Joshua Siebalt Email & Phone Number

San Francisco, CA, US

Oakland, California, United States

Menlo Park, California, United States

Responsible for the accuracy of insurance claims processing, supervising two claims processors.Responsible for troubleshooting claims issues with Accounting, IT, Sales and external clients to streamline and expedite medical reimbursement claims payments.Provided medical insurance claims information to Accounting to drive the production of.

Fremont, California, United States

Help monitor the temporary winter shelter in Fremont, offering a warm place for the unhoused population to sleep & get a hot meal.

Fremont, California

• Responsible for a team of 10+ follow up reps, including training, timecard approval, regular QA and mentoring
• Lead teams of reps on outsource projects for hospitals in California and New York
• Reported via weekly/monthly meeting the collections highlights for clients, reviewing high-dollar accounts and overall trends in denials and underpayments
• Assisted in creation of QA process to ensure highest quality output from employees
• Worked with fellow leaders on creating hiring guidelines as company expanded rapidly

Westwood, MA

• Responsible for team of 15+ that provided follow up and denials work for Medicare, Tricare, Veteran’s Administration, Health Safety Net (fka Free Care) and other Government payor claims in the largest for-profit.
• Produced monthly reporting focusing on accounts at risk, aging past 60 days, denial management and more.
• Utilized technology such as nThrive (fka X-Claim or Claims Manager) and AllScripts to mitigate claim rejections/denials and appeals.
• Compiled daily cash reporting for +30% of overall Steward A/R
• Helped create & refine multiple Excel spreadsheets for ongoing use in order to track ongoing issues, denial trends, associate productivity and more
• Helped oversee transition from Meditech 6.0 to Meditech 6.1 in Spring/Summer of 2018

Brookline, MA

• Managed day-to-day activity of Revenue Control (cash posting) and Billing teams, totaling 20 employees
• Responsible for all outpatient claims processing through scrubber system nThrive (fka X-Claims or Claims Manager) and all inpatient claims through home-grown system (prior to Epic transition) to ensure clean submissions
• Tracking all revenue collected via J P Morgan's Healthcare Link web software
• Created internal-use Access database to track all incoming insurance payments prior to posting
• Oversaw the transition from GE Centricity to Epic through 2014 and 2015
• Certified in Resolute Hospital Billing (RHB309) for Epic Software

Westwood, MA

• Responsible for Medicare, Harvard Pilgrim, Tufts and HSN receivables and denials for multi-hospital system, totaling 20+ employees
• Oversaw claims to ensure they were billed as clean as possible to payers and that best practices were followed
• Worked closely with front end departments & managers to ensure understanding of billing process from beginning to end
• Monthly reporting of payer performance to directors & VPs, including explaining aging increases, payer takebacks, credits and cash hits/misses
• Assisted directors in physical relocation of offices from Foxboro to Westwood for all employees, furniture & computers

Primarily responsible for Medicare & Medicaid billing, from initial submission to final adjudication and all steps in betweenWorked closely with all patient accounts reps, answering general and insurance-specific inquires and clarifying solutionsHelped develop & test reminder queue functionality out of Meditech, which increased efficiency by 20%Helped.

3rd Party self-pay support responding to patient billing inquires with insurances ranging from Medicare to Harvard Pilgrim to Mass HealthHelped resolve self-pay billing questions for patients of Harvard Vanguard, Dartmouth Hitchcock, New England Baptist and other hospital/physician groupsAt various times worked in the Medicare FISS system and WebRevs.

Dealt with end users who could not connect to their banks in order to download informationSoftware support for Quicken, helped enable users for online connectivity Web support for users to configure their connection in order to use Quicken for downloads

Education record

Studied radio and TV production, including directing, editing, camera work, and on-camera duties. Graduated with high honors and.

Education record

General courses taken aiming for an Associates degree, electives chosen were art, writing and theater courses. Finished few hours short of.