Andre Mack Email & Phone Number

Fall River, Ma, Us

Waltham, Ma, Us

Pembroke, Us

Maintain employee handbook in compliance with state and federal laws. Communicate all policies, procedures and programs to employees including annual open enrollment information and employee meetings. Conduct recruitment efforts for all exempt and nonexempt personnel to include creating job postings, conducting first round interview/screening, and coordination of recruitment process with management team. Conduct new employee orientations and coordinate program/department orientation. Manage all mandated leaves to include FMLA, workers compensation, maternity leaves and earned sick time. Serve as a resource to managers/directors and monitors poor performance and disciplinary tract and approve and participate in all final dismissals.recruiting, hiring, placement, termination, layoff, training, transfer, compensation and promotions Maintain HR information systems, records and compliance reports and comply with all external reporting required.

Responsibilities include: scheduling and reviewing timesheets and processing weekly payroll, participating in monthly staff development trainings. processing resident payments. managing to front desk staff. interviewing and hiring new staff. participating in daily director meeting. response to all residents complaints, processing all vendor payments. managing the worker's comp files. processing employee terminations, responsible for billing Medicaid and posting to resident's accounts.

Provide Support for the Client Service Director and Senior Client Service Managers. Assist with projects and attending to all administrative duties under limited supervision. Answering telephone calls, assist with client audits, Data entry of medical information, tracking and follow up of MD orders. Processing return to Client reports. Recording and processing daily tasks in an electronic medical records system. Supporting and assisting clinical managers with day to day operations. Maintaining Excel spreadsheets for tracking the medical records, missing data files. Generating report using BI software as needed to assist clients.

Bad Homburg, Frankfurt, De

PRINCIPAL RESPONSIBILITIES AND DUTIES: Utilizes the Medicare Direct Data Entry system to identify and resolve any claims that have been Returned to Provider (RTP). Generates and monitors all work lists specific to the Collections Role, including: The Remittance Discrepancy Work List, which identifies claims where payment was denied or was less than expected reimbursement. The Commercial Insurance Aging Work List, which identifies unpaid Commercial claims that have qualified for follow-up. The Medicare Insurance Aging Work List, which identifies unpaid Medicare claims that have qualified for follow-up. The Overdue Guarantor Aging Work List, which identifies guarantor balances that require follow-up. This includes but is not limited to timely guarantor follow-up and quality documentation of guarantor follow-up activities which will ensure maximization of Medicare Reimbursable bad debt. Performs the following duties as required based on follow-up activities: Identifies need for insurance changes and completes required forms to initiate request. Transfers balances to correct payer. Initiates re-bill of unpaid or underpaid claims. Processes non cash related adjustments per established guidelines. Initiates appeal requests per payer guidelines. Notifies the legal department and places collection activity on hold when a bankruptcy notice is received per FMS bankruptcy policy. Completes and documents all follow-up activities in eCube Financials per established guidelines. Ensures that all Medical Justification Requests are submitted within the established timeline and per the Additional Development Request (ADR) Policy. Establishes payer filing limits to ensure that follow-up is completed within the established timeline and claims paid so that denials are not received for claims filed untimely. If necessary, prepares bad debt write-off package with supporting documentation per established guidelines

·Timely and accurately complete various business transactions in a fast paced team environment which supports multiple business operations. ·Scanning billing documents while checking for errors.

Certificate, Health Claims Specialist

Business Administration And Management, General