Billing Specialist Admin Assistant

Paula A. Nelson

480-***-**** *** S. Acacia Ave, #1116, AZ 85204-2935 ***********@*****.***

QUALIFICATIONS

A detail-oriented, conscientious and thorough individual who strives for excellence. A team player and self-starter who is reliable, responsible, resourceful and trustworthy. A person who lives by integrity and a strong work ethic. Successfully operate MS Teams, Word, Excel, Outlook, Avatar, SharePoint and RevConnect. Always interested in learning new skills and knowledge to enhance my effectiveness in the company, and personal development too. Research skills are exemplary, and interpersonal skills with customers, co-workers & management are admirable. Excellent listener, and open-ended questioning skills. EXPERIENCE

Meesi LLC 10/23-12/23. Mesa, AZ. 85205 Developmental Disability Specialist Life Events 12/23 - 6/24

RI International / Recovery Innovations Inc, Phoenix, AZ 85006 6/20-9/23 Admin Assistant, then Revenue Cycle Mgmt Billing Specialist 2, currently Appeals Coordinator

• Compile/Post for DE in Avatar weekly; work denials in A/R Console and RevConnect weekly

• Research eligibility for clients in DE Medical Assistance Portal - update Avatar accordingly

• Utilize Avatar for numerous purposes (i.e. research claims, Dx, doing write offs, posting payments manually)

• Handle Appeals projects, Communication with Payers re denials and COB information

• Process all incoming mail for all States in the RCM department (sort, scan, disburse via email, place in S.Point

• Research and provide requested info for LabCorp, and Payers re claims processing

• Provided Medical Records to its dept, kept up with phone msgs, team birthdays & work anniversaries

• Implemented invoicing and follow up for CA clients per requirements of the state Medix Staffing Solutions / RI International, Phoenix, AZ 85006 8/19-6/20. Administrative Assistant

• Assist Director and other CBO Managers with various tasks and projects

• Pick up, sort and scan all mail and dis tribute to team members accordingly, then file both in tangible cabinets and in applicable computer files

• Process monthly TPL billing for CA (Riverside and Palm Springs) locations

• Submit receipts with applicable coding in Abacus for reconciling

• Handle all LabCorp billing matters: researching Avatar and AHCCCS website for information requested

• Retrieve Phone Messages for CBO Director, Contracts Manager and replies to CA billing invoices

• Submit invoices to AP & Accounts Payable for CBO re SPSI, handyman work done, etc

• Data entry and billing tasks for AZ and DE on Avatar, SPSI, DMAP, and Emdeon/Change Healthcare

• Assist with eligibility searches for new clients and document in enrollment tracking spreadsheet

• Complete Quarterly Reports, Set up Delegate Codes for DE Staff on DMAP website, Order Office Supplies Change Healthcare, Tempe, AZ 9/18 – 4/19 General Mail Clerk Licensed Foster Care Provider, In Our Home, For Special Needs Children, Maricopa, AZ 10/13-8/18 Benefit Network Services Inc, East Mesa AZ 5/06-4/13 Administrative Health Insurance Executive

• Organized and maintained client files and emails while also performing a variety of typical office duties

• Frequently reviewed company polices to determine new and shifting insurance needs

• Assisted with development of policies for risk management and loss control

• Handled all tasks involved with carrier bid-outs and or renewals for group and individual clients

• Attended HC webinars to keep informed of updates

• Dealt with insurance carriers as Liaison regarding client claims and or benefits

• Monitored budgets and prepared reports & maintained medical staff records EDUCATION

Lewis University, Romeoville, IL

Bachelor of Arts in Psychology (May 1988)

TECHNICAL SKILLS

Documentation/Research: MS Office – Word, Excel, Teams Meetings/Chats, SharePoint, Avatar, RevConnect VOLUNTEER SERVICES

Participation in Walk-A-Thons for Muscular Dystrophy & Breast Cancer Mgmt & Asst positions in various Benevolence Ministries (clothing, food banks, media, cafe, furniture, toy drives) Teacher & Asst. Teaching positions in Children’s Church & other children’s events (i.e. VBS) Professional References

Elizabeth Collins, RI Director 623-***-****

Loretta Cross RI Manager 623-***-****

Kelley Fischer, Ins. Broker 480-***-**** / 480-***-****

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