Becca Archibold

Processed pharmacy claims for skilled facilities, private pay patients, and group homes. Managed invoicing, statement distribution, and payment application for facility and private accounts. Followed up on prior-authorizations and resubmitted denied claims.

Identified system changes and notified management to ensure implementation. Collaborated with the claims department to price pended claims and identify authorization issues and trends. Ran claims reports and researched provider inquiries.

Managed members' individual service plans within scope, developing, monitoring, and revising plans to meet needs. Established short and long-term service and support goals in collaboration with members, caregivers, family, and physicians. Identified members who would benefit from alternative service levels or waiver programs.

Greeted patients and visitors, providing courteous and professional assistance. Answered, screened, and routed telephone calls promptly and accurately. Managed appointment scheduling and gathered, verified, and entered patient demographic and insurance information.

Prepared correspondence and processed incoming and outgoing mail, including imaging and indexing. Assisted in training other clerical personnel, assigning work and instructing on policies and procedures. Reviewed work for proper coding and classification and assisted the supervisor with routine administrative tasks.

Performed patient check-in, updating demographics and completing necessary paperwork. Answered and directed phone calls and scheduled appointments according to office guidelines. Obtained accurate patient and insurance information and collected copays and patient responsibility payments.

Assisted students in the classroom with individual and group projects. Supported teaching staff with the preparation of activities. Participated in required trainings and assisted in classroom set-up.

Welcomed and greeted patients and visitors in person and over the phone, maintaining a clean reception area. Registered new patients and updated existing demographics, collecting detailed personal and financial information. Facilitated patient flow by notifying providers of arrivals and communicating delays.

Completed a course focused on business typing skills. Included training in ICD-9 and CPT coding for medical billing purposes.

Completed high school education. Studied a general curriculum covering core academic subjects.