Director Of Billing And Reimbursement
United Emergency Services, Inc
Director Billing and ReimbursementFacilitation of provider enrollment credentialing in such programs as Medicare, Medicaid, Tricare, BCBS and Managed Care Organizations.Contracting with Managed Care Organizations for higher reimbursement and group participation. Oversee collection processes and approve all discounts and write off requests received. Communicate with client hospital CEO and CFO's on a weekly basis in order to resolve billing issues affecting their patients. Created and updated billing policies for use by the billing company to effectively bill for each client hospital. Renegotiated BCBS NC contract which netted over a $400,000 increase in company revenue. Built effective and productive collaborative relationship with Per Se Technologies, Inc. billing company which increased revenue and reduced provider write offs.Led weekly finance meetings with; Spearheaded an insurance benefit renewal committee at the request of Human Resources and Senior Management for company employees. Created a Write Off Policy for distribution within the company as well as to client hospital administration outlining goals and procedures for writing off patient accounts. Significantly reduced dollars written off as well as collections of self pay accounts by overseeing and approving write offs personally.Recruiting/Staffing CoordinatorResponsible for collecting provider availability in order to schedule Emergency Department coverage. Negotiated bonuses with physicians while consistently staying under budget. Negotiate contract terms with clients and candidates Cold call potential physician candidates for placement and market to potential hospitals Maintain high degree of judgment and independent decision-making with regard to analysis of candidate credentials, skill level and subsequent referral Negotiate salary agreements and contract agreementsProvided 24 hour on call coverage for physician emergencies.