• Responsible for the hiring process for all 12 complexes Nova manages. Oversee insurance benefits, enrollment, PTO scheduling, FMLA, disciplinary actions, time punches, and processing payroll for 75+ employees• Prepare and maintain Excel spreadsheets documenting insurance premiums and enrollments• Perform audits to ensure proper insurance billing and collections from all properties• Punctual, efficient, and proficient work ethic.Also involved in Accounts Payable for Nova:• Responsible for processing accounts payables for 12 apartment complexes in the OKC metro • These duties include managing and overseeing all utilities for each complex. Heavily involved in transitioning utilities upon selling or purchasing new properties• Prepare the monthly financial reports for all 12 complexes, detailing profit and loss, trailing 12 cash flow reports, check register reports, trust account details, general ledger accounts, etc.• Knowledgeable in GL accounting

• Responsibilities include processing written correspondence from providers and beneficiaries regarding Medicare Part B claims• Proficient in MCS Desktop (MCSDT), Appeals Workflow System (AWS), HighView Image Viewing system.• Proficient in MCS and HIMR DOS programs• ICD-9/ICD-10 knowledge• Experience in processing Medicare Secondary Payer appeals• Served as a team Subject Matter Expert, supported fellow coworkers with aging, work scheduler, and active cases.• High volume producer

• Responsibilities include receiving inbound inquiries from providers, subscribers, brokers, and employers regarding dental insurance. CDT terminology proficient. Knowledge of HIPAA laws• Complete adjustments to claims, gather data necessary for appeals. Assist with provider inquiries relating to credentials, National Provider File (NPF).• High volume producer, continuing education and seminar attendee through the STAR program. Certification received in 2009• Assist in marketing and enrolling members in Individual and Family dental plans

• CPT/ ICD-9 coding and billing to multiple large carriers. • Proficiency in use of modifiers, appealing denials with Medicare patients• Assisted with front office duties and answered insurance inquiries• Accounts receivables knowledge

• Responsible for receiving and responding to Medicare Part B Provider customers telephone inquiries based on CMS directives and general Medicare Part B rules and regulations.• Demonstrates the ability to research inquiries using the MCS system, TRACS, on-line tools and internal reference materials;• Maintain a working knowledge of edits and audits within the MCS system;• Consistent record of meeting requirements;• Strong written and verbal communication skills;• Strong interpersonal skills;• Multi-task oriented;