Latoya Fuller Email & Phone Number

Charlotte, Nc, Us

Davidson, North Carolina, United States

Davidson, North Carolina, United States

Davidson, Nc

Charlotte, North Carolina

Charlotte, Nc

Accurate and timely follow-up on physician claims filed to Medicare & Medicare Advantage plansDetecting patterns in claim payment delays, including error and denial tracking; Creating and executing plans for resolution Verification of insurance eligibility and claims tracking via Palmetto GBA’s Online Provider System, Navicure, NHXS, Healthtrio, and various other payer websitesMaintain a working knowledge of CPT, HCPCS, and ICD-9 terminology Maintain a current knowledge of Medicare & CMS policies & reimbursement guidelinesCommunicate issues and trends to Billing Dept. supervisor; also maintain a rapport with representatives in various departments including Credentialing, Coding, and Front Desk personnel

Maintain accurate and timely follow-up on physician claims filed to Medicare & Medicare Advantage plansDetecting patterns in delays in claim payments, including error and denial tracking; Creating and executing plans for resolution Verification of insurance eligibility and claims tracking via Palmetto GBA’s Online Provider System, Payerlink, Blue-E, and various other payer websitesMaintain a working knowledge of CPT, HCPCS, and ICD-9 terminology and billing for the purpose of claim correction and filingEstablish and maintain rapport with coworkers, management team, and physician sites in order to ensure efficient claims follow-up

Maintain accurate and timely collection and posting of patient account paymentsFacilitate collaborative team meeting minutes with accurate data entry/record keeping to determine patient eligibility for skilled service provisionThorough patient pre-admission insurance verification and ongoing verification of benefits to ensure maximum reimbursementVerification of Medicare benefits via E-SolutionsRenegotiate customer payment terms, improving cash flow and profitabilitySupport Admissions and Marketing departments respectively via ProviderLink, Proficient, and AllScripts and handling facility tours

Electronic claims processing and correctionOnline insurance verification via various carrier websitesClaim management thru the use of claim systems such as RealMed, Halley Detecting billing and payment errors, implemented plans for resolution

Insurance carrier and patient billing via the MediSoft and PayerpathEntered insurance payments; processed and appealed insurance denialsKeyed charges to be billed utililizing current CPT, ICD-9, and HCPCS guidelines and terminology

Verified patient demographic, insurance, via the hospital dial-up (IDX system) Responsible for detecting billing and payment errors, and developing & executing plans for resolution