Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Following up with Medicaid appeal reps to inquire repayments to favorable appeals and Take-backs on unfavorable appeals.
Review Credit Balance Accounts, Process repayments and adjustments.
Resolve credit balances on patient accounts; Research returned hospital refund checks; handle phone calls from patients concerning accounts.
Initiate refunds or identify overpayments to clear credit balance. Apply voids to accounts as necessary and reissue refund , Document collection system clearly and concisely.
Contracted by Prime Therapeutics to process prior authorizations.
Started case files for formulary exceptions & prior authorizations.
Monitored physician review, additional information queues and attached them to original case files. Used ICD-9 codes to determine the patient’s diagnosis.
Increased customer satisfaction by ensuring timely completion of projects and adherence to high-quality standards.
Trained new employees on multiple programs and data entry software. Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Contracted by Homeland Security
Provided administrative support to business operations by performing data entry of material from temporary work visa documents to a computer database.
Transcribed routine pre-coded alphanumeric data from source documentation into an automated system.
Ensured accuracy and completeness of data. Performed clerical tasks in the data entry function.