Jamie Calvert, Cppm, Cpb Email & Phone Number

Jamie Calvert, Cppm, Cpb is a Business Office Manager at Columbia Orthopaedic Group.

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  Business Office Manager

  Columbia Orthopaedic Group

  Jan 2022 - Present

  As a Business Office Manager in an orthopedic practice, your role is pivotal in managing and optimizing financial and administrative operations. You oversee accounts receivable, ensuring timely collection of payments by managing billing, developing payment plans, and addressing patient inquiries and disputes related to collections. Your responsibilities include providing accurate cost estimates for services and procedures by verifying patient insurance coverage and communicating potential costs to patients. You handle prior authorization requests, ensuring all necessary documentation is submitted and tracking authorization statuses, while also resolving any issues or denials. Payment posting involves accurately recording payments and adjustments, reconciling records with bank statements, and generating financial reports. In coding MRI and Durable Medical Equipment (DME) services, you review and code these services to ensure accuracy and support claims. Your role also includes overseeing the submission and review of insurance claims, tracking their status, and addressing any issues. When claims are denied, you analyze the reasons, work with insurers to resolve issues, and maintain documentation of denials and resolutions. Additionally, you prepare and submit appeals for denied or underpaid claims, gather necessary documentation, and follow up to ensure timely resolution. Administrative oversight involves supervising and training office staff, developing and implementing policies and procedures, and ensuring compliance with healthcare regulations and billing practices. Finally, you generate financial reports and analyze data to identify trends and opportunities for improvement, ensuring the office operates efficiently and effectively.