Maria Alvarez

Reviewed and evaluated unpaid claims to determine cause of delay or denial, taking appropriate action as needed.

Performed claims research, appeals and related follow-up using medical systems software.

Follow up on accounts until zero balance or turn over for collections.

Generated monthly financial reports and statements for management review.

Prepared all documentation needed for Authorization Request. Faxed out to appropriate carriers.

Ran Eligibilities for all members and place them to their designated payers in order to bill appropriately.

Interpreted for all Spanish speaking residents and families.

Processes and maintains all items associated with the Department of Mental Health Integrated system (IS).

Accounts for and maintains reports for productivity and RCL points.

Processes and oversees DMH billing, Payor Financial information.

Transfers of Coordination forms and billing data/reports Assists service delivery staff in billing and documentation requirements and represents the agency as a liaison with the state and county DMH representatives.

Skilled in training other employees to run eligibilities in order to enter daily billing.

Assist with error corrections reports and meeting deadlines.

Volunteer in interpretation at all times when it was needed with clients and families.

Experience with the IS System, Inputting admissions and discharge activities in to the Los Angeles County Department of Mental Health.

Enrollments, Open episode, input of diagnosis, transfer of coordinator.

Tracking down and submitting units of service activities schedule appointments for all clinicians and tracks down confidential information from the echo system.