Beth Tomkowicz Email & Phone Number

Pittsburgh, Pa, Us

Pittsburgh, Pa

Revenue Cycle Operations Training Associate. Facilitates training for adult learners on the medical billing software Epic. Create power point presentations, exercise books and outlines to be used in classes. Work alongside with managers and directors to create a continuous learning curriculum and environment.• Credentialed Epic PB trainer• Worked with the professional coding team to help create and maintain a coding handbook. • Assisted with quarterly Epic upgrades, by testing the training environments, updating curriculum, creating/updating tip sheets, creating videos to send to vendors as well as other departments with any updated changes.• Primary trainer to set up Epic reports for new practice managers

Patient Account Representative Lead Special project coordinator. Reports directly to the manager of the Professional Revenue Billing department. Works with the A/R Specialists to create edits for rejections the professional billing and follow-up staff identify.• Primary liaison between billing and coding teams for corrections to be made on invoices, in a timely manner.• Overhauled and streamlined email inbox for charge corrections from coding staff and healthcare services.• Completed analysis of healthcare services rejection rated, made recommendations on ways to cut down on monthly write offs as well as rejections.• Work with providers, contracting, directors and coding staff to ensure tele-medicine is set up correctly to bill payers.• Assisted in implementing 837 and 835 electronic submission and collection for all of our payers. Reviewed all claim form edits and cash posting for potential issues.

A/R Specialist. Responsible for reviewing, recommending change, implementing all process changes within the professional revenue department professional billing and follow-up. Responsible for communicating issues to necessary parties in regards to all process changes that may impact the billing and follow-up tam and healthcare services. Act as liaison with the IS team to implement any system changes.• Worked closely with billing manager to oversee where there is potential to cut down on rejections/denials with payers.• Work with directors of healthcare specialties to present rejections/write offs and offered recommendations to improve their business.• Active member of a collaborative committee with the professional revenue department, patient financial services, customer service and registration to learn of potential issues that were to effect all areas of business.• Developed charge correction process for provider based billing for VT Medicaid line of business. Wrote a training document and rolled out training to the staff.• Oversaw all claim form edits and worked with staff to keep all edits under 90 days.• Reviewed all department write off requests of $1,000 - $5,000 for appropriate write off codes • Developed discount process for digital tomosynthesis charges, wrote up step by step document for billing follow-up staff as well as customer service on how to process any billing issues. Presented process to customer service and served as point person for issues.• Provided train the trainer’s sessions with the patient account representative on effective ways to train the billing and follow up staff.• Created custom reports out of IBM Cognos for billing manager

Patient Account Representative Lead. Responsible to assist the supervisor with daily operations related to professional accounts within the Professional Revenue Department. Assists with organizing the work efforts of the professional billing and follow-up staff and promotes an atmosphere that encourages individual and team development. Ensures policies and procedures and customer service are constantly monitored and evaluated and supported and makes independent decisions to support compliant billing.• Developed a 200 page training manual on GE Web and rolled training out to staff of 40.• Built and presented educational presentations on industry and departmental changes to an audience of over 50.• Created individual staff and team productivity metrics and reporting for maximizing operational efficiency.• Acted as lead trainer for both government and commercial billing and follow –up staff.• Oversaw policy and procedure committee to write policy and procedures for the professional revenue department, and presented to a staff of 40.• Supervised accounts receivable for specialty health care services including anesthesia, home infusion therapies and hearing outreach program. Acting as primary liaison for vendors, responsible for communication of billing changes on outsourced lines of business and resolution of issues preventing timely payment.• Created a process to track missed revenue on potential missing HPA charges for provider based billing and coordinated with health care services to correct errors.• Reviewed FPSC front end rejections to ensure we have categorized the rejections correctly.• Audited individual account work and presented quality improvement plans to supervisors for implementation.

Key Results:Organizational point person for Provider-Based claim corrections and expertise.Successfully trained more than 5 new patient accounting team members.Recognized as team member with highest claims productivity in submitting medical claims and resolving issues for payment.Advised supervisor on efficiencies to increase productivity and morale in redistribution of work for balanced work equity.Built training manuals for both Medicaid and CMS Provider-Based Billing to education teams and new staff on new and existing processes.Built several electronic system edits to facilitate billing clean claims based on rejection / denial trends identified in appeals; Promoted to managing timely adjudication and collection of payment for medical services. Responsible for independent patient workload for statewide payer network. Identified cause of payer rejection for payment and built appeals to appropriately challenge them utilizing correct coding and CMS guidelines.