

Highly trained professional in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate web-based systems. Effective at operating within state,
federal, Health and Human services, and all (HIPPA); guidelines/regulations, and customer care department guidelines in order to manage telephone ,calls, emails, letters, fax and in-person requests for assistance. I am a detail-oriented team player with strong organizational skills, with the ability to handle multiple projects simultaneously with a high degree of accuracy.
Performed research to determine the reason for collections or reconstructing of incomplete claims information by process of adjudication
• Prepares vouchers to refund collections not in compliance with Appropriations and federal Debt Collection
• Mail, fax, or email legal documents and correspondences to Attorneys offices, and medical staff and / or Medical
facilities
• Handled third Party Subrogation Procedures and processes, following federal recoupment laws and procedures
•Reviews claim forms, and other legal documentation, and local, state, and federal forms, to properly refer delinquent debts to the Department to Treasury for collection through the Treasury offset
•Matches collection to a claim, bill, or collection to input range of information or adjustments •Provides feedback regarding training and policy issues, etc
•Determines and validates billing data for accuracy against submitted documentation, debtor data, and payment history
•Input's billing information into subsidiary accounts receivable system for interface to financial management system
•Evaluates whether collections comply with Appropriations system for interface to financial management system
•Researches and reconciles reports to determine if a payment was applied correctly
•Reviews claims cases to assure all issues have been addressed, applies, and interprets VA laws, including veterans' case law, existing statutes and procedures, precedent rulings, and state law in the adjudication process
•Explains benefit programs and entitlement criteria, analyzes claims material, identifies issues, gathers relevant evidence, conducts interviews to adjudicate claims and inputs data necessary to generate the award and notification letter to the veteran describing the decision
•Provides customer assistance, orally and in writing
•Obtains, reviews, and analyzes documentation and medical claims
•Analyzes system/ medical records to determine if payment is receivable from third party •Prepare/develops, and conducts research on statements / billing on claims, standardized reports, formal Correspondences, and other documentation, including procedures, lien data documentation Communicates with external legal representation, such as Attorneys, on policies, justification on claim outcomes
•Conducts oral meetings and video conferences with non-external and internal audiences •Prepare and release correspondence for use by other federal, state, and local agencies
•Utilize various electronic data processing systems to input data for processing claims and generating automated correspondence
•Technical assignments related to claims or benefits processing or eligibility determinations •Compiling income and legal documentation to determine basic eligibility for benefits or programs Claims processing for: A state or federal agency, Insurance company, Worker's
Compensation, Disability Retirement or Pension Program.
•Submitted cash and check deposits and generated cash receipts to record money received. •Reconciled accounts receivable ledger to verify payments and resolve variances.
•Contacted clients with past due accounts to formulate payment plans and discuss restructuring options. Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
•Prepared and mailed invoices to customers, processed payments, and documented account updates. Identified, researched, and resolved billing variances to maintain system accuracy and currency.
•Generated monthly accounts receivable reports to submit developments for management review
•Safeguarded documents of accounts receivable and payments to enable tracking history and maintain accurate records.
•Followed up overdue payments and payment plans from clients to establish good cash flow. Negotiated payment arrangements with customers to establish timely receipt of payments. •Monitored accounts to verify compliance with payment terms and schedules.
•Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments. •Prepared financial statements to provide results of operations, financial position and cash flow. •Gathered, evaluated and summarized account data in detailed financial reports.
•Maintained account accuracy by reviewing and reconciling checks monthly.
•Reduced financial discrepancies, effectively reconciling bank accounts and organizing information into accounting software.
•Managed and responded to correspondence and inquiries from customers and vendors. •Presented audit findings to accounting manager after reviewing results and paperwork. Entered figures using 10-key calculator to compute data quickly.
•Reconciled accounts, managed audits and updated financial records with remarkable accuracy.