Utilize advanced knowledge of skin graft billing to:Audit and educate physicians/billing teamDetermine medical necessity and appeal claims when necessaryMaintain accurate formulary by cross-referencing LCD guidelines and payer policies frequentlyAssist clinics with individual graft orders specific to the wound type and payer guidelinesReconcile the ordering, POs, and billing of biologics by operationalizing a clinic log policy and working closely with vendors and the accounting teamTrack denial trends, invoice statuses, claims errors, and gross margin by regionMeet regularly with the RCM billers to review their biologics A/R and to ensure proper adjustments and payments are being postedApprove invoices and payments while managing vendor credits

Posted insurance and patient payments, claw-backs, and creditsScrubbed and billed claims for 4 providers concurrentlyMaintained the best KPIs in the country for Days in A/R and aging balancesAudited and appealed all of Upperline’s wound care claimsAssisted RCM Director with all biologics claims and invoicesWorked closely with Biologics management company to track billing and reimbursement errors Resolved accounts in legacy system

Identified and met with potential referring providers and wound care centers in the Atlanta area.Visited current referring providers to maintain good relationshipOrganized lunch and learns with potential referring providersPromoted our organization at Health Fairs and Sports EventsCreated weekly reports to identify fluctuation of referring providersIntroduced creative monthly campaigns and marketing materialsEngaged a strong social media presence with informative blogs and videosSupplied education material, business cards, and signage for our clinicsOnline reputation managementPhotographed professional headshots for physicians