Versatile and hard-working professional 12 years of furniture retail and office management experience. Dedicated and focused Customer Service/Office Assistants who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.
Routinely helped as many as 200 or more customers each day in a high-volume retail outlet.
•Performed audit of randomly selected claims to ensure quality processing (CLA)
•Handled appeals of Part B Medicare claim denials for providers and beneficiaries in the southern United States (Reopening, Dismissal, ALJ)
•Protocols, reviewed administrative law judge decisions, and coordinated activities between various entities involved in appeals administration
•Added modifiers as appropriate coded narrative diagnoses and verified diagnoses
•Created and sent out an acknowledgment letter to Medicare Health Plan, and appealing party. Making sure that the acknowledgment letter went out by regular first class mail within 48 hours of our receipt of the case file
•Audit merchandise by counting, ticketing, packing, and sorting
•Inspected merchandise items to ensure proper quality and brand specification
•Performed audits of randomly selected employees to insure quality processed, and inputted information onto a spreadsheet
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