Jennifer Beatty Email & Phone Number

 Effectively research practitioner, facility and client data in systems as they relate to incoming billing issues. Ensure timely and accurate repricing of claims issues.  Review issue notes on claim and complete research of facility and practitioner claims Ensure all repricing activities are accurate according to policy prior to reprocessing Investigate practitioner and hospital claim appeals for increased payment and reimbursement to determine whether allowed payment was appropriate. Review and understand all information on the HCFA/CMS, UB92 and the explanation of benefits (EOB) forms by following specific guidelines and procedures and having a strong understanding of CPT, ICD9, Revenue codes and DRG coding. Reprice claims with complex facility rate and practitioner contracts

 Reviewed Practitioner applications to make sure they were complete. When applications were determined to be incomplete, would completed forms and return application to appropriate office