Customer Service Representative Financial Account

• Examined and resolved medical claims by approving or denying documentation.

• Documented resolution of claims to support claim payment.

• Documented actions, maintained quality customer service, ensured legal compliance.

• Determined insurance coverage.

• Maintained on-going file management and review for all assigned cases.

• Posting patient and Medicare and other insurance payments.

• Making adjustments to patient accounts

• Reviews list of scheduled routes/waves (group of orders) and matches to reported exceptions then designated for release to invoicing.

• Update orders (quantity, item, price, misc. charges, etc.) prior to billing printed orders.

• Verify and update specific types of billing orders to match back up documentation.