Amanda Push Email & Phone Number

Omaha, Ne, Us

Omaha, Ne, Us

Omaha, Ne, Us

Dallas, Tx, Us

Irving, Texas, Us

Utilized functional expertise as base for properly vetting and documenting existing RCM workflows. Partnered with internal and external customers to design, document, package, and implement new solutions/service offerings. Contributed to key initiatives and projects related to area of expertise and managed project through completion. Provided ongoing support and oversight in optimization of RCM solutions and maximizing customer satisfaction. Resolved complex issues. Identified metrics, data sources, baselines, and goals to quantify and measure solution benefits. Acted as the project lead for claims processing projects involving oversight for practice management system.Reviewed trends, conducted root cause analysis, and presented results to leadership. Made recommendations for solutions and partnered with appropriate team to develop and execute solutions. Provided troubleshooting of issues to detect inconsistencies and errors affecting production. Functioned as point of contact for escalations across client groups and service centers for area of expertise. Developed and documented processes and procedures. Collaborated internally to ensure cross-functional insight into customer solutions and ensure continuity of client support. Provided support for operations team company-wide, including all markets and service center operations locations. Analyzed process improvements to determine if optimization achieved and developed necessary corrective action plans. Ensured strategic alignment and integrity across initiatives and projects. Facilitated change control (ops and corporate), and health assessments across service centers. Participated in special projects or completed other duties. Created job aids and standardized operating procedures for claims processing operation team company-wide, including variety of clearinghouses, practice management systems, and vendors. Reviewed reporting and trending, analyzed reported claim data, and looked for discrepancies.

Irving, Texas, Us

Created workflows and processes for claims and follow-up. Tested and validated claims confirming setup. Researched electronic claim denials and follow-up staff questions. Reviewed and worked variety of claim edits in multiple work queues and billing systems.• Monitored provider enrollment for new billing providers. Enhanced and developed quality support methods and communication skills through coaching feedback and other developmental approaches. Provided accurate solutions to customer problems to ensure customer productivity. Assisted staff members. Followed up on medical claims with dozens of insurance companies. Worked with payment posting team and ensured production maintained reasonable production date. Trained new employees and performed six random audits on each employee per month. Credentialed, verified, and loaded providers with credentials for ten insurance companies. Functioned as interim manager.

Irving, Texas, Us

Audited patient accounts to determine if patient or insurance company needed to be refunded. Called insurance companies to verify coordination of benefits. Followed up with patients and insurance companies. Ordered, double checked, and mailed refund checks to appropriate party. Provided documentation for checks to be mailed.

Functioned as point of contact for three account executives, 500 employers, ten brokers/consultants, and 25 third-party administrations. Assisted cardholders and pharmacists to resolve issues regarding claims processing, benefit eligibility, and pharmacy network participation. Assisted 60 team members with questions to understand pharmacy benefits and company processes. Set up, managed, developed, and maintained five customer relationships resulting in customer satisfaction and retention of 500.