Katelyn V. Email & Phone Number

New Jersey, United States

Analyze payments and identify possible underpayments and billing trends to maximize recovery of underpaid dollars, target the root cause and provide solutions for process improvements.

California, United States

We focus on helping healthcare providers identify and recover revenue. Our team works to improve overall revenue by recovering denied and underpaid claims from commercial and government payers.- Performs analysis on large data sets to identify, quantify and finds root cause issues, denial trends, and underpayments using Microsoft Access and SQL; - Acts as a point of contract as communication coordinator to our clients, payers, and third party vendors to maintain efficiency.- Researches and reviews contractual data between hospitals and insurance companies, model claim data, and identify lost revenue;- Conducts research and analysis on current laws and regulations pertaining to payment methodology;- Creates weekly and monthly reports to track progress of accounts for internal and external clients; - Claims pricing and utilization of pricing softwares;- Performs analysis on large data sets to identify, quantify and find root cause issues, denial trends, and underpayments using Microsoft Access and SQL; - Collaborates with provider relations and payer support staff to ensure payment disputes and appeals are submitted within our contractual obligations;- Research and review contractual data between out clients and Insurance payers, model claim data, and identifies lost revenue;- Conducts research and analysis on current laws and regulations pertaining to payment methodology associated with Federal and State laws; - Creates weekly reports to track progress of Identified pursued payment disputes to ensure monitored account tracking accuracy. Skills: Skilled Multi-tasker, Critical Thinking, Myers Briggs Communication, Cash Collection, Hospital Revenue Cycle.

Hingham, Massachusetts

I recuperate monies that may have been paid to Medicare as primary in error.

Hingham, Massachusetts

I process commercial medical claims submitted via the provider or member towards the correct benefits to ensure accuracy and efficiency.

Hingham, Massachusetts

Supported Member service calls to provide reassurance on member benefits, claims, and escalated inquiries.

Plymouth, Massachusetts

Supported customer technical and billing services.