Team Lead Resume Example

• Submitted HMO, PPO, Medicare, Medical and Worker compensation claims to both commercial Insurances as well as private via paper and electronic
• Submitted an aging of accounts to different payors when issues where encountered such as underpayments for expediting of payment
• Familiar with websites of insurances and have agility to check status for claims or eligibility. Negotiate collection claims that are unpaid with both insurance companies and patients
• Reviewed EOB and denials from insurance providers. Submit appeals to insurances.
• Billed patients once insurance pays their portion of claim or if entire claim is denied. Send EOB to secondary insurance.
• Make calls to the Health Plan to check on status of claims and eligibility. Provide insurance representatives with any additional information requested. Assist them with the best of my knowledge on submission of claims to ensure request gets resolved.
• Requested retro-authorizations for services provided in order to receive payment from Medical Groups, and forward claims to IPA.
• Resolve incorrect payments and submit correct write downs or write offs for accounts paid correctly or with underpayments, overpayment's or paid at Contract rates.
• Calculated Medicare allowable for accounts in which patients have a supplemental plan with Medicare and submit write down request.
• Provided follow-up to ensure proper payment was made, and no overpayment or underpayment is done on accounts.
• Check medical record charts in computer system and provide medical records of patients when requested by insurance. Maintain and organize charts for accounts with underpayments, overpayment's, EOB and for accounts requesting follow-up calls to insurances.
• Provided customer service to patients with billing issues or those in connection with their account balances which have gone to collections. Take phone payments from patients and adjust accounts accordingly.
• Researched in system for payments received and not posted to correct accounts. Provide reports to management on aging accounts
• Adhered to company policies and procedures
• Received payment information from patients made by either credit card or by check
• Released trips for billing
• Assisted patients with any questions regarding payments or balances on their accounts. Forwarded any customer grievances to management when necessary
• Assisted with mail return
• Assisted management with locating unapplied payments
• Answered incoming calls from insurance carriers, patients or law firms

• Clerical support for teacher, and meeting special needs of

parents.

• Supervising children and assisting with reading and writing.
• Operating office equipment, translating, assisting in event and program preparations.

• Answer multiple phone lines.
• Usage of computer, fax, copier and typewriter.
• Wrote memos for instructors and was in charge of distributing memos to professors
• Assisted disable students in Adaptive Physical Gym by transferring them from station to station and to their classes.
• Demonstrated proper usage of equipment.
• Assisted students with selecting courses from the Physical Education and Health Department
• Assisted with communication between the Physical Education Chairman and staff

• Assist disable patients perform daily task such as personal grooming.
• Provide personal care by giving patients bed bath and assisting.
• patients getting up from bed.
• Took the time to motivate and encourage patients to have a more active lifestyle.