SENIOR SALES ASSOCIATE, HOSPICE MEDICARE CLAIMS SPECIALIST

Checking and Updating A/R reports on weekly basis to see if all the claims have been sent in a timely manner. It is important to tract A/R due to some denials in claims that are aging too much that needs attention, this also tracks incoming income receivables for the clients.

Proven leadership in sales-driven environments: having consistently exceeded sales targets by actively supporting customers and mentoring newer team members Operational know-how: adept at merchandi sing, inventory control, and executing opening/closing procedures while maintaining store standards. Team development focus: experienced in coaching associates and fostering a high-performance, customer-first culture. Managing daily store operations, including scheduling, financial record-keeping, budgeting, and loss prevention. Ensuring full compliance with organizational policies, health & safety guidelines, and local regulations. Lead daily store floor operations: managing cash procedures, merchandising, and customer workflow. Coach and guide new hires and associates to exceed performance expectatons.

Proficient in leveraging Excel to support both sales and claims operations. Skilled in creating and managing spreadsheets for data tracking, performance monitoring, and reporting. Experienced in building pivot tables, charts, and dashboards to analyze trends, track KPIs, and support decision-making. Adept at using advanced formulas reconciling Medicare claims, insurance payments, sales performance, and inventory levels. Capable of producing clear, actionable reports that enhance operational efficiency and accuracy.

Proficient in Medicare, Medicaid, and private insurance billing procedures. Skilled in verifying patient information, insurance eligibility, and benefits coverage. Experienced in preparing, submitting, and tracking both electronic and paper claims. Knowledgeable in CPT, ICD-10, and HCPCS medical coding systems. Able to identify, correct, and resubmit denied or rejected claims to ensure prompt reimbursement. Skilled in payment posting, account reconciliation, and maintaining accurate billing records. Familiar with HIPAA regulations and confidentiality standards. Strong attention to detail and accuracy in processing high-volume claims.