Electronic Billing Services
October 2013 — May 2014
I completed health insurance eligibilities for 500 pharmaceutical and DME supply companies across the country. I specialize in Medicare policies, rules, and regulations. Medicaid & MCO policies, rules and regulations. And over 200 private insurance policies, rules and regulations. I read the policies for pharmacists and then consulted one on one with them as to what the patients insurance would or wouldn't cover. I did this for around 100 patients, policies, and equipment/supplies on a daily basis. I also specialize in Obamacare, and the Affordable Care Act, and kept the companies up to date on changing laws. I also worked aged accounts and accounts receivable. As well as, keyed claims, filed documents, and worked with the organization department in our electronic filing database. I was also responsible for working kickout claims from our clearinghouse.