Eric Riddick Email & Phone Number

United States

Review critical errors from EDI submissions, research and correct data in system.Review various system settings in new system.Analyzed claims for data corrections.Maintaining recommendations to the team for final decision. Trainer and Staff Assistant.Handle all Medicaid, Medicaid HMO, Medicare, Medicare HMO, and Commercial High Cost Outlier claims from.

Johns Creek, GA, US

Review, research, and analyze provider enrollment applications for Medicare Parts A & B, DME and Medicaid.Approved and denied applications according to CMS guidelines. Talked to and advised providers via email, phone and fax on enrollment in reference to CMS guidelines.Assisted in preparing and coordinating provider information to / from managed care.

Nashville, TN, US

Review, research, and analyze provider enrollment applications for Medicare Parts A & B, DME and Medicaid.Assist providers with claims processing issues (i.e. billing errors, eligibility, coding guidance.)Educate providers on various CMS policies and coding issuesWork with peers, senior level associates, management, and the training department to identify.

• Gathers donor medical histories and conducts screening to determine initial suitability of donor
• Determines HCT and Protein via finger stick and use of the hematastat and refractometer
• Establishes and maintains permanent donor files in an organized and efficient manner
• Builds rapport with donors to ensure overall customer satisfaction with the center to support long-term donation
• Performs general administrative duties, including greeting donors in a friendly manner, answering phones and assisting center management as needed.
• Maintains supplies necessary to perform job

Received inbound calls from pharmacists regarding patient eligibility and pre authorization Assisted patients with their accounts and pre authorizations for Medicare Parts A & B, DME and Medicaid.Approved or denied precertification of drugs based on established guidelinesUsed systems:Onbase client, MCS, Xcelys, AMISYS, FACETS 5.01/5.10, Intelex, PEGA.

Liberal Arts And Sciences/Liberal Studies

High School Diploma, High School/Secondary Diplomas And Certificates

Associate'S Degree