Maria Morales
Devine,TX
Overview
19
19
years of professional experience
Work History
Medicare Specialist
Frio Regional Hospital
Pearsall, Texas
08.2002 - 05.2021
- Submit Medicare and Medicare Advantage Plan UB04 and HCFA 1500 claims electronically and paper
- Medicare and Medicare Advantage Plan follow-up and appeals
- Medicare and Medicare Advantage Plan crossover claims to Commerical Insurance, Medicaid and Medicaid Replacements
- Submit and correct claims through Medicare DDE
- Responsible for submitting Quarterly Medicare Credit Report
- Run and distribute daily billing reports from CPSI
- Review and adjust Bad Debt accounts at the end of each month
- Verify Swing Bed benefits for potential admissions
- Submit Medicare Advantage Plan, Commercial Insurance and Medicaid Replacement Prior Authorizations online or over the phone
- Review Medicare and Medicare Advantage Plan credits for refund
- Notary Public
- Assist in answering multi-line phones
- Take patient payment over the phone or over the counter and post to patient accounts
- Back up to Cash Poster for daily deposits
- Back up to Commercial and Medicaid Billers
- Back up to Registration for Outpatient and Inpatient services
Insurance Specialist
Boa Vida Healthcare
- Submit Medicare and Medicare Advantage Plan Hospital and Clinic claims electronically
- Medicare and Medicare Advantage Plan follow-up and denials
- Submit and correct claims through Medicare DDE
- Work Medicare and Medicare Advantage Plan credit report weekly
Education
High School Diploma -
Pears High Schoolall
Pearsall, TX06-1993
Skills
- CMS Guidelines
- Knowledgeable in CPSI and TruBridge
- Eligibility Determination
- Effective Communication Skills
Timeline
Medicare Specialist
Frio Regional Hospital
08.2002 - 05.2021
Insurance Specialist
Boa Vida Healthcare
High School Diploma -
Pears High Schoolall
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