Joetta Wade Email & Phone Number

Falls Church, Virginia, United States

Falls Church, Virginia

Murrells Inlet, South Carolina

Supported physicians’ offices by following up on health insurance claims billed through final resolution. Analyzed and ran aged trial balance reports through Excel; worked overdue accounts.Identified all billing errors, corrected non-coding billing errors, and resubmitted claims to insurance carriers. Reviewed remittance advice denials and payments after accounts were posted; initiated appeals. Pulled patients’ medical records through eClincalworks and submitted… Show more Supported physicians’ offices by following up on health insurance claims billed through final resolution. Analyzed and ran aged trial balance reports through Excel; worked overdue accounts.Identified all billing errors, corrected non-coding billing errors, and resubmitted claims to insurance carriers. Reviewed remittance advice denials and payments after accounts were posted; initiated appeals. Pulled patients’ medical records through eClincalworks and submitted operation report (OP report). Verified patient eligibility and benefit coverage through insurance to prevent delays in claims processing. Communicated with coding department for reviews on coding denials; escalated complex issues. Show less

Falls Church, Va

Provide support to the Department of Defense’s Defense Health Agency (DHA) Communications Division. Provide administrative support to client, staff, and other contractor partners; Track correspondence, edit documents, answer phones, and manage mail. I assist beneficiaries, manage project activities, and perform additional administrative duties as assigned. I work with the Assistance Reporting Tool (ART) to track daily telephone inquiries and correspondence as well as add them to the Smartsheet… Show more Provide support to the Department of Defense’s Defense Health Agency (DHA) Communications Division. Provide administrative support to client, staff, and other contractor partners; Track correspondence, edit documents, answer phones, and manage mail. I assist beneficiaries, manage project activities, and perform additional administrative duties as assigned. I work with the Assistance Reporting Tool (ART) to track daily telephone inquiries and correspondence as well as add them to the Smartsheet Tracker to distribute to the Customer Service Support department. I provide TRICARE Overseas Verification Letters to beneficiaries . Help assist with government employee’s time keeping through the Defense Agencies Initiative (DAI). Report time travel for government employee’s in the Defense Travel System (DTS). Prepare weekly Read Ahead binders for government leadership. Show less

Fort Belvoir Community Hospital, Fort Belvoir Va

Providing excellent customer service at the Fort Belvoir Community Hospital (FBCH), to the hospital Commander, medical staff, active duty service members, retirees, and family members. Utilizing a variety of information and database systems to input, extract, and query information to ensure the most current and accurate information is documented in AHLTA and CHCS. Input/Update current Flu Immunization into the medical records database AHLTA and Med Pros. Maintain duty/operational logs and… Show more Providing excellent customer service at the Fort Belvoir Community Hospital (FBCH), to the hospital Commander, medical staff, active duty service members, retirees, and family members. Utilizing a variety of information and database systems to input, extract, and query information to ensure the most current and accurate information is documented in AHLTA and CHCS. Input/Update current Flu Immunization into the medical records database AHLTA and Med Pros. Maintain duty/operational logs and document unusual occurrences, safety violations, issues, and concerns then disseminate to appropriate authorities. Provide information face-to-face to patients, staff, and visitors regarding business hours, location of major departments/clinics, general directions to hospital wards, clinics, and offices, and general hospital policies and procedures. Provide instruction, direction, and train RN/LPN under high stress conditions to input customers’ flu immunizations into the database. Verify patient eligibility through Defense Eligibility Enrollment Reporting system (DEERS) and provide scheduled appointment information to authorized patrons using the clinical information systems. Assist in Public Health Department by scrubbing list for flu vaccinations in AHLTA, data entry for flu illness in CHCS/AHLTA, update clinical notes for animal bites in AHLTA, labeling, input awards, front desk representative, and help when department personnel’s need additional assistance. Show less

Arlington, Va

As a Provider Relations Rep II having progressive experience telephonically educating new providers on becoming a Network and Non-Network. Cross-trained and provided back-up for other customer service representatives when needed. Answered phones and researched inquires, while conducting outbound calls and surveys. Promptly responded to general inquiries from providers and their staff via mail, e-mail and fax. Resolved balance billing issues and shared benefits of policy and procedures to… Show more As a Provider Relations Rep II having progressive experience telephonically educating new providers on becoming a Network and Non-Network. Cross-trained and provided back-up for other customer service representatives when needed. Answered phones and researched inquires, while conducting outbound calls and surveys. Promptly responded to general inquiries from providers and their staff via mail, e-mail and fax. Resolved balance billing issues and shared benefits of policy and procedures to providers, to eliminate write offs. Received multiple reviews acknowledging my level of dedication to excellent customer service. Provided customer service during an average of 40 calls per day by answering customer inquiries, solving problems and providing new web based access. Set up and explained new provider contracts. Directed calls to appropriate individuals and departments. Investigated and resolved customer inquiries and complaints in a timely and empathetic manner. Served as the main liaison between providers, management and claims subject matter experts. Show less

