I have a 4-year experience as a Customer Service Representative, AR Specialist and Quality Specialist catering Coca-Cola Account Receivables - making sure all calls and e-mails being communicated to clients are with quality and will meet client's satisfaction. Processing refunds, EFT/ACH payments, Debit and Credits offset, Correction of misapplication (FBRA), Line item transfer, Master Data, Accounts reconciliation, JV, BAD Debt write-offs.

• I have 4-year experience being a Provider Claims Support catering US insurance companies (WellCare Medicare, Medicaid and Optum). I am familiar with the HCFA1500 and UB04 - paper and electronic billing. I have a knowledge of CPT, ICD, Modifier, EOB, Referrals, Prior Authorization, and Payment Posting.

• My role in Provider claim Support in WellCare and Optum is to provide claim status if it is ready for disbursement and if denied, explain the reason for claim denial providing solution on how to correct the bill. Ask to resubmit the claims or if correction is needed. Verifying Eligibility if the customer are dual eligible or what not. If referral needed for Primary care physician HMO or PPO or Prior authorization needed for specific CPT code office visit 99214. Skilled Nursing Facility 99304, Inpatient 99221 for how many days. DME E0100. etc.

• I supported a healthcare agency in the US as a billing specialist specifically for Homemaking, personal care, Home health aide, companion skilled nursing. I bill insurance for required units that matches the authorization., checking authorization, client visit, workers clocking in and out, and payroll