Leave of Absence Boynton Beach, FL
Full Time Care Giver
? Provided care for seriously ill family member.
Tenet Healthcare / Conifer Health Solutions, Boca Raton, FL
Medicare Biller / Follow up Specialist
May 2014 - Jun 2015
Nov 2006 - May 2014
? Submitted UB-04 through EDI using CareMedic to initiate reimbursement, and reviewed remittance advice from Medicare ensuring accuracy of payment, correct account balance in accordance with Medicare disposition and follow up on denied claims Processed over
100 Medicare claims per day for five Tenet Hospitals. Responded to inquiries from management, and clients regarding coverage issues, denials, explanation of benefits and payment schedules. Earned a reputation as a valuable and cooperative coworker by being fair, honest, and willing to help others when needed effectively resolving conflicts at appropriate times. Used various billing systems such as Epremis, On Demand, HPF, Vi Web, PBAR, & ACE. Able to collect 60% of the A/R over 120 days. Worked well above my required productivity at a rate of approximately 200% with a quality assurance average of
99%. Used critical thinking skills to interpret information furnished in written, oral, diagram, and made sound decisions, sets goals, evaluated situations and requirements to plan and adjust work accordingly based on available information.