Overview
Looking for full-time work (8 hours/day)
at $3.83/hour ($736.00/month)
High school diploma
Last Active
June 26th, 2026 (yesterday)
Member Since
June 28th, 2023
Profile Description
• Verified patient’s eligibility to various payer’s portals.
• Work on denial and rejected claims to completion in a timely manner.
• Conduct audits and coding reviews to make sure data entered into the system is correct and accurate.
• Submit claims and corrected claims to various payer portals/fax or electronically.
• Check the payment posting if correct per the EOB. Create batches daily for payment reconciliation.
• Manage correspondence from the payers and process the claim accordingly.
• do outbound calls to clarify denial and rejection reasons.
• Reviewing correspondence letter from the payer
• Knowledge of Nextgen, EHR for medical records, and document management
Top Skills
Customer Support » Insurance » Medical Insurance
Experience: 5 - 10 years
denial and rejection management, claim processing, appeals, prior authorization, outbound calls to payers, payment reconciliation, Eligibility and Verification, Experience with Medical Portals, RCM providers enrollment
Other Skills
Basic Information
- Age
- 46
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Tests Taken
- IQ
- Score: 123
- DISC
- Dominance: 37%
- Influence: 18%
- Steadiness: 37%
- Compliance: 9%
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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