We provide IT Staff Augmentation Services!

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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

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