Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.
Frequently washed and sanitized hands, food areas and food preparation tools, adhering to safe food handling practices.
Recorded customer orders and communicated clearly to confirm each order.
Answered customer questions regarding food preparation, responding to concerns regarding potential allergens.
Maintained neat, well-groomed appearance including impeccable personal hygiene, hair restraint and minimal jewelry to met company standards.
Quickly and efficiently processed payments and made accurate change.
Packaged menu items into bags or trays and placed drink orders into carriers for easy transport.
Took necessary steps to meet customer needs and effectively resolve food or service issues promptly.
Communicated clearly and positively with co-workers and management.
Accepted transaction payments, making change for cash payments and processing credit cards, debit cards and gift cards.
Applied policies and procedures/Considerable knowledge of office systems and procedures.
Remained current with periodic updates of all medical coding manuals and guidelines in accordance with federal, state and local regulations.
Managed time schedule, deadlines, multiple requests and priorities, to maintain productivity.
Upheld the standards of confidentiality regarding patients, personnel and physicians.
Reviewed and resolved claims that are denied daily for edits in the electronic billing files.
Responsible to notify supervisor of electronic claims not received by payers.
Responsible to contact Clinical department and Medical records in order to obtain information relevant to denied claims.
Ensured productivity standards were met daily, weekly and monthly.
Ensured quality standards were met and proper documentation regarding patients accounting records
Identified and corrected charging issues to bring resolution to accounts (as determined by department procedures) Ensures all rejected or denied claims related to billing are worked daily in the electronic billing software, Medicare or other online systems.
Communicated effectively, orally and in writing, with the patients, physician, and peers (both inter- and intra-) departmentally and with external organizations.
Keyed primary or adjustment claims into payer online where appropriate.
Ensured all correspondence, rejected or denied claims are worked within 48 hours of receipt.
Ensured all primary claims are released or categorized within 24 hours of receipt.
Maintained above 90% in quality and production.
Examined medical claims in all lines of business in accordance with established contractual agreements and benefits plan design.
Ensured timely research, investigate and follow up on necessary eligibility requirements.
Resolved medical claims by approving or denying documentation; calculating benefit due: initiating payment or composing denial letter.
Utilized ICD-9 and ICD-10 to aid in the processing of claims Verified member participation and process claims in accordance with the network designation.
Evaluated and researched non-routine claims for processing such as coordination of benefits, duplicate submissions, or untimely filing and resolved various system edits.
Documented any additional information or specific action taken using the proper system.
Trained on-site representatives
Processed gas and amenities payments.
Ensured proper age of customers for alcohol and cigarettes.
Prepared daily records of food and gas sales and balanced register drawers.
Processed payments via cash, credit and debit cards and counted back change to customers to avoid cash drawer errors.
Maintained cleanliness, neatness and organization of all areas.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Attended departmental meetings, providing feedback to enhance future performance.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Recognized by management for providing exceptional customer service.
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