Khris Wright Email & Phone Number

Albany, Ga, Us

• Conducted thorough verification of provider qualifications, including education, training, and certifications, to ensure compliance with industry standards and organizational requirements.• Collaborated with healthcare providers and interdepartmental teams to gather necessary documentation for credentialing and recredentialing processes.• Maintained accurate and up-to-date records of provider credentials in the company's database, ensuring timely access to information for audits and… Show more • Conducted thorough verification of provider qualifications, including education, training, and certifications, to ensure compliance with industry standards and organizational requirements.• Collaborated with healthcare providers and interdepartmental teams to gather necessary documentation for credentialing and recredentialing processes.• Maintained accurate and up-to-date records of provider credentials in the company's database, ensuring timely access to information for audits and inquiries.• Liaised with insurance companies, healthcare facilities, and government agencies to facilitate the successful enrollment of providers in various healthcare networks.• Monitored expiration dates of provider credentials and proactively initiated the renewal process to prevent lapses in provider eligibility.• Assisted in the development and implementation of credentialing policies and procedures to improve efficiency and maintain compliance with regulatory standards.• Provided exceptional customer service to providers, addressing concerns and answering questions related to credentialing status and requirements.• Utilized credentialing software and systems to streamline the credentialing process, reducing turnaround time and increasing departmental productivity. Show less

• Analyzed and processed medical claims to identify reasons for rejections at Zotec Partners.• Reviewed and interpreted Explanation of Benefits (EOB) documents to determine the accuracy of claim denials.• Collaborated with healthcare providers and insurance companies to resolve claim discrepancies and facilitate resubmission.• Utilized specialized medical billing software to update patient accounts and adjust claims according to payer requirements.• Monitored and tracked the… Show more • Analyzed and processed medical claims to identify reasons for rejections at Zotec Partners.• Reviewed and interpreted Explanation of Benefits (EOB) documents to determine the accuracy of claim denials.• Collaborated with healthcare providers and insurance companies to resolve claim discrepancies and facilitate resubmission.• Utilized specialized medical billing software to update patient accounts and adjust claims according to payer requirements.• Monitored and tracked the status of resubmitted claims to ensure timely reimbursement and closure of accounts.• Developed and maintained a comprehensive understanding of various insurance plans, coding procedures, and compliance regulations.• Provided feedback and support to the billing department to minimize future claim rejections and improve overall efficiency.• Prepared and presented detailed reports on claim rejection trends and issues to management for strategic decision-making. Show less

• Reviewed and verified the accuracy of claim payments to ensure compliance with policy guidelines.• Managed the processing of medical records and coordinated records requests to support claim resolution.• Analyzed and applied benefit pricing to claims for accurate reimbursement calculations.• Handled inbound calls from providers, addressing inquiries regarding claim recoupment and medical record processes.• Processed dental claims meticulously to confirm precision in payment… Show more • Reviewed and verified the accuracy of claim payments to ensure compliance with policy guidelines.• Managed the processing of medical records and coordinated records requests to support claim resolution.• Analyzed and applied benefit pricing to claims for accurate reimbursement calculations.• Handled inbound calls from providers, addressing inquiries regarding claim recoupment and medical record processes.• Processed dental claims meticulously to confirm precision in payment distributions.• Addressed and resolved provider inquiries utilizing the Availity system for efficient communication and service. Show less

• Coded insurance claims in alignment with physician documentation.• Streamlined patient check-in and check-out protocols.• Facilitated efficient patient throughput within the facility.• Handled diverse patient payment transactions with precision.• Liaised with insurance providers to submit claims for reimbursement.• Secured pre-authorization for patient services in compliance with insurance requirements.• Performed secure end-of-day closing operations.• Conducted… Show more • Coded insurance claims in alignment with physician documentation.• Streamlined patient check-in and check-out protocols.• Facilitated efficient patient throughput within the facility.• Handled diverse patient payment transactions with precision.• Liaised with insurance providers to submit claims for reimbursement.• Secured pre-authorization for patient services in compliance with insurance requirements.• Performed secure end-of-day closing operations.• Conducted meticulous verification of monetary receipts.• Prepared bank deposits adhering to financial security protocols.• Coordinated scheduling and follow-up of patient appointments. Show less

Provide exceptional customer service through both over-the-phone and in-person interactions, addressing patient inquiries and concerns promptly and professionally.Assist patients with questions regarding their billing statements, insurance claims, and payment options.Perform contractual adjustments as needed, adhering to hospital policies and procedures.Review Explanation of Benefits documents for accuracy and completeness, ensuring that all information is correctly reflected in the… Show more Provide exceptional customer service through both over-the-phone and in-person interactions, addressing patient inquiries and concerns promptly and professionally.Assist patients with questions regarding their billing statements, insurance claims, and payment options.Perform contractual adjustments as needed, adhering to hospital policies and procedures.Review Explanation of Benefits documents for accuracy and completeness, ensuring that all information is correctly reflected in the patient’s account.Maintain accurate patient account records and manage billing information using the hospital’s financial systemsWork closely with other departments, including the finance and insurance teams, to resolve any discrepancies or issues that may arise.Ensure all activities are conducted in compliance with relevant healthcare regulations and hospital policies.Accurately post insurance payments to patient accounts, ensuring that all transactions are processed in a timely manner. Verify the correctness of payment amounts, dates, and the corresponding patient accounts.Regularly update and confirm patient demographic information to ensure the accuracy of records. This includes verifying addresses, contact information, and other pertinent details. Facilitate the collection of in-person payments from patients. Provide receipts, answer any payment-related queries, and ensure that all transactions are correctly recorded. Show less

Business, Management, Marketing, And Related Support Services

Activities and Societies: sales/business/ marketing/ entrepreneurship College prep/ Business education

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