Outline
Looking for Full-Time work (8 hours/day) at $15/hour
High School Diploma
English proficiency Conversational
Professional Summary
Skills & Experience
Skills
Experience highlights
Downgrading CPT Codes amended by providers
Submitting medical records as per insurance request
Identifying trends of denials
Projecting claims through insurance companies
Handled credentialing for providers regarding insurance
Maintaining provider information on the main database
Responsible for generating daily reports requested by
credentialing supervisor
Participates in client meetings to clarify processes
Generating Tableu Report
·Review Progress Note/ Chart for Claim Edits
·Projecting Trends of denial for Payer
Contacting Provider Relation for Credentialing Denial
Checking Billable code to Codify/AAPC
Reviewing Payer Guideline especially Medicaid and Medicare
Ensuring Timely Filing Submission
Posting Payment for Provider
Sending Report on a daily basis Task
Sending Trial Claim for Payer Processing
Ensuring Service getting Paid for provider
Checking NCCI edits
-Reporting Metrics to Client
-Teaching Agent on Proper Call Handling
-Admin Task
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