Sandra L Hart

• Coordinate with relevant departments such a UM, Medical Management and Multiple Emblem vendors
• Care Enhancement: Identify barriers to member care, elevate awareness of member or provider need, and work with team to develop solutions
• This may include but us not limited to contacting providers, adding additional requests to a case, creating new cases and forwarding clinical information to Medical Review for further approval

• Works in a window based software Identifying over payments
• Works well in Team and Company environment
• Identifies trends and informs Management of any discrepancies
• Maintains office Quality and Production standards

• Registers/admits patients, obtains, validates and inputs demographics and financial information.
• Verifies payer information and eligibility benefits, provides assistance in financial applications.
• Obtains proper information and signatures on releases/forms.
• Prioritizes patient flow, obtains co-pays and deductibles.
• Scanning, and works various reports.
• Excellent verbal and written communication skills.
• Detail oriented with strong analytical skills.
• Professional customer service skills.
• Works well in a team environment.

• Provide positive customer satisfaction
• Inspected items for damage and reported issues to supervisor to return unsalable merchandise and obtain replacements for customers
• Read weekly sales inserts and tracked changing prices to remain up-to-date on store promotions
• Drove sales and add-on purchases by promoting specific item options to customers
• Helped customers find specific products, answering questions and offering advice

• Supports the Central Billing Office by understanding the entire Medical billing process
• Diligent in researching problems, pursues good answers to questions, detail oriented, prioritize tasks, interact with practice sites routinely and possesses excellent oral and written communication
• SSIMED and ALLSCRIPTS Software
• Medical Poster Verify that insurance payments and adjustments are correct per insurance contracts and fee schedules while using the appropriate HIPPA codes

• Ability to communicate clearly so that all parties understand what is required of them Handle calls from potential clients with compassion Record all client/employee interactions so that the company has documentation of all activity, must be written in a manner so that any office staff is able to pick up a file and work without questions

• Support the Direct Sales Team Type and Mail Homeowners Personal Property Schedules Mail Extraction and Payment Processing.

• Process claims in a timely and accurate manner meeting all office standards Knowledge of medical terminology, CPT and ICD9 codes Perform other projects and duties as assigned