Ashley Rincon Email & Phone Number

California City, Ca, Us

Los Angeles, California, United States

Clinical Front End Coordinator review new current in house denials. Update billing software to match denial received based on insurance policy. Prepare necessary payor forms required to submit appeals for medical necessity coordinate with case managers for patient authorization. Work close with case management on cases for expedited reviews. Prepare account PDR packets for clinical appeal submission for clinical nurses. Coordinated with central business offices for follow up on accounts requiring additional information to process payment to obtain denial to proceed with account. Review account overview and assure all information necessary is in file to proceed with a clean medical necessity appeal.

Greater Los Angeles Area

Assist various types of client's with Billing and Collection strategies to obtain payments. Review staff process and assist in any and all aspects to improve productivity. If client utilizes Billing software Xifin assist in better understanding system along with chronological error process.

Maintain daily work flow for 8 employees. Assist with any problematic situations. Contact payors regarding denial issues, unpaid claims, non covered charges. Assign work on a day to day basis. Track and run reports for department productivity. Work hand and hand with companys CFO and sales team regarding any billing or reimbursement issues. Apply any new updates pertaining to CPT codes, fee schedules, etc into billing software. Assist client base facilities with any billing issues or questions.

Assist billing team with day to day issues within department. Worked on monthly aging report based off assigned payors, dos, amount due. Track fromt end payor denials to proactively reduce denial from the front end. Assisted billing supervisor on timely projects and deadlines for department goals.

Input billing charges into system (Xifin). Followed up with insurance payors regarding claim status and denial research. Contacted physicians offices to obtain missing or updated patient information. Submit appeals for under or non paid claims. Assisted patients with questions regarding account. Payment post manual deposits.

Input charges for accounts into billing software. Post manual payments to patient accounts. Called third party commercial insurance to follow up on claim status. Work off monthly aging report based upon dates and balance due. Assisted patients with answers pertaining to account and balance. Liason between physician practices and Billing firm.