Twilla McAllister

Completed 16 weeks of comprehensive training to manage complex medical, dental, mental health, behavioral health, SMAP, and Medicare claims.

• Verified insurance coverage, eligibility, and benefit levels of claimants.
• Processed claims for payment or forwarded to appropriate personnel for further investigation
• Assigned appropriate codes to claims based on diagnosis, procedure, and services provided.

Oversee the services of the health care provider, and ensure the practice is running smoothly. Duties include answering a high call volume of incoming calls, maintaining the front office area in a neat and organized fashion, scheduling appointments, handling billing issues, and filing patient charts.

Responsible for the maintenance of records and the processing of claims in review, along with any and all of the following: processing ingoing and outgoing mail and preparing work for nursing staff. Troubleshoots claims prior to nurse review, and after review.

• Verified patient demographic information in order to ensure accuracy of data entry.
• Maintained client confidentiality according to HIPAA regulations at all times.