Experienced Billing & Eligibility Specialist

MARCELLA CRITTENDEN ESTES

***************@*****.*** 317-***-**** Indianapolis, IN 46268

Summary

Thrives on learning new skills quickly and approaches daily challenges with flexibility and openness to changing needs. Superior work ethic with excellent communication, multitasking and prioritization skills.

Skills

Insurance billing procedures

Account updating

Telephone etiquette

Knowledgeable in Microsoft office and Excel

Applicant support and service

People skills

Program understanding

Problem resolution

Progress evaluations understanding

Patient assessment

Experience

Accredo Indianapolis, IN

Billing & Enrollment Specialist

12/2020 - Current

Enroll patients into Copay Assistance programs.

Bill the Copay Assistance programs.

Call Copay programs to verify patients funds are exhausted.

Accept payments from patients.

Upload patients checking accounts and Credit Cards for billing purposes.

Review account with patients.

Work offline billing Copay programs.

Show empathy when assisting patients.

Family Social Services Administration Indianapolis, IN

State Eligibility Consultant

10/2015 - 12/2020

Approves or rejects eligibility recommendations made by contract staff for appropriate benefits and waiver programs

Conduct and interactive interview for Food Stamp applications after data is gathered and entered into

CES by contract staff

Second Party Reviews of all recommendations made by the Contractor

Resolve more difficult or complex cases and specialized issues such as language problems, complex policy interpretations and difficult cases

Authorize fiats requested by the Contractor

Examine IRS Data Matches (BEER and UUIDX) to discern discrepant and unreported data

Approve claims referred and calculated by the Contractor

Approve or deny auxiliary benefit requests and under issuance requests

Conduct full eligibility interviews for applicants who choose that point of entry for their application

Serve as point of contact for inquiry referral from government officials

Rescare Workforce Services Indianapolis, IN

Supportive Service Case Manager

12/2014 - 10/2015

Processed clothing vouchers for Job Fairs, Interviews, and clothing needed for employment Processed bus passes and gas cards for clients in need of transportation assistance.

CASE MANAGEMENT, RESCARE WORKFORCE SERVICES Indianapolis, Indiana

04/2012 - 12/2014

Core Competencies

Management of Material Resources

Management of Personnel Resources

Judgment and Decision Making

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