PATRICIA JAVIS

• Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Verifies that claims have been keyed correctly.
• Ensured claims processed according to quality and production standards, corrected processing errors through reprocessing, adjusting, and recouping claims.
• Researches and resolves claim edits and deferrals. Performs research on claim problems by utilizing policies, procedures, reference materials, forms and coordinates with various internal support areas. Responded to routine correspondence and completed spreadsheets.

• Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Verifies that claims have been keyed correctly.
• Ensured claims processed according to quality and production standards; corrected processing errors through reprocessing, adjusting, and recouping claims.
• Researches and resolves claim edits and deferrals. Performs research on claim problems by utilizing policies, procedures, reference materials, forms and coordinates with various internal support areas. Responded to routine correspondence and completed spreadsheet.

• Examined and processed complex or specialty claims per business/contract regulations, internal standards, and examining guidelines. Entered claims into claim system after verifying correct coding of procedures and diagnosis codes.
• Ensured claims processed according to established quality and production standards. Corrected processing errors through reprocessing, adjusting, and recouping claims.
• Processed claims efficiently, ensuring compliance with regulatory standards and internal policies.
• Reviewed and analyzed documentation for accuracy, resolving discrepancies promptly to maintain workflow integrity.
• Coordinated with cross-functional teams to streamline processing procedures and enhance operational efficiency.

Obtain patient history, vital signs, and EKGs collect and process specimens for insurance exam and schedule and coordinate appointment. Order supplies and equipment and Medical Billing and Edits.

Obtain patient history, vital signs, and EKGs collect and process specimens for insurance exam and schedule and coordinate appointment. Order supplies and equipment and Medical Billing and Edits.

• 3.77 GPA.