Experience

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  Creditek llc

  Jan 2003 - Jan 2005

  Account analyst

  Processing medical claims for a DME company, Contacting clinics, physicians, or office reps for medical records and patient information, Researching accounts and all aspects of payment needed or received, Quality checking claims before mailing to insurance companies, Billing and contacting insurance companies via phone, fax, e-mail, or written correspondence, Answering inbound patient calls as well as making outbound calls to resolve issues with accounts, Working patient requests from the internal computer system, Resolving payment errors or issues regarding an account, Updating patient demographics and insurance information, ICD-9 and CPT coding, Creating new patient accounts, Collections on older accounts, and following all HIPPA guidelines. Show less

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  Webb chriopractic

  May 2005 - Jan 2012

  Chiropractic assistant

  Assisting D.C. in all aspects of taking care of patients. Obtaining information from patient regarding injury or complaints. Assisting in initial exam. Doing follow-ups with patients to monitor progression. Providing therapies to patients as in muscle stims, ultrasounds, stretching. Billing insurances for services rendered. Reviewing EOB's and applying insurance payments to the patient's account. Making sure all HFCA's are accurate prior to submitting to insurance companies. Going over patient accounts for accurate payment from insurance companies and/or the patient and resolving any discrepancies. Contacting insurance companies for non-payment issues and checking on patient coverage. Submitting bills to the patients for services rendered if needed. Reviewing accounts at the end of the month for any outstanding charges and submitting delinquent accounts to collections. Show less

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  Geisinger health system

  Jan 2012 - Mar 2014

  Financial clearance specialist ii

  Obtain Pre-Certs for OB/GYN and Pain Management procedures, Review clinical documentation to assure all information is obtained in order to submit to insurance for approval, Contact insurance companies via phone/fax/e-mail to obtain authorizations by providing medical information, communicate with Physicians and Nurses regarding scheduled appointments, documenting patient’s medical record accurately with appropriate approval/denial information and route to the appropriate clinic. Pre-register patients for various appointments throughout the Geisinger system over the phone, updating demographic and insurance information, verify insurance coverage prior to the patients appointment through online eligibility or calling insurance companies, review future appointments and if insurance requires referrals I will obtain one from the PCP, advise patient of any forms that will need to be signed at the appointment and advising on payment for non-par insurances, collect any outstanding balances the patient may have, consistently over my monthly QA requirements in accounts needed to work, accuracy, and phone quality,HIPPA compliant in all aspects of work Show less

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  Geisinger

  Mar 2014 - now

  Coordinate, implement, and provide oversight of programs within Revenue Management Department Geisinger Health System. Oversees and conducts training sessions for Revenue Management staff, Administration, Professional and Line Staff in regards to all financial and payer updates, including State and Federal Medical Assistance Programs, the Affordable Care Act, and Geisinger programs and associated quality initiatives. Facilitates forums and events associated with Geisinger Health System administered programs. Provides training and certification courses for all Revenue Management staff for Federal and Local insurance exchanges. Ensures program compliance within the Federal or State Guidelines of the administered program. Works with Internal Audit to ensure compliance of hospitals and clinics in regards to 501r requirements. Conduct community outreach on Financial Assistance. Ensure Geisinger Operations is aware of Financial Assistance program and update ordering process as needed. Maintain and ensure Geisinger compliance with 501r requirements and update website for Financial Assistance as needed. Provide data and updated information to Senior Leadership. Show less Provide financial counseling either in person or via telephone for all patients in service lines; admissions- scheduled and/or elective, in/out surgeries and/or outpatient clinical services. Assist or complete patient billing and collection functions either at the time of initial patient interview prior to services being rendered and/or after the insurance has paid, Face to face interviews with patients utilizing Transunion to determine propensity to pay, Certified to assist the patient in completing insurance application either with Medical Assistance or the ACA Marketplace, Maintain a close working relationship with all clinic staff and physicians to ensure proper registration, billing, and payment posting is completed, Assist office staff in obtaining pre-certification for services to be rendered, Act as a liaison for all financial issues with insurance companies, departments, patients and/or other teams within Geisinger Health System, Inpatient financial counseling; explaining insurance benefits and patient responsibility for current admission for hospital stay, Meet with employees to complete payroll deduction requests, Provide information and assist patients in completing Financial Statements for Uncompensated Care, Interview patients with inadequate and/or no insurance coverage to obtain financial arrangements prior to services being rendered, Make sure all demographic and insurance information is correct on EPIC chart- contact patient to register, Process payments through Core System, Provide reports to Senior Leadership on self-pay accounts and legal matters, Following all Revenue Cycle policies and procedures, Ensures compliance with federal , state, and other third-party billing requirements including HCPCS, ICD-9, and HIPAA Show less

  • Manager -Patient Financial Counselors

    Dec 2022 - now

  • Supervisor

    Aug 2019 - Apr 2023

  • Program Coordinator

    May 2016 - Apr 2023

  • Program Coordinator

    May 2016 - Apr 2023

  • Business Service Coordinator II

    Mar 2014 - May 2016