Janae Wheeler Email and Phone Number

Organized office operations and proceduresManage emails, letters, phone calls, and other forms of correspondenceCreate and Submit invoicesPrepare and maintain employee and client recordsAnswering and direct incoming callsConduct patient intake to collect medical information and insurance detailsAssist lead supervisor with various projectsf/u with insurance companies to submit client records and claims

Answered customers questions and educated them on benefit plans to help them understand and select the best plan optionProcessed life changes, annual and open enrollment requests for health plans and benefitsCreated, escalated and research tickets for complex accounts in addition to collaborating with other departments to resolve issues and f/u with the customersUpdated and recorded employee demographics and correspondenceEncouraged self-sufficiency by assisting members in navigating company websites, cellphone apps, and toolsResolved customer inquiries and concerns; assisted with the members needs regarding benefits, eligibility, spending accounts and correspondenceDirected and rerouted calls as neededMet performance goals in the areas of efficiency, call quality, customer satisfaction, first call resolution and attendance

Collaborated with care providers, insurance companies and hospitals on behalf of patients to assist with prior auth, appointment setting, denials and appeals for radiology procedures and/or B&E ProceduresUtilized Navigate and Gmed software to post patient and insurance paymentsUtilized Converge to process insurance and patient paymentsUpdated patient demographics and correspondence as necessary using Reddson softwareOccasionally assisted previous Ceo and HR with projectsReviewed and addressed patient accounts to identify delinquent and due accounts and set reasonable payment arrangements to bring account currentGenerated billing statements to be sent to patients and maintained financial reports for upper management

Processed claims for billing at goal of 10 per hourReviewed EOBs for paymentUpdated patient/site informationInsurance verification for patients 65 years of age or olderScreened patients for health enrollment and eligibilitySend denial letters as necessaryCollected overpaymentsUtilize: Nextgen, patient plus for processingOccasional outbound calls as needed to request or follow up on missing information needed to process payments.Handled inbound calls and educated customers on health plans and assisted with processing Annual and open enrollment

Responsible for registering patients and collecting payments at check in for about 30 patients dailyCreated and prepared charts for new and existing patients accurately and neatly for clinicUtilized Practice Fusion to schedule and confirm appointments a day in advanceReceived and processed referralsCollected prior authorizations for treatments and proceduresVerified insurance coverage with Pomis and Emcleon Software to prepare for upcoming patient appointments. Familiar with Medicare, Medicaid, and private insurancesAssigned proper codes with ICD-10 and CPTUtilize: Nextgen, patient plus for payment processingAssisted in the maintenance of medical charts and/or electronic medical record, filing, Reports, and test results

Managed all collection calls and messages from collections departmentReceived/recorded customer financial and payment statusMonitored and ensured regular follow-up calls on all loan repayment agreements and analyzed all customer accountsNegotiated credit extensions, if necessary and advised customers of necessary actions/strategies for debt repaymentVerified customer loan applications for accuracy and coordinated letter of guarantees/payoffs with insurance companies and dealershipsLogged all expired insurance data into system software

Handled all account holder correspondence regarding payment follow-upNegotiated and provided payment options for delinquent/overdue accountsVerified payment agreements and collections recordsProcessed and updated all customer personal information in required computer systemsLocated customers using skip tracing tools such as Accurint, TLO, CBC and internetMet Monthly financial goal of $9500.00 in collections

Assisted Lead Teacher with maintaining a safe environment, and incorporating physical, intellectual and stimulating daily activitiesMaintained daily schedule of mealsInitiated specialized care for children 3 years of age and younger