Iris Mayers Email & Phone Number

Savannah, Ga, Us

United States

Savannah, Georgia Area

Responsible for credentialing providers and facilities to ensure enrollment. Follow-up on pending credentialing and re-credentialing applications. Identify, obtain, verify and update information for providers in various databases including CAQH, PECOS, GAMMIS . Update credentialing documents as needed/required. Constant contact with billing department to ensure accuracy and timely filing, input insurance information, check insurance information and also bill insurance. Enter and verify patient demographics in DocuTap for billing department. Utilize monthly aging accounts receivable reports for follow-up on unpaid claims aged over 30 days. Update address information with various insurance carriers to ensure address is correct for payment. Responds to Medical Records requests from insurance companies. Collect large amounts of money for billing department monthly

Process paper applications for enrollment in compliance with CMS guidelines and regulations, develop for additional information as needed to complete the enrollment process

Birmingham, Alabama

Process paper and web applications for enrollment in compliance with CMS guidelines and regulations, research and/ordevelop for additional information needed to complete the enrollment process, interact verbally and in writingwith providers and billiing agencies to solve enrollment issues, request site visits for new organizations enrollingin Medicare, create an enrollment in PECOS, validate information from the PECOS record in the MCS system

Assist employees, do payroll reports, input information in Mainframe, lookup employee information in the Advantage Human Resources System (AHRS). Provide all incoming payroll information on the receiving roster in Microsoft Access. Get mail and distribute to senior payroll clerks

Process and verify new and established provider applications for enrollment in compliance with CMS guidelines and regulations Determine provider billing privileges Responsible application process for Electronic Funds Transfer (EFT) Research and/or develop for additional information needed to complete Interact verbally and in writing with providers and billing agents to solve enrollment issues Create an enrollment record in PECOS Validate information from the PECOS record in the MCS system Trainer for Electronic Funds Transfer processing Prepare and coordinate information for site visits for Independent Diagnostic Testing Facilities (IDTF)

Analyze and interpret correspondence and telephone inquiries from beneficiaries, providers, and carriers Responsible for adjusting and coordinating benefits for adjudication Responsible for referrals to Coordination of Benefits (COB) contractor for updates Patient eligibility verification and benefits Process claims for multiple states Responsible for releasing claims from suspense location to correct processing and OCR errors Resolve all audits/edits for claim processing Process paper claims submitted for payment

Develop a strong working knowledge of claims processing Review and input of incoming correspondence Distribute and sort incoming inquires to analysts and manager File work processed by analysts Retrieve microfiche and microfilm claim copies Maintain hearing requests for Hearing Officer

Greet customers in a friendly manner, use 10 key touch on cash register and performed duties in the customer service department