Patricia Hillebrandt

• Sort and categorize incoming mail items based on their type and destination.
• Open, review, and process mail items, ensuring they are correctly labeled and addressed.
• Prepare outgoing mail items by packaging, sealing, and affixing postage.
• Operate mail processing equipment, such as postage meters and letter folding machines.
• Maintain accurate records of incoming and outgoing mail items.
• Collaborate with team members to prioritize and meet deadlines.
• Follow established procedures and guidelines to ensure compliance with company policies and regulations.
• Assist with other administrative tasks as needed.
• Sort and prep incoming checks according to check type, for ex. Premiums, Flex, Recovery checks. Research, image and forward to correct departments for processing.
• Review and direct incoming appeals to their corrects queues for processing.
• Sort, prep and image incoming claims for processing.

• Conduct patient scheduling, registration, and data entry [for a medical office with over 250+ patients], update health records, and ensured compliance with HIPAA
• Register new patients, gather medical information and records, manage appointment scheduling, and oversee physician calendars
• Process inbound calls and address customer queries, following proper phone etiquette
• Make confirmation phone calls for upcoming patient appointments

• Quality control for the department involving changes to provider files
• Researched and responded to provider inquires
• Distributed work on a daily basis to the staff
• Maintained daily numbers of incoming work to be processed
• Made decisions regarding department procedures and notify staff
• Responsible for training of new employees
• Helped create a provider enrollment maintenance manual

Claims Specialist

• Processed medical claims by reviewing information provided.
• Detected whether or not claims are to be paid or denied based on information supplied by the insurance companies.
• Prepared multiple claim types including, EPSDT, DME, Anesthesia, ER, etc.
• Maintained a strict level of quality as well as quantity.

Processor 3

• Entered essential information into the system.
• Analyzed and corrected medical claims.
• Worked in compliance with the policy and procedures provided by individual insurance companies.
• Maintained a strict level of quality as well as quantity.