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 Mail-out primary /Secondary insurance Mail-out the Workers Comp Claims with itemized bill & medical records Handle the adjustments on Workers Comp Claims Bill out Claims from various of Hospitals while making sure claims doesn’t hit timely filing. Work rejections Use NThrive to fix any billing edits such as NCD,NCCI,LCD or MUE edits so claims can be sent to the insurance company or workers comp.

Worked In the NMC dept. (Medicaid Rejections)1.) Reading an EOB,UB04 to decipher what errors to fix on UB04 claims editor/Epremis2.) Determined if patient has a 3rd party suspect insurance3.) Determined if pt has Expanded Medicaid4.) Handled patient not on file5.) Rolled over charges6.) Bill 2ndry insurance Medicaid7.) Switched the balance over in (STAR)8.) Used programs such as Epremis/ACE/STAR

 Responsible for clerical tasks related to filling patient records & charts. Focused on the logistical aspects of documentation delivery. Provided secondary validation for patient records & consistency in record keeping for Dr.’s & Nurses. Processed patient record request & ensured guidelines were followed as per HIPAA (Health Insurance Portability & Accountability Act). Consistently exceeded required tasks as it pertained to patient records management.