Natashya Bybee Email & Phone Number

Bend, Oregon

Maintain and utilizes reporting system to create routine reports, audits and analyze data to verify quality and data integrity. Completes daily/weekly/monthly reporting/assignments and strives for 100% accuracy. Review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations. Provide guidance and education on correct charge capture, coding and billing processes to multiple clinical departments and practices. Analysis of data and reports, monitor quality and productivity of staff ensuring essential functions are delivered timely and our key performance indicators and financial goals are achieved consistently

Manage AR aging for commercial, state, and third-party insurance plans. Payment entry of electronic remits, primary and secondary electronic claim submission. Assist patients with resolving billing and coding errors.Comprehensive knowledge of the appeals process. Responsible for maintaining and updating the organization’s insurance carrier data base. Maintain contract reimbursement rates within the electronic billing system.Served as committee member on the Employee Satisfaction and improvement in the CBO. Conducted and participated in developing work performance and work environment standards for employee job satisfaction.

Verification of patient eligibility and/or benefits. Follow up with patients and health plans for all services requiring pre-authorization. Knowledge of all health plans guidelines, benefits, and basic risk models. Identified and resolved patient, provider, insurance company concerns, requests, and problems related to referrals. Processes diagnostic, genetic lab testing, experimental procedures, unlisted CPT code procedures, and inpatient and outpatient surgeries. Provided education and customer service to providers and patients regarding the referral process.

Bachelor Of Business Administration - Bbs, Health/Health Care Administration/Management

Associate Of Science (As), Business Administration And Management, General, 3.98

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