Melanie Adado

Processes and cancelled claims using EPIC

Pull EOB's from PNC to correctly balance with patient accounts post adjustments as needed.

Specialized in Medicare and Medicaid billing.

Maintain weekly Medicare reports to verify Medicare claims are processed correctly without any outstanding balances to Medicare.

Sent Medicare quarterly 838 reports to Medicare.

Refunded payers by check due to over payments when required.

Navigate many functions in payer websites, check eligibility, cancel claims, verify copay and verify claim status.

Mail patient letters regarding COB issues.

Trained new employees.

Data entry of billing to include coding,

Verified insurance.

Authorized all procedures for office inpatient and out patient inpatient procedures.

Verify Medical necessity of procedures.

Responsible for the daily workflow of front office.

Worked Front end edits and denials.

Sent appeals to insurance companies on denied procedures as needed.

Answered phones

Scanned documents into EMR system Amazing charts and EBIX.