Lee Ann Zingg Email and Phone Number

Bill Review Manager for worker’s compensation facility, surgery, and auto liability claims.

Medical bill review for Workers Compensation claims for Wal-Mart employees. Perform bill review, compliance, and fee schedule medical bills for 15 states. Additional states assigned on an as needed basis. Extensive knowledge of medical CPT and ICD-9/10 coding. Perform monthly profit and loss, review of expenditures, and ensure cost containment for business needs. Ensure compliance of state medical fee schedules as well as policies and procedures set forth by contracted entity.

Bill Review manager for worker’s compensation facility, surgery, and auto liability claims.

Supervision/performance reviews of team of 25+ Analysts, vendor processors, and reconsideration specialist. Ensure compliance with state, federal, and insurance laws for payment of medical billings for worker’s compensation. Research bill review data, identify trends, and ensure compliance by all vendors. Ensure compliance of all software applications and communicate needed changes or recommendations. Manage state reporting team for compliance, timely, and accurate reporting. Manage Pathways rules implementation. Analyzing monthly reports to locate possible savings opportunities as well as analyze cost drivers. Coordination of PPO Network utilization as well as use of Pharmacy Benefit Management. Savings of $1.5 Million in the last fiscal year. Implement and maintain continuous improvement plans for all business areas. Work with multiple units to troubleshoot and solve problems that arise. Ad Hoc reporting to find trends, provide data, and support bill review changes.