Nt1310 Unit 5 Assignment 2

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#7 has a type of "habe" practiced them instead of "have" practiced them. Also question #5 will not allow me to select "all areas" as indicated in the question therefore, I will identify them here. I have over 14 years experience in Medicare and Medicaid methodology (CMS) and (AHCA), claims processing as a claims analyst, senior quality assurance specialist, Quality Team Lead, Configuration, and years experience as a supervisor, which has provided me the opportunity to work within various departments and programs. Currently, I am responsible for implementation and maintenance of all institutional provider contract configuration into Xcelys 8.0. This includes, but not limited to researching both state and federal mandates to assure proper provider and contract loading. I'm consistently building and testing contracts and pricing templates for par and non-par provider price rules, pricing agreement, and pricing fee schedules. Currently, I research and resolve critical errors received from varies department such as; claims about pending and/or holding claims, varies provider…show more content…
I demostrate knowledge for all aspects of operations, claims, auditing, and supervisory skills. My areas of knowledge consist of Analyzing provider contracts, claim payments and configuration designs related to billing, testing configurations loads in a testing environment before it hit production, mapping and configuration techniques, participating in implementation of new systems, claims processing, auditing, testing and/or research in a managed care environment, knowledge of CPT/HCPCS coding, knowledge of health care provider and institutional billing practices, knowledgable with FACETS and Xcelys platform systems, and proficient in Microsoft Office

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