Caryn Robison Email & Phone Number

Tulsa, Oklahoma

Nephrology Specialists Of Oklahoma

A member of a four person team responsible for the daily operations of billing and collections for 13 Medical Providers in multiple locations.Post Payments from Medicare, Medicaid, Commercial Insurance and Patients, Enter Physician Hospital Charges, Office Charges and Monthly Dialysis Charges, Process Denials, Write Appeals, Review Monthly Accounts Receivable for aging and patient statements.

Tulsa, Oklahoma

Pro Tulsa Chapter

Tulsa, Oklahoma Area

Medical claims billing, Follow-up and CollectionsMaintain physician contracts and credentialing

Managed Healthcare insurance contract negotiationFee schedule analysis and developmentAdministrative support to five member Board of Directors, 31 physicians and 11 mid-level providersResponsible for daily operations of the organizationDesigned and implemented database program in Microsoft Access to track physician credentialing information and applications

Liaison between the medical staff, allied healthcare professionals and administration Schedule medical staff meetings, record minutes of medical staff meetings, maintain communication of medical staff officers, department chairpersons, committee chairpersons and hospital directors Assist with medical staff credentialing processProvide customer service to approximately 8,100 members, 32 physiciansSchedule and participate in Provider and Member EducationParticipation in PHO Board of Directors meetings and on Utilization Review and Credentialing committeesDesigned and implemented database program in Microsoft Access to track physician referralsUpdate payers and provider networks of changes within the PHOTrack referrals from primary care physicians to specialistsCredential providers for membership in the PHO

Filed health insurance claims for 500 plus employeesReviewed explanation of benefits from health insurance claims payer for accuracyAssisted at health insurance benefit enrollment meeting

Medical Claims Billing, Follow-up and Collections Refund insurance company and patient overpayments

Process claims for both managed care and indemnity health insurance plansQuality review random selection of provider billing to determine cost savings, track savings in Lotus program, Coordinate medical record review of provider offices for NCQA accreditationCoordinate National Pediatric Immunization Study for Denver Wrote policy and procedures for Automated Medical Review

Healthcare Business Operations, Aas, Healthcare Business Operations

Activities and Societies: Phi Theta Kappa

Healthcare Information Systems

Certificate, Accounting