To obtain a countersink where I can correct on all my skills to emolument a company, with the opportunity for personalized step-up in a fast and reasonable fashion, and the susceptibility to branch out my cognition and experience.| Experience| Membership specification IIITransmitted readjustment, dis enrollment and conception changes to the focus on for Medicaid and Medicare run (CMS).Identified rejection codes more(prenominal) specific to the flush side aline from CMS.Used five-fold electronic computer applications and systems to crop burster issues and gentle enrollment system rejections amidst WGS and CMS including WGS, ProPBM, harbinger care browser, SMS and Marx.Received monthly reports, sort out in different categories indeed worked. Volume exceeded 10,000+ members.Applied monies for members, wrote off when applicable.Worked more mettlesome level projects as salubrious as liquid and evaluated escalated issues.Performed feel audits on some(prenominal) members of the billing team pertaining to TRCs.Handled billing issues including members flap drafts, SSA as wholesome as sending and voiding bills. * | | | reconciliation AuditorTransmitted enrollment, disenrollment and be after changes to the Center for Medicaid and Medicare service (CMS).Identified rejection codes received from CMS.
Used multiple computer applications and systems to solve social station issues and harmonize enrollment system rejections between WGS and CMS including WGS, ProPBM, Call care browser, SMS and Marx.Researched and try membership issues and adhered to CMS guidelines.Worked many high level projects as well as processed and evaluated escalated issues.Performed quality audits on several members of the atonement team as a QA department was not in effect at the time.Handled billing issues including members slang drafts, SSA as well as sending and voiding bills. * | | , disenrollment and plan changes to the Center for Medicaid and Medicare Services (CMS).Used multiple computer applications and systems to solve membership issues and...If you want to get a full essay, order it on our website:
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