Ashley Mathieu Email & Phone Number

Boston, Massachusetts, United States

Malden, Massachusetts, United States

Boston, Massachusetts

working collaboratively with referring physicians, practices, insurance carriers, radiology benefits/imaging management companies, radiology sites, and patients to ensure that required referrals and prior authorizations for specified visits and services are obtained, and appropriately recorded in the relevant practice management systems prior to scheduled visitpossess an extensive knowledge and expertise on the Radiology Imaging tests based on the requirements for each insurance carrier responsible for the in-depth and detailed evaluation of the patient’s insurance plan for the purpose of determining eligibility for the imaging test, and determines the information necessary to ensure the patient’s fiscal demographic and insurance information is accurate and up-to-date Takes the necessary steps and actions to collect and verify the appropriate information needed to complete the patient’s registration and obtain prior authorization as needed.

Brookline, Massachusetts

Responsible for daily management of accounts receivable process and followup in the Billing System (Epic), including daily screening and correcting of claims for accuracyReview, correction, and completion of edit queues weekly for the particular insurances assigned. Follow-up on pending claims; this includes following up with the insurance company, document the findings, and gather and send the necessary documentation to process the claims.Responsible for the appeals process. Including gathering the information necessary to process the appeal accurately. Such as finding researching payer websites, identifying the correct diagnoses and/or procedure code, pulling of documentation such as EOB's, requesting medical records, reviewing registration/eligibility and benefits, as well as documenting all work performed on the patient invoice. Responsible for handling customer service calls Management, follow up and resolution of credit balances and adjustments within assigned accounts receivableHandle confidential information with accordance with HIPPA standards.

Business Administration And Management, General

Certification, Medical Billing & Coding

Bachelor Of Science - Bs, Healthcare Administration With A Concentration In Health Information Management,