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SUMMARY OF QUALIFICATIONS:
- Skilled at learning new concepts quickly while working well under pressure
- Ability to maintain organized records
- Ability to work quickly, accurately and independently in a fast paced environment
- Skilled working with:
- Windows 2007 and higher Windows NT
- Microsoft Office Suites
WORK EXPERIENCE:
Confidential
- Completely and accurately enter information from source documents into SAP
- computer system and follow general procedures.
- Provide clerical support such as filing, photocopying and other support functions
- when requested
- Obtain and organize all information required for the aircrafts to perform the work
- Verifies all material, information, tools and labor are available prior to scheduling .
Confidential
- Customer Service to members
- Computer updates employee insurance
- Process client files
- Generate correspondence
- Enter enrollment forms, declination forms, address changes
Confidential
- Billing and follow-up of claims to Medicare
- Entered claims information into the processing systems
- Researched and followed-up of unpaid claims by using medical records
Confidential
- Processed and completed the following in accordance with Centers for Medicare Services guidelines: Internal overpayments interoffice, Skilled Nursing Facility/Home Health Association, deceased beneficiary, system errors, and as a result of audits .
- Assisted coding and routing to third party providers
- Work aged account receivables, analyzes, determine appropriate action
- Verified benefits and claims payments information.
- Executed the full claim adjustment, started collection activities and ensure interest is assessed accurately.
- Answered multi-line telephone, routed calls, and took accurate messages
- Researched claims and corrected billing issues that dealt with the benefit and premium inconsistencies.
Confidential
- Processed claims, sorted claims and viewed claims
- Entered and/or updated inquiry information into statewide business database
- Calculated claim amounts that are submitted for payment
- Sorted mail, faxed, and photocopied documents for service coordinators
