Behnaz Asgar Email & Phone Number

Responsible for supporting the day-to-day process and functions of Hologic's insurance support and reimbursement policy programs, implementation, auditing, and optimization. Educate and support each business units' commercial teams. Partner with multiple cross-functional teams to ensure accurate claims by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Responsible for educating, partnering, and informing… Show more Responsible for supporting the day-to-day process and functions of Hologic's insurance support and reimbursement policy programs, implementation, auditing, and optimization. Educate and support each business units' commercial teams. Partner with multiple cross-functional teams to ensure accurate claims by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Responsible for educating, partnering, and informing external and internal customers when new/modified reimbursement contracts are needed. Helps educate/coach sales reps, managers, and customer on how best to negotiate reimbursement rates. Show less

Austin, Texas Area

Develops, organizes and implements overall billing, collection and payment reimbursement functions for the Dell Medical School Clinical Health Enterprise. • Plans, directs, reviews, coordinates and evaluates through the functions of the department to increase positive cash flow, achieve operational efficiencies, and ensure compliance with established laws, regulations, practices and procedures. • Manages insurance eligibility processes, charge posting, claim submission… Show more Develops, organizes and implements overall billing, collection and payment reimbursement functions for the Dell Medical School Clinical Health Enterprise. • Plans, directs, reviews, coordinates and evaluates through the functions of the department to increase positive cash flow, achieve operational efficiencies, and ensure compliance with established laws, regulations, practices and procedures. • Manages insurance eligibility processes, charge posting, claim submission, recoveries/collections, cash posting and adjustments. Handles contractual allowances, accounts receivable management, denial management, patient lettering/statements, phone inquiries and reporting results and analysis. • Oversees integrity of patient accounts, concurrent and retrospective auditing, proper coding, credentialing, customer services relative to revenue cycle and the training and development of staff. • Responsible for analytics and all other revenue cycle management activities of services within the Dell Medical School Clinical Health Enterprise. • Monitors accounts sent for collection and reimbursements from insurance companies and other third party payers. • Manages the development and implementation of departmental policies and procedures.• Attends, participates and provides constructive input as a leader of multidisciplinary activities or committees. • Monitors and audits productivity goals, reviews level of progress and achievement, and exercises discretion and judgment when recommending and implementing measures for improvement. • Manages Quality/Improvement and Performance Audits and Analysis/Trending of payments, charges and identifying issues. Show less

Austin, Texas Area

Revenue Cycle Management Consultant in Accenture's Health and Public Service division. Assisting various healthcare entities with improving end-to-end revenue cycle functions and improving key performance indicators.

Austin, Tx

Worked as a consultant with various health care entities focusing on process and revenue cycle improvements, project management, and payer credentialing. • Evaluate and recommend process improvements for various Medical Staff Offices to improve credentialing and contracting processes to which in turn improve revenue cycle processes. • Successfully managed transition of a health plan’s claims third party administrator (TPA) through the entire process of evaluating old TPA, terming… Show more Worked as a consultant with various health care entities focusing on process and revenue cycle improvements, project management, and payer credentialing. • Evaluate and recommend process improvements for various Medical Staff Offices to improve credentialing and contracting processes to which in turn improve revenue cycle processes. • Successfully managed transition of a health plan’s claims third party administrator (TPA) through the entire process of evaluating old TPA, terming old TPA, RFP process and search for a new TPA, and implementation and go live with the new TPA while ensuring contracted providers were informed and not negatively impacted by the change. Show less

Georgetown, Texas

Responsible for oversight and management of all credentialing and billing functions for multi-clinic system with 140 providers. Managing department consisting of 4 managers and 30 staff providing necessary oversight and implementing policies and procedures to effectively manage the billing department, payer projects, accounts receivable, and credentialing of payers. Development and monitoring of reports for accounts receivable, billing, claims processed, claims denied, credentialing and other… Show more Responsible for oversight and management of all credentialing and billing functions for multi-clinic system with 140 providers. Managing department consisting of 4 managers and 30 staff providing necessary oversight and implementing policies and procedures to effectively manage the billing department, payer projects, accounts receivable, and credentialing of payers. Development and monitoring of reports for accounts receivable, billing, claims processed, claims denied, credentialing and other reporting requirements.• Managed billing department that collected on average $4 Million a month and billed on average 20-25,000 encounters a month. • Served as expert over payers and responsible for the enhancement of the revenue cycle processes.• Managed all health plan payer contracts and served as the primary contact for the organization with all contracted health plans. • Successfully contracted and renegotiated all commercial health plan contracts to maximize revenue.• Contracted with all Medicaid Managed Care plans for Medicaid expansion and implemented and trained staff internally for Medicaid expansion go-live.• Implement tools to safeguard against excessive aging of Accounts Receivables• Maintained CMS Medicare and Medicaid site credentialing for 25+ FQHC clinic sites• Successfully obtained delegated credentialing agreements with various health plans reducing the turnaround time for payer credentialing by 90 days and enhancing revenue cycle processes.• Implemented and maintained Medicaid Meaningful Use registration resulting in over $3 Million in incentive funds with no audit findings for over years 3.• Provided consulting services to various external organizations in credentialing, operations, and revenue cycle management.• Implemented and managed the Department of State Health Services Expanded Primary Health Care (EPHC) $2 Million grant to ensure staff were trained and funds were used properly. Show less

Ba, Biology

Mha, Health Administration