Evaluated and processed claims and appeals in compliance within timely filing and all policy and procedures
Took initiative and worked under minimal supervision
Review and verify data, such as age, name, address and all other pertinent confidential data
Examine appeal letters and any other documents to determine if changes are needed and effect of changes
Transcribe – more... data to worksheets and enter data for use in preparing documents
Assisted in the legal department in verifying fraudulent claims and/or providers.
Proficient in Diamond, Facets, GFLX, CAMS, platforms and many more – less