Process Third Party Liability leads. Open cases, generate and mail initial letters, notice of lien and release of lien letters to attorneys, insurance companies, and Medicaid recipients, in a timely manner. Value cases to determine Medicaid’s lien amount based on ICD-9, CPT and HCPCS. Release copy of valued claim file to attorney's and insurance companies, as allowed by recipient signed HIPAA authorization. Redacted claims not authorized for release by recipient. Post payments and close cases after lien amount has been paid. Process incoming mailing daily. Additional responsibilities include back-up for Administrative Assistant.

Responsibilities include liaison between local staff and corporate office. Provide login accounts and network protocols, to new staff members. Maintain server, computer updates, rebuild computers, hardware and software components, office equipment (fax, printers, copiers, scanners), and call center phone systems environment. Liaison to building management and vendors. Supervise Administrative staff. Ensure invoicing deadlines are met and submitted to clients for payment.

Data entry of commercial health insurance policies into the Medicaid claims processing system. Entered 250-400 policies per day, on average. Respond to phone inquiries from health care providers and Medicaid recipients. Notify healthcare providers and recipients after policy update to the Medicaid system so providers can resubmit claims for payment.

Billing Medicaid for Health Related Services provided to children in a school based setting. Services payable to the school district include but no limited to Physical Therapy, Occupational Therapy and Speech Therapy. Prepare invoices to clients, post client payments.

Administrative Accounting Diploma