Company Name 1
Omega Healthcare
Job Title
Health Care Executive
Job Description
- Answering callers regarding billing inquiry, denied claims, itemized statements.
- Explaining medical records, coding review, financial assistance application, billing cycle statement generation and due date, charges for services rendered, CPT codes and Diagnosis
- Advocating patient’s financial obligation by offering payment plans and application with financial assistance
- Handling upset callers by explaining their bills in a clear and more understandable explanation
- Awarded 100% Attendance with PCS of 90% for the month of July 2024
- Awarded Top 3 Agent for Adherence for the month of July 2024
- Awarded with a Scorecard of 4.92 for the month of June 2024
- Awarded Top 2 Agent for Adherence for the month of June 2024
- Awarded 100% Attendance for the month of June 2024
- Awarded for Highest Adherence with 94.11% during CST (March – May 2024)
- Awarded Perfect Attendance with no Tardiness during CST (March – May 2024)
Company Name 2
Wipro Inc.
Job Title
Appeals and Grievances
Job Description
- Make outreach to providers to follow-up, verify information, and request additional records to review claims.
- Review Medical Records and make a follow through for incomplete documents
- Carefully review cases before cases will be dismissed or routed for coordinator review.
- Consistently finish allocated cases per day.
- Able to do quick decision making while reviewing cases.