Amanda Armolt

• Effectively worked with insurance payers via phone and electronically to resolve escalated and complex insurance processing issues and denials to facilitate payment of claims

• Identified and resolved problems in a timely manner

• Completed special projects and reports to resolve high priority and aged account receivable inventory

• Provided options for balance resolution on patient accounts
• Lead meetings and provided answers for employee inquiries
• Reviewed account information and all necessary system applications to determine the next most value-added work activity and thoroughly document all pertinent collection activity performed.
• Met and exceeded all collection goals while maintaining quality requirements

• Researched electronic files and imaged records accessing Part A/B Medicare systems
• Interpreted processing guidelines to determine the accuracy of the original claim determination and took necessary actions to finalize the case file.
• Performed claim correction activity when additional payment or reduction in payment correction was necessary
• Resolved adjustment claims which suspended due to system edits and audits or that had been returned to the department after review

• Processed submitted provider applications and created enrollment records in Medicare system
• Obtained additional information via telephone or in writing
• Researched and validated information as needed to complete the application
• Determined if provider met regulatory requirements