Service and Data Entry, to include but not limited to Medical Billing.
EXPERIENCE HIGHLIGHTS
Java Developer
Confidential
- Place calls to New Hampshire, Maine, Massachusetts and Virginia Medicaid with questions and concerns about medical remittance advice and money that might be owed, overpaid or denied. As well as follow up questions and claim status.
- Place calls to Medicaid HMO are with questions and concerns about medical remittance advice and money that might be owed, overpaid or denied. As well as follow up questions and claim status.
- Place calls to out-of-state Medicaid for claim status and follow up questions. Arizona, Texas, New Mexico, Florida, New York and North Carolina Medicaid.
- Research and review remits, EOB's, previous claims and correspondences to find appropriate reason insurance denied.
- Analyze accounts to determine appropriate follow-up approaches for effective resolution.
- Review accounts for appropriate adjustments and write-offs to include line items and contractual agreements.
- Worked denial report to correct claims and get the denied charges paid.
- Worked aged reports to resolve account balance's that are over 360 days old.
- Worked with timely filing deadlines made adjustments to accounts as needed and/or sent in appropriate documentation to prove timely filing deadline was met.
- Understanding UB's and HCFA 1500's.
- Death with provider relation departments with various Medicaid states.
Confidential
- Registered patient demographics.
- Key charges in Misys system for insurance and self pay billing process.
- Filed patients insurance.
- Research and review remits, EOB's, previous claims and correspondences to find appropriate reason insurance denied.
- Worked with the A-4 Health-matic Medical System through a VPN.
- Printed Emergency Room Charts to be sent with Insurance Claim forms for secondary insurances to pay.
- Answered patient calls with concerns about their bills and set up payment arrangements if necessary.
- Posted payments
- Worked with bad addresses and verify information on patient accounts.
- Reviewed and submitted attorney letters via fax and US mail.
- Processed end of month reports
- Processed batch calculations daily at end of day to make sure amounts were keyed correctly.
- Understanding HCFA 1500's
Payment Processor
- Investigated patient's account making sure the payment was processed correctly.
- Responsible for locating the patients account number, finding their check in a database and posting the check to the account.
- Processed account journals to keep track of how much money was posted.
Data Entry Clerk,
- Responsible for data entry of stocks, bonds and accrued interest.
- Worked with BETA system.
- Contacted clients for verification of purchased stocks and bonds.
- Assisted in office responsibilities as needed.
Data Entry Clerk,
- Processed bankruptcy petitions, dismissals and discharges.