Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.Obtain vehicle information from the DMV.Follow HIPAA policy on each and every call.Abided by the laws and regulations associate under HIPAA and patient confidentiality.Receive recognition for creating a workflow and database for all incoming subpoenas.Assist in training new CSA s on job responsibilities, which increase… Show more Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.Obtain vehicle information from the DMV.Follow HIPAA policy on each and every call.Abided by the laws and regulations associate under HIPAA and patient confidentiality.Receive recognition for creating a workflow and database for all incoming subpoenas.Assist in training new CSA s on job responsibilities, which increase office productivity.Ensure compliance with company regulations and Medicaid requirements.Coordinate Medicare, Medicaid, and secondary insurance coverage.Gather and compile evidence to support contest claims in litigation.Review automobile titles, completing transfers and owner retention DMV documents with customersConduct detail bill reviews to implement sound litigation management and expense control.Identify claims for potential fraud and abuse and process expedited appeals and organizational determinationsDevise creative and cost-effective incentive and morale-boosting programs that increase CSA satisfaction and productivity.Execute effective and efficient claim dispute resolutions in regard to provider and facility appeals. Show less

● Collaborated with a team of developers to build modern and responsive webapplications using best practices● Built semantically structured full stack web applications● Applied agile methodologies like SCRUM for project management

Pre authorized In-Patient/Out-Patient services Verified Insurance Polices Scheduled appointments Assisted with Appeals, Denials, and Approvals

Pre-registration MVP August 2019Verified patient demographics Collected upcoming and past due paymentsUpdated Insurance Information

Fragrance Pin Award 2014Opening and closing dutiesBank Deposits Managed over 10 associatesBi-Annual InventoryShipment receivingCash HandlingCustomer Service

Customer ServiceChecked-in guests after hoursClosed all accounts nightly copied, faxed, printed, emailed, and filed all nightly paperworkSet up breakfast bar Balance cash drawer

Deposits and withdrawalsOpened and closed accounts Open and Closed safe deposit boxes Weekly Vault AuditsBalanced cash drawer

MVP Award 2010Managed over 12 associates Customer ServiceBi-Annual InventorySpecialized ordering for sportsCash handlingBanking duties

Inbound call representativeAssisting with network issuesHandling billing questionsSetting up new services Adding/Removing Services