Prepare documents for scanning, insure documents are in order, tape and staples removed.Scan documents in high volume scanner, ensure the images are to specifications set by client, using Kofax program.Return documents to client in original condition.Quality Control and re-scan images in SLA perimeters.Validate data, data entry as needed based on requirements set by client.

Receive Home Sleep Study referrals from health care providers, verify insurance information, request preauthorizations as needed. Interact with medical providers as needed for interpreting results, requesting office notes via multi-line phone and fax machine. Communicate with patients to schedule home sleep test, follow up with patients, then process home sleep test machine when returned, follow sanitation procedures. Receive deductible payments when scheduling home sleep study, enter patients demographics and insurance information into EMR (NEUMD)

Processed a large volume of medical reimbursement claims on a daily basis. Evaluated accuracy and quality of data entered into agency management system. Paid or denied medical claims based upon established claims processing criteria. Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.

Administered and maintained employee ID badge system to increase site security and track and manage employees and assets. Advised security team and conducted investigations of significant threats and loss or misappropriation of assets. Observed departing personnel to reduce unauthorized removal of property. Investigated, prepared and submitted incident reports using CMS software. Supervised team of 3 security personnel during shift. Supervised grounds, employee entrances and exits and security officers on duty.