Scan medical charts/records using Allscripts Professional PM. Use Microsoft Office and Allscripts software. Post charges, post payments, post remittance/EOBs, follow-up w/ insurance companies on unpaid/denied claims, accounts receivables, fix claim errors (electronic claim) then reprocess claim, print out EOBs (835s) from insurance web sites, process & send refunds for patients & insurance companies, update patient addresses, change patient status to deceased when patient passes on.

Assisted teachers, staff & students. Worked with Microsoft Office. Used copier and fax machines. Covered for administrative staff when necessary. Provided one on one and class room assistance & redirection to maintain task focus & to minimize disruptions to class instruction. Used behavior management techniques including safe physical management. Act 34, Act 151 & FBI Clearances.

Coordinates and administers accurate pricing on multiple customer contracts using ThermoFisher's complex pricing systems. New price agreement implementation: determine the necessary multiple steps to build correct pricing. Pricing maintenance: Review and interpret complex price agreements. Enter data into the pricing systems. Price book production: extensive research required and complete knowledge of the many pricing options. Troubleshooting: requires a full understanding of two complex pricing systems. Use of attention to detail and logic skills. Responsible for 40-50 creative sales representatives.

Responsible for servicing customers by processing claims and adjustment accurately and timely within a Contact Center team to meet or exceed customer service requirements. Process electronic and paper claims, including HCFA 1500 and UB92, in accordance with company and HIPAA policies & procedures. Reviews pended claims to determine the claims status. Able to handle multiple tasks. Demonstrates effective keyboard skills; navigate within a computer/systems-dependent environment and use of windows-based environment.

Responsibilities: Performed daily event tracking and monitoring of EDI transactions (835 Remittance, 837 Claims and Enrollment/Eligibility) with use of Oracle, Documented functional requirements and work flows according to system's specifications, participated in the analysis of cost effective solutions which support client business processes, prepared and presented findings in a constructive manner to management and identified and recommend improvements to existing business processes according to HIPAA policies.

Tested customers on EDI Purchase Orders (850s), Catalogs (832s), Purchase Order Acknowledgements (855s) and Invoices (810s). Mapped certain transactions when necessary. Worked with ESI/McKenna (HBOC), TSI on Call, Lawson and Abbott Quiklink software packages. Setups done in versions 3010 - 4010. Contacted customers and informed of errors & requested a quick re-test. Set up customers in production or parallel on 850, 810 and 832 in AS400/UNIX mainframe and Advantis (AT&T Global Network). Sent out 810 and 832 tests to customers. Setup in production once customer informed that test is correct. Advantis is the primary VAN. Explained the 850, 810 and 832 mappings and specifications to customers. Used Mainframe Telnet 3270 and SNA sessions (platform for EDI).