Provider Services Representative
Jacksonville, Florida, United States
Provider Service Representative▪ Responsible for maintaining accurate and up-to-date knowledge of all CMS guidelinesconcerning Medicare billing, providers and recipients▪ Answered inquiries from providers regarding claims, eligibility and covered benefits▪ Advised providers of corrections need for 1500 claim forms▪ Entered PETS system to help with provider enrollment applications▪ Provided assistance regarding website registration, navigation and customer related inquires▪ Performed administrative duties such as reprocessing, recalculating and adjusting claims▪ Met and exceeded 10 calls per hour quota by 6 calls, taking on average 16 calls per hourWritten Analyst▪ Retrieved and reviewed written inquiries from Medicare Providers and Medicare Beneficiaries▪ Researched topics to collect accurate information to respond to inquires▪ Utilized CAS letter writing system to tailor and edit letters to providers in response to writteninquiries▪ Selected to work with special team to resolve Secondary Payer issues