Responsible for review of patient bills for correctness and completeness resulting in 100% accuracy.Follow precise procedures while working with insurance companies and healthcare providers to get a claim processed and paid.Effectively follow established SOPs and work instructions while contributing new improvement ideasExhibited proficient computer skills including word processing, spreadsheet generation and database querying and reporting.Work closely with the medical coders to produce and submit claims to insurance companies for payment.Demonstrate innovation recognized by management via proactively developing custom checklist to streamline data entry/review resulting in ability to focus 25% of the time on new strategic initiatives.Responsible for accounts payable/account receivable.Maintain the integrity of working documents and update documentation on as needed basis.Provide training to employees on efficient system usage and procedures.Manage handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments and following up with patients.Effectively follow through on denied and unpaid claims via appealing with proper authorities.Work closely with collection agencies to assess viability of legal actions.

Conduct needs assessments to identify document management requirements of departments or end users. Consult with end users regarding problems in accessing electronic content. See more occupations related to this task.Monitor regulatory activity to maintain compliance with records and document management laws. See more occupations related to this task.Assist in determining document management policies to facilitate efficient, legal, and secure access to electronic content. See more occupations related to this task.Implement electronic document processing, retrieval, and distribution systems in collaboration with other information technology specialists.

Responsible for generation of authoritative, real-world evidence of product effectiveness, safety, and value to assist healthcare decisions and enhance patient care via scrupulous review of pharmaceutical data and query generation.Coordinated with project team and lead data analysts to identify achievement of set milestonesKey contributor ensuring completion of all quality control measures necessary for the finalization and transfer of the database and related materials to the sponsor.Defined and effectively presented, communicated and reviewed edit checks to be programmed for any given the study/project.Managed maintenance, distribution and tracking of study status reports.Effectively maintained database of records to ensure it is free of omissions.Coded Case Report Form (CRF) verbatim supplied dictionaries as well as processed electronic data received from outside vendors.Recognized by management for ability to effectively multi-task working with a variety of cross-functional teams.

Responsible for selecting and retrieving appropriate medications compound and dispensing medical prescriptions while verifying quantities and sending orders to Pharmacists for completion and verification.Effectively verified and updated patient/family records to ensure completeness of profile.Leveraged experience and learned lessons to proactively provide recommendations on process improvement to eliminate data issues.Demonstrated commitment to accuracy and math aptitude during processing massive invoice volumes using AS400 ASC system.Proven subject matter expert in technical aspects of medical data screening as well as in policies and procedures, assisting team members with issues requiring technical expertise as well as addressing questions pertaining to compliance.Efficiently processed new and refill orders effectively verifying eligibility, approved and submitted prescriptions while adhering to established productivity and quality standards.Reviewed and interpreted prescription information entered by Order Processing to ensure accuracy of entered dataEffectively acted as liaison between cross-functional teams - data entry technicians, pharmacists and customer service - to resolve prescription order problems in a timely fashion.Responsible for applying cash to invoices. Effectively compiled reports of charge back for collectors.Recognized by management for strong mufti-tasking skills and ability to work in a dynamic environment.