Claim Processor
Pentacare Medical Services
Total years of experience :14 years, 7 Months
Claim Processor/Production Assistant
PENTACARE MEDICAL SERVICES
August 2018 to June 2020
• Handling insurance claim reimbursement.
• Contacted Department of Social Services and secondary insurances to verify patient eligibility.
• Answered multi-line phone and directed calls to appropriate staff.
• Provided information to members on various benefit insurance packages offered.
• Provided ICD-9 and diagnostic codes for claims and medical procedures.
• Completion of assigned batches.
• Maintain communication with providers for claim clarification.
• Kept constant communication with IT for network issues.
• Cross trained to work in different departments (process different states).
Production Assistant is to prepare and check all the details of the member before printing the cards. Receiving Excel sheets from the clients and to paste it in our template before processing. Communicating with the clients over the phone for clarification purposes. Addition, deletion and modification of the members is our main responsibilities.
Assists office staff in maintaining files and databases
•Cover the Reception as needed
•Arranges meetings by scheduling appropriate meeting times, booking rooms, and planning refreshments
•Manage correspondence by answering emails and sorting mail
•Prepares reports, presentations, memorandums, proposals and correspondence
•Monitors office operations
•Schedules appointments and meetings for executives and upper level staff
•Serves as the go-to for office inquiries and conflicts
•Manages staff schedules
•Maintains accurate records for employee holiday requests
•Handling the time attendance of the department
•Create LPO
•Tracks office supply inventory and approves supply orders
•Supervises all administrative personnel
● Handling the register of inward and outward document. Distribute incoming mail and other material to appropriate people.
Drafting Memos, letters for effective communication and assist in designing the templates such as Microsoft PowerPoint, Microsoft Word, Microsoft Excel, Outlook.
● Scheduling meetings, interviews for effective time management.
● Making travel arrangement for executives
● Answer the phone calls receiving for the department, take messages or transfer calls to appropriate office personnel, help the customer for their queries and make sure their satisfaction to maintain a good customer relationship for the company.
● Handling & Monitoring administrative jobs on daily basis for smooth functioning of the dept. as per the layouts set by the Dept. Manager
● Follow up with various Dept. Heads and ensure getting required details for the Manager on time as committed by him for smooth functioning of the department
● Set up and maintain filing systems for records, correspondence, and other material
● Provide general administrative support
● Scheduling meetings, interviews for effective time management.
● Answer the phone calls receiving for the department, take messages or transfer calls to appropriate office personnel, help the customer for their queries and make sure their satisfaction to maintain a good customer relationship for the company.
● Handling & Monitoring administrative jobs on daily basis for smooth functioning of the dept. as per the layouts set by the Dept. Manager
● Follow up with various Dept. Heads and ensure getting required details for the Manager on time as committed by him for smooth functioning of the department
● Set up and maintain filing systems for records, correspondence, and other material
Preparing Invoice for the export customer
•Established an effective filling system for the company
•Prepare Quotation for the customer
•Received and send documents through fax and e-mails
•Handled all necessary paper works needed in everyday files
•Data entry
•Manage busy switchboard, answer incoming calls in professional manner, and represent the company externally and internally.
•Handling customer inquiries and direct calls
•Welcome and assisting customer with their needs.
Answering all Incoming and Outgoing Calls
•Sorting Money
•Filling some important documents
•Received and send documents through fax and e-mails
IN