A growing eye care organization, servicing St Louis and the surrounding cities since 1979. With more stores now in North Carolina, Kentucky, Georgia, Ohio, Florida, Alabama. Corporate office location in Ballwin, MO.

Follow up denials, reviews remits, appeals and reconsiderations.

Posts insurance payments for laboratory services, follow up denials and statement review.

Responsible for adequate third party billing and spotting inconsistencies, problems, and taking necessary action to correct promptly. Understanding of HCFA 1500’s CPT’s.Reconciling of customer/patient accounting records by interpreting EOB’s and remittances. Posts or transfers charges, cash, insurance payments and contractualsto the appropriate account in an effort to bring accounts to their conclusions. Recognizes denied claims from EOB’s and online

Responsible for adequate third party billing and spotting inconsistencies, problems, and taking necessary action to correct promptly. Understanding of HCFA 1500’s CPT’s.Reconciling of customer/patient accounting records by interpreting EOB’s and remittances. Posts or transfers charges, cash, insurance payments and contractual's to the appropriate account in an effort to bring accounts to their conclusions. Recognizes denied claims from EOB’s and online notes. Validating payments from primary carrier and files proper balances to secondary and tertiary payers. Training temp workers for adequate cash posting of Title XIX and Wellmark Blue Cross Blue Shield.

Processes patient accounts in accordance with the departmental and institutional policies and procedures. Reviews and insures the validity of incoming data, correcting information as needed and processes the account for payment, working particularly with Medicare. Documents actions taken, answers inquiries involving individual accounts and researches problem accounts to assure payment. Maintains knowledge of financial computer systems.

Specialization, PAC and Reports team. Interaction with customers, gathering support data to ensure invoice accuracy. Provide input to policies, systems, methods and procedures for the effective management and control of premium billing. Monitor outstanding balances and take action to ensue client pay as billed. Coordinated changes in client’s policies for deductibles, deletions, additions, and optional benefits as requested or deemed necessary.

General running of small convenience store. Over saw staff of 20 people. Coordinated scheduling, payroll, accounts receivable, inventory, and security to run the store proficiently.

Customer service, inventory, sales, claims; opening and closing; scheduling, and prepare displays for showcasing jewelry selection.