Harvestine Drinks-Castillo

Work as a hostess handling food preparation. Set up for breakfast. Greet and seat guest. Maintains cleanliness. Organization of the dinning room. Communicates with co-workers, guests, and management. Maintains a high level of customer satisfaction by consistenly providing excellent service and upholding the restaurant standards of quqlity. Also handles cash and credit card payments by guests.

Follow up on delinquent accounts to ensure timely and proper payment from insurance carriers. Post contractual adjustments. Updates account where appropriate following established PFS Polices and Procedures. Identify the most important elements of managed care contracts. Refile and appeal claims with proper documents. Process insurance claims submitted on behalf of Emory Clinic, Inc.

Completion of inpatient and outpaient crossover forms. Verification of Medicaid eligibility, review remittance advice, denied, and paid claims. Telephone inquiry status of claims, correct documents that lead to payment of claims.

Medicare Billing

Prepared insurance claims. Transmit and mail patient insurance which included Medicare and Medicaid, Blue Cross and other private insurance claims. Followed up on claim status, work denied claims and prepared for resubmission.

Filed and followed up on workers' compensation creditors and personal injury liens with attorneys and insurance companies. Banking for doctors, insurance billing and followed up on upaid claims. Phoned contact with paitient an doctors, data entry, medical and Medicare billing.