Revenue Cycle Management Consultant
CurrentRevenue management for physician practices in South Louisiana (filed claims to insurance, negotiate claim payments, resolution of denied claims, customer service with patient's regarding their insurance coverage and bills from physician, monitor payer's adherence to fee schedules).Processed and adjudicated incoming insurance claims (up to 7500/week) as a third-party payor for physicians treating uninsured patients at Our Lady of Lake Regional Medical Center family of hospitals and clinics.Built programs and queries running on SQL database. Troubleshoot coding issues on custom built software and made recommendations to contracted coder.Software implementation on client PCs and trained on how to use the software. Help desk to troubleshoot issues clients had with software. Help desk to fix and troubleshoot IT issues of internal staff.Credentialed and contracted physicians with commercial insurances, Medicare, Medicaid.
