Highly motivated U.S. Navy Veteran with extensive experience in military administration. Skilled in strategic planning, personnel management, and conflict resolution. Demonstrated leadership, adaptability, and crisis management abilities under pressure. Consistently enhanced team efficiency, operational procedures, and safety during service.
* Verified Patient Eligibility
• Coordination of Benefits
• Payment Posting Verification
• Utilized EHR systems like how to search up claims, edit claims, demographics, insurance info., etc
• Edited Payment Postings (who is responsible for payment)
• Resubmitted claims
• Processed Patient Chart Notes/Medical Records and how to navigate systems
• Worked on Excel spreadsheets to keep track of each claim worked per day
• Navigated through multiple Provider Portals to verify Patient Eligibility and claims status:
• Regular Medicaid (MC)
• N Medicaid
• HPN
• UHC Portal
• Tri-Zetto
• Office Ally
• Codify
• Availity
• Silver Summit
• Called and left voicemail to patients to verify COB/Insurance info
• Worked on 2 different types of spreadsheets while also having to have EOBs to scan over to transfer to patient to verify COB/Insurance info
• Worked on 2 different types of spreadsheets while also having to have EOBs to scan over to transfer to a shared drive in G-mail.
CBCS (12/2022 - 12/2024)