Merill Adams Sideno Email & Phone Number

Needham, MA

* Primarily charged with timely medical claims submission and follow up to Tufts and Harvard Pilgrim* Facilitates high-volume effort to maintain and, ultimately, see reimbursement of hospital medical claims per full revenue cycle standards of timely filling and adequate charge payment * Maintains a close collaboration with finance leadership and teammates.

* Researches and validates patient insurance coverage for specialist office visit, as well as initiating specialized benefits investigation for in-office infusion* Interprets patient benefits report, to determine financial coverage of procedures and potential cost to the patient. Submits recommendations to the infusion coordinator on report findings.

* Responsible for billing Managed Care Medicaid insurances, like Aetna and Illinicare, and Blue Cross Blue Shield * Managed electronic claims, including claims generation, batch uploading to clearing house, and claims tracking via insurance provider portals* Monitored outstanding balances in claims within a set time frame via aging, and investigates causes.

Itasca, IL

* Warehousing and order filling

Schaumburg, IL

* Managed and reconciled nightly auditing for hotel transactions* Greeted guests, processed check ins and check outs, and other hospitality responsibilities