Fort Belvoir, Va

As a Lead TRICARE Advocate seeing 100+ military members and their family, located in a high volume Military Treatment Facility (MTF), provided beneficiaries and MTF staff with general program information on TRICARE. Focused on benefits counseling tailored to the beneficiary's concern or situation for claims issues, enrollment process and referrals. Trained new employee's on enrollment process, TRICARE benefits, and key points to observe with claims processing. Managed enrollment/disenrollment… Show more As a Lead TRICARE Advocate seeing 100+ military members and their family, located in a high volume Military Treatment Facility (MTF), provided beneficiaries and MTF staff with general program information on TRICARE. Focused on benefits counseling tailored to the beneficiary's concern or situation for claims issues, enrollment process and referrals. Trained new employee's on enrollment process, TRICARE benefits, and key points to observe with claims processing. Managed enrollment/disenrollment member program, responded to written/telephone inquiries regarding claims ensuring compliance with organizational policies and procedures. Edited and entered pertinent information into system database GIQD, CCM, CHCS, ALTHA, DEERS, and DOES. Trained staff on how to identify claims issues with ICD9 and CPT4 codes and the billing process of providers. Reviewed and evaluated enrollment forms for accuracy and compliance with applicable government laws and contracts. Liaison with health care providers at the Department of Defense, Veterans Affairs, Medicaid and other health services subsidiaries. Referral Liaison assistance to data enter specialty referrals and outpatient authorizations. Completed High Impact Presentations and assisted in military briefings at multiple military instillations. Show less

Arlington, Va

This position allowed processing of enrollment and disenrollment applications into the DOES system. Processed up to 100 applications a day and initiated telephone inquiries when needed for verification. Completed applications within a timely manner, prepared reports, and processed change request in DOES and GIQD system. Recommended and presented a four day/ten hours a day work week to upper management and directors. Recommended and trained associates on useful systems as RCHH, RCNL, RTCQ, and… Show more This position allowed processing of enrollment and disenrollment applications into the DOES system. Processed up to 100 applications a day and initiated telephone inquiries when needed for verification. Completed applications within a timely manner, prepared reports, and processed change request in DOES and GIQD system. Recommended and presented a four day/ten hours a day work week to upper management and directors. Recommended and trained associates on useful systems as RCHH, RCNL, RTCQ, and CCM for patient verification. Provided telephone and written correspondence utilizing the ALGS system, to respond to beneficiaries regarding insurance enrollment, benefits programs and policy guidelines. Trained enrollment staff to verify patient information through CCM and the Database black screens. Show less

Surfside Beach, Sc

Working for a company that supports the Operation Enduring Freedom, by ensuring Active Duty Soldiers and their family claims process correctly and in a timely manner. Completed full six month training to Claims Processing in 3 months and completed over 200 hours of training in the first year and exceeded 32 hours of required training a year. Reviewed and identified claims processed incorrectly and completed the adjustment/reprocessing actions according to TRICARE guidelines. Identified… Show more Working for a company that supports the Operation Enduring Freedom, by ensuring Active Duty Soldiers and their family claims process correctly and in a timely manner. Completed full six month training to Claims Processing in 3 months and completed over 200 hours of training in the first year and exceeded 32 hours of required training a year. Reviewed and identified claims processed incorrectly and completed the adjustment/reprocessing actions according to TRICARE guidelines. Identified complaints and inquiries of a complexity level that could not be resolved following company procedures and guidelines. Referred complex inquires to Team Lead/Manager for resolution and followed up with customer within 48-72 hours. Reported and identified potential fraud and abuse claims, recommended and submitted request to the Fraud and Abuse Hotline for beneficiaries. Completed projects/assignments related to claims processing and customer service functions in the department, answered 100+ calls a day from beneficiaries, providers, third party insurance, lawyers, and government investigators. Data entered 30+ claims per day through CCM/RCH2, responded to 25+ correspondence related to claims. balance billing, and provider complaints, and submitted 35+ written responses through ALGS. Recommended and Achieved the Third Liability Form and Letter sent to beneficiaries be more legible and useful for the beneficiary to understand, which in turn reduced call volume related the Third Party letter confusion. Trained new associates in my department on telephone queries and data entry of claims. Show less

Business Administration And Management, General

Business Administration And Management, General

Business Administration And Management, General

I studied main business courses such as Micro and Macro Economics, Accounting, Calculus, Business Management and Administrations.

High School