Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
LTC Billing Coordinator Specialist
Correct Rx Pharmacy Services
2012.06 - Current
Coordinated insurance claims and communicated with healthcare providers.
Assisted in developing billing procedures and improving operational efficiency.
Trained new staff on billing systems and standard operating procedures.
Generated detailed reports on billing activity for management review.
Submitted appeals on behalf of patients for denied claims.
Completed documentation, reports and spreadsheets of financial information.
Performed collections activities by contacting customers via phone or email regarding outstanding balances due on their accounts.
Assisted with month end closing procedures related to accounts receivable activities.
Advanced Pharmacy Technician
Correct Rx Pharmacy Services
Hanover
2012.06 - Current
Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Trained new staff on prior authorization procedures and company policies.
Identified areas where improvements can be made within the department by analyzing trends in denials and approvals.
Performed daily maintenance on automated dispensing systems including restocking supplies and updating software versions.