Michelle Bright Email & Phone Number

Atlanta, Georgia, United States

Accounts receivables for five facilities for Government payers, traditional and managed care plans.Monthly operational denial meetings for individual facilitiesPayer meetings with staff to identify and manage claims issuesReview and update WHS policy and procedures, and job aidsSchedule training for staff according to payerManage a follow-up team of thirteen persons

Track and trend Medicaid/CMO denials for a five facility organization Operational monthly denial meetingsEvaluate and update the policy and procedures, and processes according to Georgia Medicaid regulationsEscalate claims and policy issues with affiliates of Georgia Health Partnership and Department of CommunityHealth

Support and assistance to Georgia Medicaid hospitals throughout the state of Georgia with claims and Medicaidpolicy, as well as to the Department of Community Health Services and their affiliatesConduct on-site visits with hospital providersResolve escalations from the provider inquiry call center and Contact UsIdentify, produce and provide training in specific areas, including the Medicaid web portal and overviews of theGeorgia Medicaid policyEvaluate all operational protocol for hospital claims for improvements

Greater Atlanta Area

Manage AR for three hospitals by age trail balance reports (ATB) and Georgia Medicaid RemittancesMaintain AR daysReviewed an average of 79 accounts per day (standard 45)Liaison for agencies

Responsible for staff of two/three peopleMaintain monthly goals and reportingManaged AR for hospitals by ATB and remittance advicesLiaison for agencies

Conducted bed side interviews for Medicaid eligibilityMedicaid interviews with the Department of Family and Children ServicesMaintained monthly goal of complete/approved cases of 60 or better

Initial billing of hospital Medicaid claimsEvaluated denials making appropriate corrections to obtain Medicaid payment

Master Of Business Administration (Mba)

Bachelor Of Arts (Ba), Organizational Management And Leadership

Associates Of Science, Business Adminstration