Claims Specialist | Accounts Receivable Specialist

Expected Salary:
$1000.00/month
Employment Type:
Full Time
Facebook Connected
Public ID Verified

Basic Information

Age
35
Gender
Male
Member Since
November, 2021
Education
Bachelors Degree
Experience
8

Top Skills

Speaking

Accounting

Customer Support

Summary

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

Skill Rating

Admin & Office (Virtual Assistant)

Research
Data Entry
Email Management
Event Planner
Human Resource Management
Project Coordinator
Quality Assurance
Appointment Setter
Personal Assistant
Recruitment Assistant
Travel Planning
Transcription
Admin Assistant

Customer Service and Admin Support

Community Forum Moderation
Content Moderation
Customer Support
Email Support
Phone Support
Social Media Moderation
Tech Support

English Skills

Writing
Tutoring Teaching
Translation
Speaking

Finance and Management (Virtual Accountants)

Investment Researching
Accounting
Bookkeeping
Business Plans
Financial Analysis
Financial Forecasting
Financial Management
Inventory Management
Payroll
Strategic Planning
Tax Preparation
Xero
Quickbooks

The Ultimate Salary Guide For Hiring Filipino Virtual Assistants
_____

How much should you pay your Filipino virtual assistant? Download our free ultimate salary guide for hiring virtual staff in the Philippines