Jean Reiter Email & Phone Number

Greece, Ny

Rochester, New York, United States

Coordinate and work collaboratively with Central Credentialing Office, Enrollment leadership, practice managers and healthcare providers to close loop and complete provider enrollment onboarding process. Complete provider payer enrollment applications and obtain supporting documentation for submissions to approximately 20 contracted health insurance companies. Work with payer reps for follow up issues and questions regarding enrollments. Complete on site, in person, provider onboardings, so paperwork required to submit to insurance payers is signed and documentation necessary for submissions is received. Established process and workflow documentation to assist staff members on payer enrollment processServe as department Notary Public.

Rochester, New York, United States

Planned, organized and supervised day-to-day operations of a 24 member hospital billing team. Developed and formalized reference documents and workflow for 80 institutional accounts, which assisted billing for outside clients. Developed department reference documents and procedure documents, which provided staff the ability to work independently on projects and accounts. Monitored department productivity and QA for monthly productivity metric report. Maintained timekeeping and payroll in Kronos for timely payroll processing.

Rochester, New York Area

Coach, mentor, and train billing staff. Serve as lead and point person for technical support to assist billers when establishing access and utilizing payor websites such as MVP, Wellcare and Excellus. Analyze and review hospital accounts - Medicare HMOs, Medicare, and Medicaid. Research and follow up on high dollar claims over $12K. Compile and distribute weekly report to management staff for claims over $25K.Provide specific account data utilizing EPIC software system, so billers can follow up with insurers for payment. Contribute data analysis regarding variances, rate issues, and denied claims to management, which assists toward the resolution of a greater number of claims or corrections to insurer or system rates issues.

Rochester, New York Area

Research and follow up on hospital claims for four RRH facilities - Medicare and Medicare HMOs.Contact Medicare HMO payors to ensure claims are paid. Process claim disputes when necessary. Work independently as well as with other team members.

Spencerport Family Medicine

Complete daily registration process for patients in EPIC software system and verify insurance and eligibility/coverage. When necessary, utilize all independent insurance sites to verify coverage. Greet patients, providing direction. Obtain and verify documentation and required forms. Scan into patient chart or direct information to practice Medical Records staff. Enter and maintain the integrity of all patient demographic information in EPIC. Check in and out patients. Schedule future appointments. Collect and process patient payments. Complete nightly cash reconciliation in three separate systems. Research and respond to patient encounter forms subsequent to patient visit or telephone call. Address encounter with information obtained from nursing staff and physicians.

Rochester, New York Area

Coordinate day-to-day operation and workflow for Therapy Department. Services provided by 12 full time Occupational, Physical and Speech Therapists and 25 per diem therapists. Facility is 180 bed skilled nursing facility with a 23 bed Rehab unit. Liaison for Rehab Department with medical and nursing staffs, housekeeping and administration. Interacted with patients, families, and staff to develop and promote positive rehabilitative environment.Coordinated department events. Assisted and volunteered in Recreation Therapy programs and activities. In Microsoft Outlook, developed and managed therapist vacation and per diem coverage calendar. Coordinate coverage utilizing a staff of 25 per diem therapists. Schedule appropriate per diem therapists, so therapy services can be provided to meet resident needs. Compile and generate weekend per diem schedule and maintain contact information. Downloaded daily patient therapy schedule from Casamba and reformated to user friendly Excel format for nursing staff, which aided transporting patients timely and maintaining scheduled therapy appointments. Compiled and distributed daily individual Resident Therapy Schedules to individual rehab resident rooms, which helped create and foster a positive environment for therapy patients. In Excel, designed a resident document tracking spreadsheet to record and track dates when forms are distributed to respective units to maintain compliance for medical records standards. Coordinate patient information for insurance companies, so appropriate coverage can be maintained. Design department bulletin board and annual lobby display case and interact with residents and family members to foster a positive rehabilitative environment.

Rochester, Ny

Developed, supervised, and coordinated daily review of approximately 4,000 credit and debit adjustments keyed to customer accounts for the East Region. Developed billing practices and account audit review process for East Region. This standardized how customer accounts were monitored and reviewed, which benefited the customer, the customer care agent, and the financial well being of the company. Mentored and served as liaison and Subject Matter Expert (SME) to supervisors and support staff on billing processes and procedures. This allowed leadership to make more informed decisions, coach respective teams, as well as provide information for process improvements.Developed weekly excel feedback report using pivot tables. Report outlined information by East Region department and was used for coaching agents, which improved the customer experience. Served as point of contact and liaison to leadership, IT, and accounting during mergers for billing and process questions.Contributed higher level analysis to finance and regional accounting by providing specific daily trends and explanations, which assisted toward the integrity of financial month end information. Initiated and coordinated Friday 3pm break session with music and food creating team building within the department.

Rochester, Ny

Developed and conducted monthly training and review classes on billing for new hire customer contact employees. Audited Rochester Division debit and credit adjustments to customer accounts processed by 200 Division employees. During mergers, served a significant role addressing and coordinating billing process and procedure questions.

Bachelor Of Science (B.S.), Business Administration

Associate In Applied Sciences (Aas)