Enrollment/BillingTechnician Resume Columbia MD - Hire IT People

OBJECTIVE:

Experienced finance and healthcare professional with that aim of utilizing experience in client relationship management and customer service in maintaining the strategic partnership between business needs and technology.

TECHNICAL SKILLS:

Provider Management Tools: PORTICO, FACETS, PIMS, METAVANCE

Operating System: Microsoft Windows

Software Packages: Microsoft Access, Excel, PowerPoints and Words

PROFESSIONAL EXPERIENCE:

Enrollment/BillingTechnician

Confidential

Responsibilities:

Interpreted and applied pertinent enrollment policies, procedures, rules and regulations.
Entered, updated, and audited data for subscribers and dependents from paper or electronic enrollment applications, with a high level of speed and accuracy.
Enteredand changedPrimary Care Physician information from applications, phone calls and other member or administrator communication where applicable
Communicated with group administrators and notated missing information on group applications and assure that missing information is collected in order to process enrollment
Generated ID cards and letters as needed

Network Support/Provider Analyst

Confidential

Responsibilities:

Analyzed provider credentials to determine if all required document were submitted
Sorted notification from providers and updated the Portico software to reflect specific request
Assign cases to various departments to process once the providers application has approved

Reimbursement Specialist

Confidential, Columbia MD

Responsibilities:

Reviewed nurseinvoices with notes of the services provided to Confidential ts on a weekly basis
Created medical claims to submit to various insurance companies for reimbursement of servicesrenderedto Confidential ts.
Made follow calls to confirm that the insurance companies were in receipt of the claims and to check payment status.

Collections Agent

Confidential, Baltimore, MD

Responsibilities:

Structured transactions with Confidential ts leading into a title as one of the healthcare department topcollector maintaining a monthly quota of 15K
Assisted customers with updating delinquent medical accounts
Receive and manage heavy volume inbound calls
Obtain medical info from Confidential ts to file with insurance