o Partner with franchise clinics to provide complete and timely billingo Work with clinic directors to ensure accurate provider and client information o Meet with clinic directors and owners regularly o Review all claims for accuracy and submit to insurance for reimbursement o Post insurance and client payments, and work balance aging o Follow up on denied and rejected claimso Maintain each clinic’s billing system settingso Work with Contracting and Credentialing to resolve provider network issueso Field client calls and resolve billing concerns

• Primary Accounting contact for customers and customer teams• Enter contract information into billing system• Work with customer teams to maintain current record of project status to ensure accurate and timely invoicing• Monthly audit and invoicing of billable project time • Compile scheduled and ad hoc customer billing and projection reports

• Field inquiries from clients, providers, and community resources for 50+ providers• Identify and monitor payer trends, and research and resolve claim and reimbursement issues with contracted payers• Work claims and payment issues through third party vendors, upload payer files• Compile, distribute and work weekly/monthly A/R reports, and track clinic deposits• Train and coach new billing staff and Intake team• Transitioned billing team through two system changes within one year

•Epic Certifications: Resolute Professional Billing Admin, Resolute PB Insurance Follow-Up, Resolute PB Self-Pay Follow-Up, Resolute Hospital Billing with Single Billing Office•Management of professional billing Reimbursement and Pricing Contracts within Health Link•Work closely with billing office management to improve processes and implement Epic functionality•Provide support to billing office and clinic sites to troubleshoot and resolve issues in the billing system•Work with third party print vendor to maintain enterprise billing statements and letters and resolve any urgent issues that may arise•Application build and testing for system upgrades and monthly updates

•Epic Prelude certification•Payor and Plan masterfile maintenance, ranging from minor updates to existing plans to creation of new records based on contract needs or business volume•Provide support and education to various Registration, PBS and clinic site staff on Registration workflows, patient demographic and document management•Create and maintain Radar Dashboards and a variety of Reporting Workbench reports for Registration management •Maintenance of Employer masterfile, creation of new records and updates to existing•Perform application build and testing for system upgrades

•Performance coaching, training and supervision of more than 20 staff•Field patient escalated supervisor calls, Patient Resources issues, PBS staff and Supervisor inquiries, and clinic coordinator/manager requests•Payroll and staff scheduling•Answer staff inquiries regarding department and company policies and procedures•Assist in interview and hiring process•Compose and/or edit correspondence for staff and Patient Accounts Manager•Update and proof department procedures and post to UConnect•Upkeep of various statistical spreadsheets for department phone statistics, statements, etc•Patient and insurance company phone contact and written correspondence regarding account issues•Review weekly and monthly outstanding account reports for resolution•Utilization of contract summaries to determine appropriate account reimbursement•Created and maintained monthly department statistical and informational reports and lists, as well as the distribution of these•Training of new employees, and stand as a ‘go-to’ person for these and other business office personnel

•Gather information regarding licensing, certification, clinic billing codes, and other information for incoming and current UW Health providers•Close contact with department administrators and providers to follow up on any missing documentation or clarification of information•Enter detailed provider data into database and provide data to Information Services for updates to Epic billing system•Submit provider credentialing applications to various contracted insurance carriers

•Apply working knowledge of over fifty insurance and network contracts to ensure correct payments and monitor accounts for payer trends•Assist in creation and implementation of policies and procedures for newly created contracted payer department•Train new employees in department responsibilities and procedures, as well as other related areas of the business office•Compile data for department productivity statistics

•Patient and insurance company phone contact and written correspondence regarding account issues•Review weekly and monthly outstanding account reports for resolution•Utilization of contract summaries to determine appropriate account reimbursement•Created and maintained monthly department statistical and informational reports and lists, as well as the distribution of these•Training of new employees, and stand as a ‘go-to’ person for these and other business office personnel

•Work with patients and insurance companies to resolve account inquiries and balances•Review incoming correspondence and weekly/monthly reports for appropriate resolution of account balances•Training of new department employees

•Maintain confidential patient medical records including filing and recording of medical reports•Primary trainer for new department employees•Fill in for department Team Leader during extended absences and delegate responsibilities throughout department•Compile various department statistical reports•Represent department as resource for other clinical staff regarding questions and concerns about medical records policies and practices