Debbie St.Onge Email and Phone Number

Recoupment processing for medical claims payment, Including BCBS, HMO's, Commercial Insurances, PPO, Medicaid, Medicare and Medicare Advantage Plans. Including calling for claim status, appeals for payment, retro authorization and authorizations. Contact with patients and professions for current insurance information as well as status on pending liability, including auto and workers compensation.Well versed on in patient and out patient claims in a hospital, including corrected claims processing. Working with UB04 as well as CMS1500. Knowledgeable in medical terminology, working with ICD9's. Keyboarding, calculator, Microsoft word, excel and outlook. Worked on several hospital projects, Medical University of South Carolina (SC), Anderson Medical(SC), Grady Hospital System(GA), and on Mary Washington Hospital and Stanford Healthcare System (VA).• Software Applications SMS Invision also know as Citrix Web 3m Patient Financial Services aka Softmed Resque DDE/HIQA Patcom Eprimis AS400 McKesson

Durable Medical Equipment Full Store Manager Purchasing Inventory Accounts receivables Account payables Marketing Cash and balance, daily, weekly, monthly. Point of Contact for Roseville Location for vendorsDurable Medical Equipment, HME, CMS1500 Customer Service Reorders of HME supplies, oxygen, Cpap, BiPap Verification of current prescription requirement before dispensing equipment and supplies. Assisting customers with walkers, wheelchairs, mobility items and up-sale of bathroom aids and aids to daily living. Prior Authorization of Medicaid Billing Medicaid Confirmation and verification of all shipping orders before billing Filing of records and prescriptions. Processing of cash and credit orders.

HIPAA Compliance Officer ISO 9001:2000 Internal Auditor Certified Blue Care Network Customer Service Support Manager Authorization, processing and utilization management of durable medical equipment, prescription medications, enteral feed and antibiotic therapy for Personal Injury Protections (PIP) insured's for AAA MI. Reporting weekly and monthly to AAA MI, savings to AAA, utilization, new insured participation. Co-ordination of benefits for insured's using in network providers. Supervisionof 3 customer service representatives, AAA Claims manager and 3 claims supports staff. Proficient in HCPCs and ICD9 coding, Universal FM1500 and familiar with CPT coding. Responsible for all accounts receivable and accounts payable processing for the AAA program. Maintaining strict contractual agreement between AAA MI and Northwood. Customer service representative, and answering 800 callscenter lines as necessary. Front desk reception for Northwood Inc. Supply Officer.