Miles Dunn Email & Phone Number

Florida, United States

Work all levels of the claims process for multiple practice types. This includes processing claims, resolving denials, and managing accounts receivable.Manage claim load appropriation to the various accounts receivable teams. This involved ensuring that claims were assigned to the appropriate teams for processing and resolution.Monitor and review appeals for errors or additions to assist favorable adjudication. This involves reviewing appeals to identify any errors or omissions that could be corrected to improve the chances of a favorable outcome.Focus on special projects involving large numbers of appeals. This involves leading teams of professionals in the development and implementation of strategies to improve the appeal process.Complete credentialing and contracting (commercial and government facilities/insurance). This involves ensuring that all providers are properly credentialed and that all contracts with payers are in place.Onboard new providers for linking to all contracted payers and credentialing to facilities. This involves ensuring that new providers are properly onboarded and that they have access to all the resources they need to provide quality care.Complete ERA/EFT/EDI enrollments. This involves ensuring that all providers are enrolled in the appropriate electronic remittance, electronic funds transfer, and electronic data interchange systems.Manage patient relations and billing concerns/issues. This involves resolving patient issues and ensuring that all billing concerns were addressed in a timely manner.Maintain and initiate a series of audits to identify billing problems to resolve. This involves conducting audits to identify any billing problems and taking steps to resolve them.Create training material to ensure a global standard for all employees work. This involves developing training materials to ensure that all employees were using the same processes and procedures.