Arlinda Brown

Submit accurate and timely Medicaid claims for outpatient, inpatient, professional charges and day surgery claims. Insure accuracy of claims by reviewing diagnosis, procedure codes, provider ID# and NPI#. Review upload of medical claims for diagnosis, medical procedure, physician name, dates of service daily. Look for claim that are not billable due to provider certification, non-billable visits/procedure. Identify non-billable visits and providers and post adjustments. Research denied claims and resubmit correct claims. Submit claims through AZ Medicaid online portal. Also verify patient eligibility, claims status and provider enrollment through AZ Medicaid online portal. Submit secondary claims to AZ Medicaid when Medicare or commercial insurer is primary insurer. Insure claims are billed in a timely manner. Communicate with Patient Registration on insurance eligibility and Coding staff about coding discrepancies of diagnosis or procedure codes, provider name or date of service. Work on reports that billing supervisor generate such as DNFB. Correct pending edits for claims that have not been billed.

Submit accurate and timely Medicaid (AZ, UT, NM) for outpatient, inpatient, professional services and day surgery claims. Insure claims are correct with ICD9/10 diagnosis and procedure codes, CPT HCPCS codes, date of service, provider ID# and NPI#. Identify non-billable visits and provider and post adjustments. Submit secondary billing for patient with Medicare and commercial as primary insurer. Resubmit denied claims. Verify Medicaid eligibility, claims status and provider enrollment with Arizona Medicaid online portal. Also submit medical claims through AZ Medicaid online portal. Communicate with Patient Registration and coding pertaining to insurance or coding issues.

Worked in the Physical Therapy Department as a temporary employee. I was responsible for administrative tasks including filing, typing of all department correspondence and scheduling appointment for patient. Received all incoming telephone calls/visitors. Submit medical records chart request daily, insure patient chart is available upon arrival for provider. At end of day insure providers note is complete with note and signature. Verify Medicare, Medicaid, commercial coverage for patient. Page medical doctors when needed for consult. Completed paperwork for DME purchase supplies/equipment for patients.