Amy St Clair Email & Phone Number

Canonsburg, Pennsylvania, United States

Canonsburg, Pennsylvania, United States

• Investigate and follow-up on all open account balances overdue for 45 days or more to determine reason for non-payment. • Contact the responsible party to establish reason for delinquency, document in the system all verbal and written communication relative to overdue account, and institute timely follow-up with the responsible party as a result of last contact to assure progress in resolving the account with payment.• Review accounts with initial evaluations as early as 21 days old in order to confirm that clean claims are reaching the correct payor• Make outgoing calls to patient, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables and DSO• Manage correspondence related to designated work load• Address incoming center/field inquiries as necessary and in accordance with departmental guidelines• Identify and resolve issues impacting the timely collection of open receivable• Provide timely notification to the appropriate managerial staff of any identified payor issues• Counsel patients on financial options and establish payment plan or begin dunning letter process and follow-up as needed• As necessary, request account adjustments as identified via write off requests and refund requests.• Recommend accounts to an outside agency based upon company guidelines• Notify database operations of changes or additions to specific payor, plan, contract, address or other pertinent information as necessary• Meet the expectations and goals for productivity and cash targets as set forth by management• Performs other duties or special projects as assigned

Altoona, Pennsylvania

• Utilize payor-specific approved criteria or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs.• Ensure accurate coding of the diagnosis, procedure, and services being rendered using ICD-10-CM, CPT, and HCPCS Level II.• Review medical records for patient history, diagnosis, and previous treatment plans to pre-authorize procedures to avoid financial penalties to patient, provider and facility.• Post daily charges for office visits, procedures performed and medications used. Reconcile batch for money collected. Resolve basic authorization edits to ensure timely claim filing and elimination of payor rejections and or denials.

Altoona, Pennsylvania Area

• Welcome patients with compassion and a smile at all pharmacy entry points.• Answer telephone in a polite and timely manner and ensure accurate information is exchanged and customer is satisfied.• Process orders in person and by phone using the pharmacy computer to: Find, add and update patient records; Search and add insurance cards to patient files; Check patient profiles for prescriptions and refills; Determine the cash price of a prescription; Search for doctors; Set up transfer prescriptions for Pharmacist to handle. • Transcribe data from prescriptions accurately to generate a custom label for the customer• File written prescriptions daily.• Assist with maintaining proper inventory levels by checking on-hand counts of medications, entering invoices; receiving, stocking and rotating drugs and other supplies per company policy and procedure.• Resolve customer questions and concerns by communicating effectively with the customer and the management team/support staff in an efficient manner referring appropriate questions concerning prescriptions and over the counter medicine to the pharmacist.• Adhere to all company, state and federal policies, laws and regulations including HIPAA and pseudoephedrine sales.• Assist in the execution of all company initiatives and programs.

Altoona, Pennsylvania Area

• Use processes to automate the extraction and manipulation of data from the client's database using the following languages: SQL, Visual Basic, Python, and other methods• Implement data solutions by determining customer requirements for the install and integration setup• Clearly communicate the automation process to clients and answer technical questions they may have regarding the process via phone and email• Advise customers on best practices for data integration• Work with Project Managers during the implementation process to meet milestones• Work with Terminal, Visual Basic scripts, SFTP, Shell scripts, Windows services, XML, Unix/Linux, SAML, LDAP, and SOAP Web Services • Perform basic SQL queries to extract required data from customer databases in the appropriate format• Manipulate data using python to reformat and clean the data for successful processing• Access the customer's machine remotely to implement integration processes as well as troubleshoot existing issues in their code• Implement creative solutions to automate data exports from dozens of different K12 Student Information Systems• Answer questions from level 2 customer support regarding data integration• Identify, track, and resolve unique technical issues • Work with vendors, third party companies, and official Blackboard Partners to establish data connections and implement data transfers for customers• Apply systems analysis techniques and procedures, including consulting with users, to determine hardware, software or system functional specifications• Analyze database structures and information tracking policies at client organizations• Document established data integration solutions, and promote knowledge of Student Information Systems in all departments of the business• Use Salesforce CRM software to log all actions on work completed• Identify opportunities for continuous improvement in individual, team, business unit and organizational performance

State College, Pennsylvania Area

• Develop, and document enterprise-level, multi-tier, web-based applications.• Work with Quality Assurance to develop and implement testing procedures to ensure that products and services will perform reliably and meet or exceed the expectations of end users.• Coordinate with Partners/Sponsors to integrate their web systems into the Schoolwires product.• Assist in the development of internal Knowledge Management Systems such as Intranets and Extranets.• Coordinate follows-up activities, action items, and results of Product Development and Internal Systems initiatives.• Coordinate with Product Development staff, outside consultants, outside contractors, corporate partners, sales staff, and customers as appropriate.

State College, Pennsylvania Area

• Develop, and document enterprise-level, multi-tier, web-based applications.• Work with Quality Assurance to develop and implement testing procedures to ensure that products and services will perform reliably and meet or exceed the expectations of end users.• Coordinate with Partners/Sponsors to integrate their web systems into the Schoolwires product.• Assist in the development of internal Knowledge Management Systems such as Intranets and Extranets.• Coordinate follows-up activities, action items, and results of Product Development and Internal Systems initiatives.• Coordinate with Product Development staff, outside consultants, outside contractors, corporate partners, sales staff, and customers as appropriate.

State College, Pa

• Consult with customers to coordinate and provide technical support relating to the migration of data from legacy systems into current Blue Mountain Regulatory Asset Manager (BMRAM) software.• Use Microsoft SQL Server querying and schema development to extract and migrate data for multiple ongoing projects while ensuring compliance with operations processes and policies.• Document the migration process providing a summary of the migration, record counts, records verified and any issues which need to be addressed.• Create custom SQL scripts to meet the specific needs of unique customer requests.

State College, Pa

• Welcome patients and visitors, answer inquiries and direct them through registration process.• Obtain patient information necessary for processing medical charges and assist patients with insurance documentation and billing questions.• Collect and process patient payments.• Handle confidential records. Verified information for correctness, placed paperwork in proper sequence for physician examination or treatment, and filed or distributed data in appropriate place.• Complete callbacks, including patient messages and pharmacy call-ins.• Maintain reception area in a neat and orderly condition at all times. • Close office and activate security system at the end of the day.

Exton, Pa

• Develop and code CareFlow--an electronic health records management system. • Develop reports using SQL Server Reporting Services• Import legacy data into current system using SQL Server Integration Services.

Bellefonte, Pa

• Develop Quality Assurance/Quality Control site to verify weather data• Process weather data grids• Create maps using Mapscript and GD Image• Create graphs for statistical analysis using GD Graph• Create weather models to view data for world weather conditions• Use SVN for version control of projects• Develop web interface for research project

Certificate, Cpc Prep, 95%

The student will learn principles of medical coding related to the three main code books: CPT®, ICD-10-CM Code Set and HCPCS Level II..

Certificate, Medical Terminology, 98%

Medical Terminology introduces the student to the medical terminology used in the medical coding and reimbursement profession, and covers.

Certificate, Anatomy, 95%

The course will guide the student along a journey of understanding on how the human body operates on a daily basis and how anatomy applies.

Associate In Specialized Technology, Computer Information Systems

Education record