Juantanic Rogers Email and Phone Number

Worked at various long-term facilities (through health care agencies: Clipboard Health, Arbor Medical Staffing, ShiftMed and Shift Key), private homes and health systems providing quality personal care to patients in various stages of illness to promote quality of life. References available upon request.

Ensure that all invoicing for medical records, itemized bills and audit fees are handled and processed timely and accurately. Prepare reports and any ad hoc requests from Manager. Manage group emails. Work with internal departments to resolve invoicing and collection issues. Responds to accounting or billing inquiries from providers. Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate client leader, and following up with clients, when appropriate. Interact with internal staff and client to re-price audits with validation/audit findings. Participate in external operational conference calls with the client. Holds a vast knowledge of medical insurance codes and be able to assess and identify issues in audits and report them to internal auditors or representatives. Comply with HIPAA and other regulations regarding confidentiality of information.

Provided customer service as front desk staff to ensure patient and families satisfaction. Verified, edited, and entered patient data via computer. Answered phones, verified insurances, and prepared all written correspondence to patient's charts. Initiated the creation of new forms to help provide the department staff with a better understanding of correct billing procedures, which increased revenue. Informed patients of all fees regarding services rendered. Provided staff and physician support to accommodate patient care.

Assisted patients with mobility needs, including moving to and from beds, organizing wheelchairs and preparing assisting devices. Gathered dietary information, assisted with feeding, and monitored intake to help patients achieve nutritional objectives and support wellness goals. Helped patients effectively manage routine bathing, grooming and other hygiene needs. Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments. Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.

Prepare patients for the health care visit by directing and/or accompanying them to the examining room. Perform preliminary physical tests; take blood pressure, weight, and temperature; report patient history summary. Secure patient information and maintain patient confidence by completing and safeguarding medical records; completing diagnostic coding and procedure coding; keeping patient information confidential. Educate patients by providing medication and diet information and instructions, answering questions. Generate revenue by recording billing information of services rendered, completing insurance forms, and responding to insurance and other third-party inquiries. Expedited patient referrals to specialty offices, faxed medical records, answered patient and specialty office calls, and completed referral requests. Work independently and unsupervised maintaining a superior work ethic. Called insurance companies for patients to obtain benefits and precertification. Knowledgeable with CPT and ICD-9 codes.

Evaluate CMS data to assess compliance with legal standards of care and accuracy. Kept case data and contact information up to date to expedite proceedings. Conducted call audits to assess interaction quality, accuracy, and service success. Worked with Management and all Reconsideration Analyst to resolve claim errors, improve operations and provide exceptional customer service. Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately. Routed or responded to telephonic and/or written inquiries from appellants about reconsiderations or about the redeterminations process from appellants or their legally designated representatives. Worked with Medicare customers to understand requirements and provide exceptional Reconsideration Appeal service.

Built a reconsideration case file from research on evidence submitted. Received and analyzed each case to ensure it meets the requirements for a valid reconsideration request as mandated by Centers for Medicare and Medicaid Services (CMS) or other customer entities. Coordinated the delivery of re-determination files and reconsideration decisions from and to the external entities. Submitted requests for re-determination files and completed reconsideration and Administrative Law Judge (ALJ) decisions to relevant entities.Achievements: Was awarded “Extra Effort” for willingness to train my peers and help with other jobs functions. Assisted with special assignments and impacted the workplace through innovative ideas and problem solving.

Provided quality clerical support through data entry, document management, email correspondence and overseeing operation of office equipment. Reviewed and streamlined digital file systems to reduce usage errors. Optimized system uses by preparing training manual for team members covering proper clerical procedures.Achievements: Piloted new systems, conducted write-ups, formulated work instructions for CMS. Led team and management-based training explaining potential risk factors in processes. Worked alongside Attorney Manager using innovative ideas to improve hearing process for the Reconsideration team.

Gathered statistical information on patient admissions, discharges, births, deaths, and treatments administered. Created and prepared patient charts accurately for clinics and medical professionals. Kept accurate log of all requests for medical information and records. Certified that equipment and supplies were properly maintained for quality patient care and safety. Interviewed patients to obtain medical information, weight and height measurements and vital signs. Departments Trained in: Internal Medicine, OB/GYN, Orthopedics, Pain Management and Podiatry.