vuthear yuorn

Received and identified completed and accurate Medicare beneficiary applications to process for CMS approval. Approved CMS applications are inputted into organization systems for billing, pharmacy, care management, sales, customer service and finance departments. Run discrepancy reports to identify compliance issues and address to successfully complete process during enrollment and disenrollment timeframe.

Investigated and analyzed data for employers and CHI nationally. Complete summary profile of organizations for use in presentation to potential clients and CHI leadership team. Analyzed and planned product offerings, RFP and policy and procedure.

Registered patients presenting at the emergency room for treatment. Verify patient's insurance and eligibility at time of service. Collected copays and assist with financial application if needed. Knowledge of EMTALA, patient responsibility and permission to consent. Obtain physician's referral for patient's treatment to register, verify insurance eligibility and pre authorization. Provided training to new employees with knowledge of job duties, HIPPA, PHI, Fraud & Abuse, Confidentiality, Copay, Coinsurance and Deductibles.