Doris Walker Email & Phone Number

Nashville, Tn, Us

Nashville, Tn, Us

Tuscaloosa, Alabama, Us

• Specific area of responsibilities include revenue cycle training, registration, credentialing, claims management, patient insurance, data processing, integrity of patient accounts, accounts receivable management, practice management system file management, and third party revenue cycle vendors. • Oversee the operations of the billing department, encompassing medical billing, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. • Ensure that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol and are following Federal, State, and payor regulations. • Responsible for provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. • Monitors aged accounts and verifies appropriate collections procedures are being followed. • Manages revenue cycle projects at the practice level, such as audits and budgets. • Analyzes claims, utilizations, and medical cost data, regularly provides senior management with Billing/Revenue Cycle status including reports and metrics. • Epic trained-EHR Support Analysis, Revenue Cycle Analysis • FQHC Billing

Boston, Ma, Us

Boston, Ma, Us

Boston, Ma, Us

Smyrna, Tennessee, Us

Smyrna, Tennessee, Us

• Interviewing and hiring staff for a newly formed Billing Department.• Training new staff on the billing practices for the practice and ensuring that industry standards are followed. • Setting up and correcting insurance information in the Clearinghouse.• Created policies and procedures for Billing staff and Front Office staff, training on the new and old procedures, and implementing changes.• Posting insurance payments and training staff to post insurance and patient (self-pay) payments.• Performing employee reviews and giving feedback on a regular basis.• Meeting with Provider Reps for credentialing to ensure proper payment of claims, discussing contractual issues and disputes, and setting up new offices and providers with insurance companies.• Credentialing new providers and re-credentialing providers to ensure proper payment of services performed.• Insurance Accounts Receivables follow-up, training staff to follow up effectively and efficiently. Created scripts with probing questions when following up on claims.• Running reports for insurance trends, issues, denials, and other contractual concerns.• Working with Office Managers streamlining billing processes to ensure prompt payment.• Working rejections from clearinghouse to ensure timely payment.• Meeting with providers to discuss coding, documentation, and other issues to ensure prompt payment, ethically.• Evaluating the Front Office staff of a multiple location practice, consolidating their policies into a new company policy on scheduling, checking in, and checking out patients.• Setting office up on insurance company website and giving employees access.

La Vergne, Tennessee, Us

• Manage functions pertaining to developing metrics and reporting to facilitate and drive the Special Handling Portfolio • Keep an accurate record of client accounts and outstanding balances. • Support Hi-Touch and Hi-Touch Delivery partners. • Partner with internal business partners to streamline processes that will minimize risk in the Special Handling portfolio. • Utilize accounting software to identify outstanding accounts. • Develop and publish operational effectiveness metrics.

Training new hires in the departmentWorking A/R and collections with Medicare, Commercial, and Self Pay Patients.Following up on insurance claims and denials, also submitting reconsiderations and appeals to insurance companies based on contractual obligations.Self-Pay Patients- sending statements, follow up calls, and making payment plans.Making needed adjustments to match contractual obligations.Setting up provider profiles in payer databasesUpdating and correcting credentialing issues to insure proper adjudication of claims.Working on payer issues with provider representatives

Working A/R and collections with Medicare, Commercial, and Self Pay Patients. Following up on insurance claims and denials, also submitting reconsiderations and appeals to insurance companies based on contractual obligations. Third Party Collection. Self Pay Patients- sending statements, follow up calls, making payment plans, and sending to outside collection agencies if needed. Training newly hired Accounts Receivable Reps.

Answering provider calls in reference to eligibility, claim status, authorizations, & referrals. Submitting request to appropriate departments to have claims reprocessed correctly and advising providers on denials and the reasons. Training new employees.

Working collections with self pay patients. Collections with Work Comp insurance companies –calling to inquire the status of claims, making needed corrections, and resubmitting claims. Processing refunds and overpayments. Working Third Party Collections.

Bachelors Of Science, Business Administration And Management, General

Speech-Language Pathology/Pathologist