Miranda Chavez

In charge of all activity accounts for teachers, order from operational money, create purchase orders, count money and deposit in the bank within 24 hours of receiving money, enter payroll, find subs to cover teachers when they are out, in charge of all the keys in the school, check in orders, help families and staff when they have questions, answer phone calls, pay bills from purchase orders.

Answered phone calls, helped families that came into the school, new student registration, withdrew students, updated attendance, worked on record requests.

• Process claims for several states and many tribes
• Process claims with other insurance information
• Make phone calls to the providers and/or service units when other information is needed
• Read all documentation when working on a specific situation
• Send letters to provider and/or service unit
• Adjusts to changing of working queues very easily, since we are moved around often where we are needed
• Work dupe queue on a daily basis, has to verify if claim is a complete duplicate to another claim.

• Responsible for researching claim audits for all HCSC plans (NM,TX, IL, & OK)
• Deliver training/education to all assigned areas as a result to all claim audit analysis
• Participate in weekly quality feedback sessions with employees on a 1 on 1 basis
• Process and audit facility and physician claims
• Audit prompt pay claims ( Baylor and MD Anderson)
• Complete special projects assigned by management
• Stay well informed of all claims processing policy and procedures requirements
• Knowledge of Bluesource and Blue squared support systems
• Knowledge of claim adjustments
• Usage of Premier pricing on facility and physician claims and High level facility pricing
• Claims adjusting when needed
• Type at least 60 words per minute.

• Blue Chip training for six weeks prior to processing claims
• Processed claims for TX, IL, and NM
• Processed claims with Other Insurance information.

• Prepare claims to be scanned
• Deliver prints to individual
• Made copies and faxed documents.