Data Entry Customer Service

Kathleen L Chillemi

Chillkat**@gmail).com

518-***-**** (M) (518) 729-319

SUMMARY

Successful employee of 30 years managing staff as a Supervisor, Associate Director and Director in Medical Billing, Accounts Receivable, Customer Service and Data Entry. Experience with DME, Oxygen Therapy setups and CPAP.

SKILLS CREDIT CARD PAYMENTS MANUAL AND ELECTRONIC MICROSOFT OFFICE SCANNING MANUAL AND ELECTRONIC

MULTIPLE BILLING SYSTEMS DATA ENTRY IN MULTIPLE SYSTEMS

WINDOWS

DOH-HEALTH RESEARCH INIATIVE (HRI) May 2024- October 2024

Temp -CYNET Systems Inc 30-50 per day claims 80%

Data entry of claims for the American Indian Nations program consisting of five separate nations.

Knowledge of claim forms, procedure codes and billing codes.

Verifying input before submission.

Scanning all claims and documents into system.

NYS DEPARTMENT OF LABOR April 2020 - January 2024

Data Entry of claimant files for benefits, claim amounts, denials Employment Securities Clk

System verification of entries already keyed for errors and 1000+ per day-80-95%

correcting to the accurate entry . 1000+per day 90-100%

Data entry of Special accounts in multiple systems - 4 hour deadline Met daily 95%

Processing Union members eligibility in unique system as received directly from Union 100% Met Providing excellent customer service to Interdepartmental Units.

Anthem Health –Albany NY January 2019 - May 2019 HEDIS STATEWIDE PROJECT January 2018 -May 2018 Contract Emp: Hedis Team Facilitator January 2017 -May 2017 100% Project Met

Coordinated daily workflow for 22 staff and trained new employees. Assisted staff as needed. Researched/resolved difficult

Provider/Site calls throughout state via phone calls and emails 100% Resolved Setup most efficient means of securing medical records from 100 or more requests Creating and maintaining multiple spreadsheets for Manager to determine current productivity goals Processed payment requests from Providers Maintained high customer relations with Providers

Northern Rivers/Parsons-Albany NY July 2018 to Sept 2018

Contract Emp: Account Specialist

Billed student’s monthly tuition to local schools or Medicaid

Billed monthly Residential student bills to Medicaid electronically and various state programs

Updating demographic data to student’s account

Reconciled monthly attendance records between multi-system

Special services, Transportation and one on one counseling billing to schools /Medicaid

Daily posting of payments received from applicable school

Uploading electronic remittances from Medicaid reviewing, correcting and resubmitting denials

Reconciliation of payments received vs billing submitted

Creating and reviewing reports for aging follow-up

Scanning, filing and mailing appropriate documents

Call on Past due Private Pay statements

Review aged accounts receivable for collection purposes

Utilizing NYS Epaces system to check claim system for payments and denials

Contact Patient’s guarantor for status of Medicaid applications

Contact Medicaid county to verify if application approved with patient monthly copay

Sort and handle all incoming mail for all facilities, including researching returned mail

Filing pertinent documents into patient’s files by facility

Create and maintain excel spread sheets for Supervisor

St. Peters Health Partners Long Term Care Billing JUNE 2017-September

Review and mail monthly Private Pay billing

Call on Past due Private Pay statements Review aged accounts receivable for collection purposes Utilizing NYS Epaces system to check claim system for payments and denials Contact Patient’s guarantor for status of Medicaid applications Contact Medicaid county to verify if application approved with patient monthly copay Sort and handle all incoming mail for all facilities, including researching returned mail

Filing pertinent documents into patient’s files by facility Create and maintain excel spread sheets for Supervisor

Upper Hudson Planned Parenthood June 2016 to December2016

Contract Emp: Revenue Cycle Asst

Utilizing the state online E-paces system, review Medicaid weekly reports for approval and ID numbers.

Update patient’s account and setup claim for billing

Correct and process rejection notices received from NY Health Options for Family Planning Benefit Program

Daily contact to the NYHO Family Planning Unit to discuss statues of patient applicants.

Contact local DSS county offices for assistance on patient’s Medicaid application.

Research Blue Cross rejections on the online Availity system, correct errors, setup for rebill

Work Special Projects as required. Example: Audit of a billing/revenue code

Process slide adjustments (fee scale) to patient accounts

Mailing patient statements for copays and deductibles

Maintain and update Excel Medicaid enrollment worksheets

Anthem Health –Albany NY January 2016 to May 2016

Contract Employee: Hedis Associate II January 2015 to May 2015

Daily contact to provider’s offices, across NYS, to verify members are patients

Request records based on specific measures of project via fax or email

Update provider information in system, setting follow-up dates per project criteria Analyze need to refer to research team if different provider is needed to match requested medical data

Meet daily, weekly and monthly production quotas per project deadlines

Completing follow-up calls in addition to new accounts daily

Excellent communication skills needed to maintain efficiency and accuracy when dealing with the provider’s office and medical record department

Ability to work in a stressful environment

Determine appropriate flags and verification codes to update

Meet all deadlines as indicated by management and protocols

Billing Medicaid, Fidelis, CDPHP, MVP and all other payor

Review of aged receivable to determine reasons for non-payment

Contact payors for resubmission of claims denied

Maintained and developed excel spreadsheets to follow up on claims Processed timesheets for payroll

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