Analyzed claim suspensions
Initiated financial recovery Trained claim and encounter processors
Audited claims and encounters for accuracy Contacted medical groups to verify payments Built macros to increase processor productivity Assisted processors with basic computer questions Developed reports as requested by management Scheduled processor workloads according to inventory
Initiated and tested automated system enhancements Researched
financial responsibility for services billed Processed medical claims and encounters in a timely manner Maintained and distributed daily claim inventory and production reports Wrote, edited and formatted processing guidelines and informational documentation Translated written Spanish correspondence for members and billing providers Identified, recruited and coached competent team members for managerial projects.