• NECF's (Non-entered claim forms)• Provider/Facility Contract Setups (Allied & Network Contracting)• Worked extensively w/TAHP Master, MACESS & Diamond• Trained peers on Contract setups• Trained peers on the NECF process• Research and resolve all claims and authorization issues• Review total claim to ensure quality processing• Comply with all department and company guidelines• Achieve target level (quality/production) standards• Work weekly reports such as the 10-Day Response/Denial• Work extensively with Macess Software• Review, research & log weekly oplcm NDMC's• Trained peers on creating and sending ISF's/Corro Letters• Trained peers on the 10-Day Response Report

July 1994 to February 1998Waltham Medical Group Waltham, MAMedical Office Administrator• Patient scheduling/Registration• Scheduling hospital testing• Referral authorizations• Records keeping/filing• Performing EKG's & urine dips• Called-In prescriptions• Third party billing