
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
- Medicare/Medicaid Over 65 (Disabled, ESRD)
- Process Enrollment Applications, Payments, Billing Adjustments, Invoices,
- Accounting, Aged Trial Balance Reports, Reconciliation, Write off’s, Refunds, Auto Payments, Rate Changes, Cancellations
- Resolve Delinquencies, Billing Disputes, Prepare Journal Ledger Entries
- Processed Medicare Discrepancy Reports/ Financial Reports, Analyze Medicare and Financial Information.
- Legal/ POA/ HIPAA requests
- Complied with Federal and State Regulatory Requirements for OIR and ACA
Served as a SME (Subject Matter Expert
Handle Inbound calls from Providers inquiring on insurance payments and claims
Reprocessed claims for review through Provider Appeal Processes
Provided Complete/ Accurate Information about Policies and Procedures
Followed up with Providers about Portal Inquiries on Claims and Faxes