MaNasseh Walker

Medical Claims Specialist/Mailouts

Healix Infusion

11.2020 - 01.2023

Submitted electronic/paper claims documentation for timely filing.
Used administrative guidelines as a resource or to answer questions when processing medical claims.
Reviewed provider coding information to report services and verify correctness.
Managed a large volume of medical claims daily.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures, and HIPAA regulations.
Called Insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Specialized knowledge of both infusion and copay assistance programs and insurance policies to communicate with insurance companies on behalf of medical personnel and patients.
Contacted infusion clients for updates on the status of claims billed to co-pay assistance programs. Updated cash spreadsheet and ran reports, answered all patients or insurance telephone inquiries pertains to assigned accounts.- Submitted electronic and paper claims documentation to ensure timely filing.
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- Reviewed provider coding information to accurately report services and verify correctness.
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- Maintained a strong understanding of benefits claim processing, claims principles, medical terminology, procedures, and HIPAA regulations.
- Contacted insurance companies to obtain pertinent information regarding policies and payment benefits for patients.
- Possessed specialized knowledge of both infusion and copay assistance programs, enabling effective communication with insurance companies on behalf of medical personnel and patients.
- Reached out to infusion clients for updates on the status of claims billed to copay assistance programs. Updated the cash spreadsheet, ran reports, and addressed all patient and insurance inquiries related to assigned accounts.- Submitted electronic and paper claims documentation to ensure timely filing.
- Utilized administrative guidelines as a resource to address questions during the processing of medical claims.

- Managed a large volume of medical claims daily.
- .
- Contacted insurance companies to obtain pertinent information regarding policies and payment benefits for patients.
- Possessed specialized knowledge of both infusion and copay assistance programs, enabling effective communication with insurance companies on behalf of medical personnel and patients.
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