Elizabeth (Liz) Sandoval

Review and process pended claims for payment following workflow guidelines within Amisys and Cenpas, adjust claims that processed incorrectly, work within OMNI for resolutions of claims, manual pricing using Webstrat and PSI tools , use of TruCare and TruCare Cloud to locate authorizations, Process batch error spreadsheets, COB and High Dollar trained, familiar with iCERTIS, PSAS, NPPES NPI Registry, Optum inc Rate Manager, review and process member reimbursement claims, key claims into Availity for Amisys upload, search within FileNet and Golden, familiar and use of MS excel and word docs, meet quality financial and payment expectations

Practiced HIPAA, take vitals, ward checks, escorting with and without restraints following patient and hospital levels, assist with codes, assist with medication roll call and administering, lead resident based groups like arts & crafts, game night, movie night, outdoor rec time, indoor rec time, bingo, fitness, etc., chart daily incidents and submit monthly progress notes, sit in weekly team meetings with fellow staff and residents to discuss treatment and therapy, assist with creating treatment plans

Follow HIPAA guidelines, take notes, file, answer calls and return messages, fax/copy, call in prescriptions, chart medical records using EPIC, ICD9 & CPT knowledgeable, take vital signs, administer injections/vaccines, assist provider with minor surgery. MOHS micrographic surgery assistant, practice sterile techniques, cauterize, cut sutures, wound care, wash and package instruments for sterile processing, clean and stock rooms, verify and label specimens for lab and pathology, schedule appointments