Healthcare professional with over 20 years of experience in customer and administrative services * Skilled in medical terminology, definitions, coordination and explanation of benefits * Proficient in processing HCFA 1500 and UB04 forms for ICD 9/10, CPT, and HCPCS codes * Ability to type 50 - 60 wpm and 10-Key with 95% accuracy * Proficient in Microsoft Word, Excel, Power Point, Outlook, and using Xerox Scanner * Handled over 70 calls a day for census discharges using Tricare Navigation System * Solved problems for 50+ callers per day on the 800-line ATT and Citrix Phone System * Processed urgent or emergent patient referrals within 24-48 hours using Right Fax and Care Radius * Proficient using the EPIC, ECHO, DOCSCOM software, and Critical Access Hospital Calculator * Proficient using Quantum Choice software to process claims and invoices for the Veteran Affairs Dept * Skilled in explaining HMO, commercial, private, and military health insurance coverage * Ability to follow the Medicare/Medicaid fee guidelines and Resource Base Relative Value Scale * Proficient using National Plan and Enumeration System or NPPES registry and Burgess Manual Calculator * Skilled using Doma Technologies software, Veterans Affairs Fee Schedule, RC reimbursement website * Proficient in Sales Force, CAQH, DocuSign, GDS, CVOne, Doctor Folder, Aperture, and Dashboard * Proficient in meeting CMS, URAC, NCQA, and JCAHO standards for auditing.
Description
