ALICIA Cia BOXER

To be of service to the clients with special needs, I assisted our campers and the caregivers from around the world in getting registered, transported to, paperwork completed and financially covered for the multiple sessions here at Camp Harmon. I assisted the nurses in gaining needed information to provide the best care for our clients. I worked with the Regional Centers across the state of California to gain the authorizations and payments. Account reconciliation is the final step for this year. We are now also preparing for the next year sessions. Clearing the accounts, setting up the facility and scheduling the miscellaneous events here at the Camp.

• Assisted then Manager, now Business Office Director with all account types, HMO, PPO, Private and VA
• Tricare collections, adjustments and reconciliation
• I processed billing and collections for The Camp Recovery Center
• Submitting Bills via paper and electronic methods, clearinghouse and/or directly with the plans
• I reviewed health plan contracts and their application to our accounts
• Mentored and trained our team to duplicate best practices and trained health plan representatives on processing substance abuse and mental health facility claims over the phone
• I participated in monthly training with various health plans on cyber safety, best processing methods, and payment management
• I prepared and deposited checks, credit card & EFT payments from the clients & health plans
• We regularly achieved our monthly & annual financial goals.

• Audited approx 3,000 claims, entered and processed approximately 1,000 claims / week strictly following the
• CMS guidelines and timelines by law
• Responsible for all denied claims & post all supporting documentation to the database for DMHC & health plan audits
• Updated & maintained the patient & provider EzCap database tables for the company’s use
• Provided customer support to the nearly 150 contracted providers & nearly 500 non-contracted providers/groups, as well as to the patients & company staff as needed daily
• Trained & mentored over 30 individuals in management, claims processors, data entry clerks, IT staff and provider office staff, in billing, processing and closing of medical claims.

• Same work experience as above; this company was purchased by Dignity Health Medical Network.

• Same work experience as above; this company was purchased by MCS
• Training, updating documentation and team collaboration as routine in this constantly evolving industry to produce growth.