Detail-focused Medicaid Billing Specialist known for high productivity and efficient task completion. Specialize in accurate claims processing, time management, data entry, comprehensive compliance understanding, and effective communication with providers and Service and Support Administrators regarding PAWS and ISP Services. Excel in communication, problem-solving, adaptability, and teamwork.
Overview
22
22
years of professional experience
Work History
Medicaid Billing Specialist
RTC Industries
Bellefontaine, OH
01.2016 - Current
Developed reports analyzing trends in claim denials, rejections, and payment delays.
Reviewed and ensured the accuracy, completeness, and compliance of Medicaid claims.
Ensured accuracy of financial data by verifying billing codes and billable allowance
Identified opportunities for process improvements to increase efficiency and reduce costs associated with billing operations.
Developed and maintained a positive working relationship with Brittco, (BID) the billing vendor.
Enter and update client information in Brittco (Dadatabase).
Regular reviews of DODD for error reports and upload of PAWS Utilization reports
Administrative Assistant
Logan County Board Of Developmental Disabilities
Bellefontaine, OH
05.2002 - 12.2015
Facilitated communication between different departments within the organization.
Greeted visitors and provided general information about the county board and services.
Managed office supplies inventory and placed orders when necessary.
Entered data into spreadsheets using Microsoft Excel or other similar programs.
Assisted with the planning of special events and annual fundraisers.
Developed and maintained filing systems for confidential documents and records.
Coordinated mailings including sorting mail, preparing packages for shipping via courier service or postal service.
Ensured efficient operation of office equipment such as printers, copiers and fax machines.
Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
Managed the handling of sensitive documents with utmost precision and adherence to established protocols.
Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
Provided administrative support to the executive team, including scheduling meetings and managing calendars.
Education
High School Diploma -
Riverside High School
De Graff, OH
05-1986
Skills
Critical thinking abilities
Strong analytical skills
Accurate data entry
Effective communication abilities
Database Management
Meeting planning
Office Administration
Document Control
Spreadsheet Management
Data Entry
Microsoft Office Suite
Documentation And Reporting
Meticulous attention to detail
Critical Thinking
Multitasking and prioritization
Affiliations
I have had a key role in the Logan County Board of Developmental Disabilities largest annual fundraiser for 20 years.
I am a member of the Logan County Education Foundation and act as a member of the Scholarship and Finance committees
Timeline
Medicaid Billing Specialist
RTC Industries
01.2016 - Current
Administrative Assistant
Logan County Board Of Developmental Disabilities
05.2002 - 12.2015
High School Diploma -
Riverside High School
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