Review inpatient and outpatients claims that were denied by Masshealth. Work weekly on remits from the hospital to finalize the claims that have paid. Work at least 60 claims per day.Responsible for meeting goals and objectives in assigned areas which may include billing, collection, cash posting, payment validation, assembly, correspondence, customer service and other operational support activities. Ensures that all claims are billed and collected meet all government mandated procedures for Integrity and Compliance. Provide thorough, courteous and professional assistance. • Process at least 60 claims per day

Manage Medicaid patient remittances; review and resolve outpatient Medicaid patients' claims; bill Masshealth to ensure accurate prompt insurance claim payment. Train and coach new employees to properly process outpatient Medicaid claims for Brigham & Women's and Massachusetts General hospitals. Communicate and coordinate with approximately 10 intradepartmental colleagues as well as with other departments to ensure accuracy and timeliness; foster collaborative, cooperative environment. Process inpatient / outpatient recode reports daily. • Successfully trained 7 new hires on correct processes and procedures used in outpatient department, building positive relationships

Interacted with customers to conduct transactions; responded to inquiries, located products, and provided guidance in product selection. Resolved customer concerns within organizational guidelines; provided high-quality customer service and satisfaction. Balanced and reconciled till.• Earned reputation with customers for excellent customer service and pleasant personality.

Directed AP/AR for multifaceted real estate company involving homeowner communities, and tenants. Reconciled checking accounts for 60+ communities monthly and crafted yearly budgets for each homeowners' association. Addressed and followed up on complaints and violations; ensured adherence to rules and regulations. Scheduled, organized and conducted annual homeowners' meetings.• Requested as sole liaison by board members from out-of-network communities

Processed medical claims from wide range of medical facilities; responded to customer inquiries regarding medical coverage and referred calls as necessary. Communicated and coordinated with colleagues to ensure seamless, efficient workflow.• Played key role in creating workflow to efficiently process commonly seen types of claims denials.• Assisted in development and implementation of training program for newly hired employees.