Samuel Placinta Email & Phone Number

San Clemente, California, United States

Orange County, California Area

Regularly contacts clients to obtain missing or incomplete billing information for proper claim adjudicationAbility to read and decipher medical terminology to enter appropriate diagnosis.Reviews missing information for trends to educate clients and employees in order to decrease errors.Verifies and enters insurance information obtained via payer websites, etc.Maintains productivity set by department with 95% accuracy rating.Maintains accuracy by following policies and procedures; reporting needed changes.Maintains customer confidence and protects data by following HIPAA compliant regulations.

Support data cleaning efforts and perform regular In-house data review across all Glaukos studies.Contribute to the development and implementation of departmental initiatives.Generate reports or data listings for study teams as neededHelp coordinate receipt and handling of data received from external sources and assist in data reconciliation where applicable

Analyzing and maintaining just-in-time chemical and material inventory resulting in a reduction of 75% stock on hand, while also increasing production 50%.Generate production reports for senior management.Take charge of compiling, organizing, and evaluating data for insurance claim audits.Fulfill additional duties as assigned by the pharmacist in charge.Career Highlights:Established and instituted internal controls that guaranteed the accurate processing of prescriptions.Successfully implemented upgraded inventory system, allowing for better usage tracking and accountability.Directed the team in proper handling of claim audits, recouping over $10M in disputed claims.