Results-driven Tax Examiner Technician with the IRS, skilled in tax compliance and critical thinking. Successfully resolved complex tax processing issues while demonstrating leadership and attention to detail. Proficient in data analysis tools such as IDRS AND AMS to ensuring accuracy in claims and enhancing taxpayer satisfaction.
Analyzes and resolves tax processing problems. Responds to taxpayer's inquiries regarding
preparation of a variety of tax returns, related schedules, and other documentation.
Utilized IRS procedures and tools, including IDRS and AMS, for efficient case management.
Resolves account inquiries; advises taxpayers of enforcement actions; and manages
sensitive case problems designated as requiring special case handling. Collaborated with
various departments to route documentation. Adjusts taxpayer accounts; Recommends
lien and/or levy action.
Responsible for the resubmission of primary, secondary, and tertiary claims per respective
regulations and policies. Communicate with the Payer as necessary to complete claims
processing and /or resolve problem claims.
Follow-up daily on post processing activity including but not limited to, reject billings,
adjustments, rebilling, and denial claims for accounts that are greater than 30 days old.
Maintain accounts receivable details by use of on-line system documentation. Participates
in educational activities and attends monthly department staff meetings. Other duties as
assigned from time to time.
Verifies and abstracted all medical data to assign appropriate codes for hospital
in-patient records. Added modifiers as appropriate, coded narrative diagnoses
and verified diagnoses. Acted as a liaison between the business department,
billers and third party payers in resolving billing and reimbursement accuracy.
Thoroughly investigated past due invoices and minimized number of unpaid
accounts. Accurately entered procedure codes, diagnosis codes and patient
information into billing software. Thoroughly reviewed Medicare remittance
codes from EOBS/AR's. Applied payments, adjustments and denials into
medical manager system.
Patient Account Representative II
Responsible for working claim denials for all payers Commercial, Tenncare and Medicaid payers. Requested medical records for appeal submission processing, handle authorization issues. Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment. Worked with outside entities to resolve issues with billing, claims, and payment.
Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
Demonstrate Leadership
Deadline Driven
Knowledgeable of policy and procedures
Critical Thinking Proficiency
HIPPA guidelines
Interpretation of Problem Solving
Demonstrate commitment
Research & Analyze Claims
Adjustments & Credit balances
Interpretation of Medical Records
Multi-task Excel Spreadsheet
Correspondence
Detail Oriented
Tax Law Knowledge
Data Analysis Tools
Tax Compliance
Knowledge of on-line systems
IRM collection techniques