Debbie Tarasiewicz Email & Phone Number

North Carolina, United States

Greater Chicago Area

Supervises Reimbursement Process from beginning to end. Assists Manager with monitoring adherence to policies and procedures, and performing audits as designated Manager. Assists with monitoring and evaluating reimbursement employee productivity and performance to goal. Assists with training new reimbursement employees and conduct ongoing training and skills assessment as necessary. Assists reimbursement staff with any day to day issues and escalating issues when necessary to the Manager. Verifies that all appropriate reimbursement paperwork has been obtained, completed and is accurate prior to billing. Assists Reimbursement Specialists with “first level” reviews/appeals. Completes all “second level” reviews/appeals to payers.Assures the timely and accurate submission of invoices to the responsible payer for services and products provided. Evaluates payments received for final resolution and application to the patient account. Assures that timely and accurate follow up activity is performed on all invoices that are not paid within 30 days of submission. Develops, monitors, coaches and manages staff, ensuring the development of employees through orientation, training establishing objectives, communication of rules, constructive discipline. Builds employee morale, motivation and loyalty and fosters a team-like environment.

Wood Dale, Il

•Ensures prompt and timely payment of submitted invoices •Follows up on invoices submitted to ensure prompt and timely payment and escalates issues as necessary •Evaluates payments/denials received for correctness and ensures they are applied appropriately •Identifies bad debt, contractual write offs and A/R adjustments in accordance with policy and procedures•Ensures that secondary bills and patient invoices are accurately generated and submitted on a timely basis•Identifies overpayments and/or duplicate payments, investigates, and resolves•Processes refund requests, in accordance with policies and procedures•Submits reconsiderations/appeals in a timely matter •Adheres to Regulatory / Payor guidelines, policies, and procedures

Downers Grove, Il

•Timely verification of medical insurance benefits •Re-verified existing patient insurance coverage •Called private insurance companies, Medicare, and Medicaid to obtain benefit information •Ensured orders were shipped in a timely manner•Evaluated and secured the needed documentations to facilitate payments of claims for initial and review/appeals payments.•Edit and resubmit claims for payment•Prepared and reviewed clean claims for submission to various insurance companies either electronically or by paper•Identified and resolved patient billing complaints•Worked closely with contracting to resolve current payer/contracting issues•Prepared daily EOB and timely filing Excel reports for managed care team• Trained new employees, team leads, and supervisors