Beverly Doolittle Email & Phone Number

Columbia, South Carolina, United States

•Screened all incoming Medicare CMS-855S DMEPOS appeals to ensure compliance with federal guidelines and CMS regulations then reviewed and analyzed to determine eligibility for issuance or reinstatement of Medicare billing number, including researching and interpreting existing and pending laws and regulation•Obtained primary source verification of licensure, insurance, and accreditation; researched sanctions and exclusions•Created and provided appeal determination letters for suppliers/providers •Updated PECOS to reinstate billing number; added licenses, surety bonds, insurance, and other updates•Generated reports for upper management•Performed PECOS regression testing•Processed returned PARs and other documents due to expired addresses in PECOS•Processed pharmacy attestations for exemption from accreditation•Ensured company quality standards and compliance with specific federal regulations were met•Assisted with process improvements; supported accuracy, productivity and timeliness goals to meet team, division and company quality metrics

Columbia, South Carolina, United States

•Prepared correspondence for workload and distributed to staff•Established work priorities, monitored and assigned work to ensure all processes were completed timely, guaranteeing quality metrics•Adjudicated and processed claims in FISS accurately and timely, including complex and specialty claims and adjustments•Performed pre-implementation testing of OnBase and Intelex •Processed CERT, RAC, and pre- and post-pay claims in FISS•Performed FISS claims research, trouble-shooting by resolving edits and audits, systems irregularities and claims issues analysis and follow up•Assisted nurses, Business Analyst, claims and other departments with FISS claims issues to resolution•Developed training instructions for new systems; trained and mentored staff•Initiated and assisted with process improvements and efficiencies

West Columbia, Sc

•Researched, identified and managed unallocated funds •Performed accounts receivable transactions and adjustments posting•Participated in patient account troubleshooting and posting issues

West Columbia, Sc

•Participated in workflow and process analysis, needs assessment, implementation and support of Misys EMR, Allscripts EHR 9.0 and ePrescribe •Performed EHR system set up, file build, template development, assigned user roles and accesses, testing, scan set-up, testing and document management implementation•Tested application hotfixes and pre- and post- implementation upgrades •Performed issue analysis, resolution, support and documentation•Created and maintained provider demographic databases for AllScripts EHR 9.0 and pharmacy databases for ePrescribe

Alcoa, Tn

•Performed patient intake, history and vitals, phlebotomy, EKGs and pulmonary function tests•Assisted physician with minor office surgeries, and procedures including standard treadmills, and application and removal of holter monitors•Assisted with DOT, occupational, and sports physicals including drug screens, and workman’s comp work-ups •Processed referrals and pre-certs for inpatient/outpatient procedures and surgeries•Notified patients of lab and test results and physician instructions•Performed phone triage and some scheduling•Pulled, filed, copied and updated patients’ charts•Workflow and process analysis, needs assessment, implementation and support of Misys EMR

Memphis, Tennessee, United States

•Performed patient intake, history and vitals, EKGs and pulmonary function tests•Assisted physician with minor office surgeries, and procedures including standard treadmills and application and removal of holter and event monitors•Performed phlebotomy and CLIA-waived testing•Assisted with DOT, occupational, and sports physicals including drug screens, workman’s comp work-ups •Processed referrals and pre-certs for inpatient/outpatient procedures and surgeries•Notified patients of lab and test results and physician instructions•Performed phone triage and some scheduling•Pulled, filed, copied and updated patients’ charts•Workflow and process analysis, needs assessment, implementation and support of Misys EMR

Associate Equivalent, Business Administration, Project Management Emphasis, 3.7

Diploma, Medical Assisting

No, Business Administration

Started my degree in Business Administration but only studied one year before my husband was transferred.