Alicia Rose Email and Phone Number

I own a behavioral health billing and practice management solution company. I specialize in providing billing solutions for behavioral health providers of all tenure throughout the US and especially enjoy working with new practices to help them grow and exceed in their new venture.

Remotely lead and oversee billing operations for CPAP durable medical equipment and oxygen services.Perform billing and follow up functions with objective of maximizing reimbursement based upon services rendered.Submit 3rd party and patient claims, including correction of errors, utilizing both electronic and hard copy formats.Investigation of unsettled claims due to denials, rejections and/or pending claims.Investigation of over-payments, under-payments and refund requests/disputes from patients and 3rd parties.Respond to patient and 3rd party inquiries, complaints and issues regarding billing and collections and perform financial counseling as needed.Lead remote trainings for various insurance updates and new hire training as well as oversee and supervise billing functions.Handle Medicare Audits and appeals for 3rd party payer denials that were escalated to appeals process.Posting patient and 3rd party payments, insurance write offs, charge adjustments, patient responsibility and non-covered charges,balancing all payments posted daily with the bank deposits and handling various other financial and posting transactions.

I co own R&M Billing Service, LLC, a medical billing and coding agency. We specialize in working with small practices as we are a small business our selves and know the challenges you face as a small company. We currently work mainly with mental health providers but are able to assist in all different types of specialties.

Receive, research and respond timely to telephone and electronic inquiries from members, providers and others while maintaining department and/or corporate performance guidelines for Member Satisfaction, Inquiry Accuracy and Productivity. Educate and answer questions regarding member benefits and claims.Maintain the integrity of the Inquiry and Intake Tracking Logs by entering all inquiries and follow-up actions onto the log.Review and complete weekly open item report through follow-up and timely resolution of open inquiries within department and/or corporate performance guidelines for timeliness.World Class Certified customer service advocate.Assist new hire employees with questions during live calls with members and providers as well as answer questions on open inquiries needing follow-up.

Process membership for Medicare Advantage members during open enrollment. Review applications for completeness and correspond with brokers on receipt status. Follow up with members, as needed, to complete applications.Maintain eligibility and billing information on Facets system.Receive and respond to written and electronic inquiries related to enrollment and billing and track all appropriate information in Facets timely.

Oversee daily operations to ensure company policies are being adhered to in regards to patient health and financial information.Interact with multiple parties via phone, written and electronic communications. Daily interaction via phone with patients, insurance carriers, attorneys, providers and personal representatives and completing requested actions while maintaining HIPAA privacy practices and adhering to company guidelines.Improve billing processes by reviewing operations and software for quality and effectiveness and presenting changes to management.Creating monthly statistics and analysis reports.Submit 3rd party claims, including correction of errors, utilizing both electronic and hard copy formats.Investigation of unsettled claims due to denials, rejections and/or pending claims.Investigation of over-payments, under-payments and refund requests/disputes from 3rd parties.

Lead and oversee billing operations for Chiropractic services.Submit 3rd party and patient claims, including correction of errors, utilizing both electronic and hard copy formats.Investigation of unsettled claims due to denials, rejections and/or pending claims.Investigation of over-payments, under-payments and refund requests/disputes from patients and 3rd parties. Respond to patient and 3rd party inquires, complaints and issues regarding billing and collections and perform financial counseling as needed.Posting patient and 3rd party payments, insurance write offs, charge adjustments, patient responsibility and non-covered charges, balancing all payments posted daily and handling various other financial and posting transactions.Maintain multi-line phone system, scheduling patient appointments and providing customer service to patients.Oversee daily operations to ensure company policies are being adhered to in regards to patient health and financial information.Improve billing processes by reviewing operations and software for quality and effectiveness and presenting changes to management.Creating monthly statistics and analysis reports.