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Team Lead Members

Location:
Meadville, PA
Salary:
80000
Posted:
December 13, 2023

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Resume:

Matthew Asay

ad1yab@r.postjobfree.com

724-***-****

***** ********* **

Saegertown, PA 16433

Summary

Skilled claims analyst with diverse and abundant experience in billing, collecting, and diagnosing claim payments from

the provider side. Effective trainer and leacher of both new and old team members on how Lo learn and improve as well

as solve complicated payment issues daily. Extremely friendly people person who both helps answer questions with

other team members as well as communicates on the phone with customers and Insurances. Extremely analytical

numbers cruncher and organizer.

Experience

Sr. Overpayment Specialist

American Renal Associates - Beverly, Massachusetts 02/9019 - Present

Worked as a billing and reimbursement specialist for the commercial insurance financial class where i was able to get all

balances either refunded or wrillen off once the final payment was received and the claim was closed for further

processing.

Worked as an overpayment specialist for 2 years where i was promoted 2 Limes for my efficient processing of all credits

in our system for multiple financial classes. Audited billers, collectors, admissions specialists and cash posting specialists

work on each and every claim to ensure that the claim has been billed correctly, collected to completion, the coordination

of coverage was accurate, and the payments posted were all posted correctly and completely. Once complete determined

whether or not a refund was due back to the insurance company or we could keep the credit and write it off.

‘Trained and taught multiple new hires from scratch in how to use our systems, read claims and determine if they are

completed and what to do with the overpayment, Also trained veteran staff members in new financial classes as well as

supervisors in our general systems and how they worked.

‘The "go to" stand bye person who took on any task, any question and any overflow for our team as well as headed

multiple special projects such as our OP/suspense accounts, creating new and efficient ways of completing claims in all

financial classes including OP accounts.

Called insurance companies regularly to get the status of claims, update collections agencies on refund requests, push

back claims for correct or higher payments, explain refund payments, or get elligihilily. Also Look random calls from any

other source including patients and forwarded them to the appropriate parties to handle.

Skills

Communication skills, Time management, Documentation review, Leadership, Organization, Research, Computer Skills,

Insurance, Numbers cruncher

Education

Operations and Research Mathematics

Caregie Mellon University » Pillsburgh, PA

Studied a verity of Mathematical Sciences including but not limited to Accounting, Matlab, R Programming, Java,

Operations & Research, Linear Programming, Business, Economics, Differential Equations, 3D Calculus, Probability,

Statistics, and Matrix Algebra.



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