Bria Jacobs Email & Phone Number

Somerdale, Nj, Us

Mt. Laurel, New Jersey, United States

a. Contact healthcare facilities across the country via telephone.b. Coordinate with facilities to retrieve copies of paper or electronic medical records, requesting the facilities to provide copies by mail, fax, or via remoteretrieval.c. Complying with HIPAA (Health Insurance Portability and Accountability Act)ensuring the right to privacy for patient's records.d. Logging all call transactions into the designation computersoftware system.e. Audit, review, and attachment of records to proprietary software system.f. Review Client claims for potential referral opportunities.g. Remotely access Client EMR systems to validate potential referrals found.h. Captured verified claims based on Client requirements and contracts.i. Assist department with regular claim reviews and handle dailyinbound requests related to claims.j. Provide feedback to management on results of findings and rates of errork. Other duties as needed.l. Manage Well Partner/ CVS Pharmacy claims solely.m. Verifying credentials for all clinicians, including primary care providers and specialists.

Remote

Responsible for processing Release of Information (ROI) requests for clients and patients from multiple locations, including radiology. Travel to healthcare facilities where assistance is needed. Use electronic data system to process information. Ensure timely and accurate completion of client requests to exceed turnaround time standards. Communicate with team members and client representatives as needed to resolve issues. Made decisions about what specific record components to release/make available. Review and apply HIPAA regulations to ensure compliance with privacy statutes. Performs other duties as assigned.

Remote

Assist with current training classes and coaching staff. Monitored the daily workloads of staff. Assist staff when adequate coverage was required. Monitored quality of calls and evaluated staff performance. Handled escalation/complicated issues.

Responsible for clinical appeals for Government Programs, Medicaid andMedicare, and ensuring that timeliness guidelines and accuracy standardsare met. Responsible for the end to end process for appeals data entry intomedical management systems, facilitating external review by vendors,CMS and DMAHS. Speaking to providers and members regarding theappeal process. Answer and triage the appeal hotline phone queue. Performing testing and projects to meet departmental goals.

Source, recruit and select candidates that fit our client’s roles. Manage thefull cycle hiring process from sourcing to offer acceptance. Build solid relationships with Account Managers and HR Representatives. Serve as a key role and mediator in the recruiting process and onboarding. Advise hiring managers to help them make better hiring decisions. Create reports on hiring progress and other recruiting metrics.