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Gis Technician Resume

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Porofile, CharlottE

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JOB SKILLS

Customer Service, Accounts Payable/Receivables, Vendor Experience, Manager Care, Medicaid billing, ICD-9, CPT-4 and HCPCS codes, Troubleshooting EDI Claims, Adjudicating claims, overpayments, HIPPA regulations, SQL, Business Objects, MS Office Excel, PowerPoint, Access, Word, Publisher, Html, ESRI based desktop, VB, Oracle, Metadata, Business Intelligence, Project Tracking, Paint shop Pro, RDV MultiVision, Posse, Crystal Reports, SharePoint.

Professional Experience

Confidential

GIS Technician

Responsible for face-to-face interviews with client applying for FNS services in Intake. Review client's income, conducting research to determine eligibility for services. Calculated client income to determine allotment amount. Transfer deeds from Grantor to Grantee using AccessPro database. Communicate with public and private individual. Scan aerial maps for customers. Utilized Address One to issue Address Verifications. Use Posse to check on demolition, and permits and foreclosure status.

Confidential

Researched and resolved escalated complex claims issues. Identified error trends notified departments for areas of improvements. Adjudicated claims using claims systems. Researched and resolved discrepancies between policy and provider contracts. Issued overpayments to providers and members. members. Trained and coached first level claim processors on new claim procedures. Reviewed and settled claims to determine that payments were made in accordance with company practices and procedures. Complied with regulations for HIPPA. Conducted audits to ensure compliance with terms of contracts.

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