In conjunction with the OM and CBO, reduce front end, back end, T&Q errors; increase collections; and assure all charges are being captured.

Monthly reports:

Receive, review, trend and work with responsible staff members on monthly report findings.  Completes in timely fashion, communicating status to OM and trainer.  Include 727, 800, back end edits, co-pay, missing tickets and T&Q reports.  Show improvement in all areas.
 

Back end edits:

Manages back end edit findings for not eligible rejections (D+), no referral rejections (Not PCP = R+) other insurance primary (O+), and invalid ID (J+) and coordinates corrections in Mysis and in patients chart. Show improvement in all areas.
 

Request for information:

Receive, review, trend and follow up errors, reporting data to OM.  Completes process in designated time frame.  Show improvement in all areas. Coordinates internal collections process to assure patient contact, set up of payment plans, follow-up to CBO, and management of patients in collections. Takes action with OM for defaulted accounts. Turn accounts over in no more than 45 days. Manages credit accounts to include moving money.

 
In-coming patient billing calls:

Manages in-coming patient billing calls, completing phone log and documenting in Mysis. Trends to find ways to reduce billing costs.
  Utilizes on-line resources to verify eligibility, co-pay and PCP.  Supports check-in staff utilization.  Completes audits as per identified timeframes and reports findings. Completes monthly report activities and submits in timely fashion.
 

Organize memo/billing tips:

Distribute and educate staff regarding as evidenced by staff sign off. Performs check in / check out as appropriate.