Medicaid A/R Speciaolist Resume Marietta, Georgia - Hire IT People

TECHNICAL SKILLS:

SKILLS: HIPAA & OSHA Certification, Microsoft Applications; ICD - 9, Data Entry, Medical Terminology and Medical Transcription, Legal Terminology; CDT, HCPCS; Typing 75 wpm

EMPLOYMENT:

Confidential, Marietta, Georgia

Medicaid A/R Speciaolist

Responsibilities:

Revenue Cycle Department - Ensure that all claims for the assigned offices are properly and accurately created.
Review that eligibility and benefits has been properly verified before submitting the claim.
Ensure that the procedures to be billed are in correspondence with the service limits established by payers.
Ensure that all charted procedures correspond to the procedures coded for billing.
Ensure to follow up pending and unbilled procedures in timely basis.
Ensure that all appointments on the assigned clinics are property completed and closed.
Ensure that all claims are submitted within the timely filling according to the payer.
Work unpaid and denied claims Contact payers to research claim status Pull procedure reports. Update internal documents with claim results/status.
Constant communication with departments within our organization (EDI, Verification, Billing, Credentialing, etc.) as well as external clients (i.e. Payers)
Generate claims and assist in preparing and submitting appeals to payers Report to AR Manager any denial trends that can negatively impact revenue for the assigned region in a timely manner

Confidential

Data Control Clerk

Responsibilities:

Responsible for the daily input of data into the Banner System; greeting of students; printing request transcripts; reviewed degree audits, Declaration of Majors, Enrollment verifications.

Confidential

Legal Secretary

Responsibilities:

Handled the daily operation of a Criminal Defense Attorney.
Duties included drafting and filing of court documents; heavy contact with court personnel; daily monitoring of court calendar. Interviewed clients for the initial assessment of cases; generated outgoing correspondence; handled client and attorney billing for capital defense cases. Heavy litigation and trial preparation.

Confidential

Legal Secretary

Responsibilities:

Worked for Litigation Attorney, duties included preparing and filing Briefs, Memoranda of Law, Complaints and general court papers.
Prepared attorney for trial, handled the calendaring of court dates and client billing.
Document preparation and Case Management.

Confidential

Legal Assistant

Responsibilities:

Duties included handling all inquiries regarding matters related to complaints associated with Confidential ’s Office.
Heavy contact with Confidential, Judges and other government agencies and outside attorneys.
Prepared expense reports for travel to and from training seminars and conferences. Interviewed co-signors for bail postings.
Made arrangements for witnesses to come to court for trial proceedings.
Trial preparation, Case Management.

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Medicaid A/r Speciaolist Resume

Marietta, GeorgiA

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