• Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the assigned client.• Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation related to claims payment to evaluate, and appeal denied claims.• Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation.• Contact insurance company to obtain missing information, explain and resolve denials and arrange for payment or adjustment processing on behalf of client.

• Perform indexing of retrieved medical records to the appropriate member/provider combination based on document type and not content.• Ensure compliance with medical records standards.• Adhere to measured productivity requirements.• Able to handle incoming files while working independently.

Create dealership appointments for out of market prospects.Attract potential customers by answering product and service questions; suggesting information about other services.

Build rapport with the customer and meet customer requirements through first contact resolution.Responsible for achieving specific sales business targets and maximizing sales opportunities.Listen attentively to customer needs and concerns.Troubleshoot research and analyze customer problems.

Submitted credit applications based on income, recent Bank statementsListen attentivelyDemonstrated empathyMaintain broad knowledge of services.

Directed callsInventory incoming suppliesFile paperwork, Restock necessary daily forms

Handled register; maintaining a correct amount of profit.Inventory Control, Directed calls