Erica Borecki Email & Phone Number

Cleveland, Oh, Us

Cleveland, Oh, Us

Cleveland, Ohio, United States

United States

Cleveland/Akron, Ohio Area

Cleveland, Ohio

• Complete provider enrollment for EDI services such as electronic claims, remittances and electronic funds transfers.• Respond to client requests and questions to make sure satisfactory customer service.• Identify new insurance codes to be added to each database based of their need.• Completed EDI enrollment forms (both paper and electronic) bring client database up to a standard of 85% electronic submission and remittances. • Create account related reports in order to quantify potential payer issues.• Respond to client requests and questions to make sure satisfactory customer service. Investigated high accounts receivables and assisted in finding solutions to correct the billing issues. • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement. • Reviewed unidentified remittance files received from payers so that they could be released and posted to outstanding A/R.

Cleveland/Akron, Ohio Area

Middleburg Hts, Ohio

Manage and Analyze Government payer management: Analyzing open AR for Medicare, Medicaid Medicare Advantage and Managed Medicaid plans, implementing correct billing initiatives, and resolving billing issue.Manage and Analyze payer management: Including maintaining weekly Client Management meeting agendas and weekly Client Touch Point agenda’s and calls.Complete monthly Payer SWOT analysis based off of low reimbursement and/or high open A/R.Communicate payer issues and resolutions one on one with client contact as well as internally with Production teams.Assist in training new team members and assist in getting them “up to speed” on processes related to payer management. This has included a recently hired Project Analyst and a Project Manager. Manage task list for Payers, Client Service Teams, Production teams and client.Introduction into various projects including interface setup, payer claim form corrections and portal registration/access.Fulfill requests for ad hoc reporting using advanced spreadsheet functions such as pivot tables.

North Ridgeville, Ohio

Westlake

Master Of Business Administration - Mba, Health/Health Care Administration/Management

Bachelor Of Business Administration - Bba, Project Management

Certificate, Project Management

Associate Of Science - As, Business Administration And Management, General