Rebecca Devlin Email & Phone Number

Littleton, Co, Us

Littleton, Co, Us

North Ryde, Nsw, Au

Primarily responsible for management of and relations with Medicare, Medicaid and all other payers with whom Cochlear Americas bills direct for recipient purchases. This position is responsible for establishing and maintaining good working relationships with appropriate individuals within each payer and for identifying and ensuring Cochlear is in compliance with payer requirements. In addition, this position is responsible for facilitating the set up and implementation of payer requirements into the reimbursement billing software, as well as, educating the reimbursement team on the associated updates. This position will also serve as the primary contact for Cochlear's field team to provide tools, documentation and training to use to educate our clinics and audiologists nationwide.Provider Relations and Enrollment: Work with Legal Counsel, Reimbursement Billing Services Leadership and the Executive Leadership team as necessary to resolve issues that arise with payers, including billing jurisdiction, coding disputes etc. Develop ongoing relationships with contracted payers and act as a liaison to communicatechanges and resolve outstanding order to cash issues Research provider manuals and billing requirements to ensure denials for authorization or services rendered are fully understood, appealed if applicable, and communicated throughout the department Establish and maintain a tracking system/database for enrollment requirements and maintain Cochlear in good status with all enrolled/contracted plansSupport the Ongoing Maintenance of Reimbursement Software: Responsible for coordinating with the Reimbursement Analyst to ensure Billing Software is updatedwith the following items:o Payer fee schedule updateso Prior authorization requirementso Modifier requirementso Contracted payer changes (new or termed)o HCPC code updates**Full List of Duties Upon Request**

North Ryde, Nsw, Au

Primarily responsible for management of and relations with Medicare, Medicaid and all other payers with whom Cochlear Americas bills direct for recipient purchases. This position is responsible for establishing and maintaining good working relationships with appropriate individuals within each payer and for identifying and ensuring Cochlear is in compliance with payer requirements. In addition, this position is responsible for facilitating the set up and implementation of payer requirements into the reimbursement billing software, as well as, educating the reimbursement team on the associated updates. This position will also serve as the primary contact for Cochlear's field team to provide tools, documentation and training to use to educate our clinics and audiologists nationwide.Provider Relations and Enrollment: Work with Legal Counsel, Reimbursement Billing Services Leadership and the Executive Leadership team as necessary to resolve issues that arise with payers, including billing jurisdiction, coding disputes etc. Develop ongoing relationships with contracted payers and act as a liaison to communicatechanges and resolve outstanding order to cash issues Research provider manuals and billing requirements to ensure denials for authorization or services rendered are fully understood, appealed if applicable, and communicated throughout the department Establish and maintain a tracking system/database for enrollment requirements and maintain Cochlear in good status with all enrolled/contracted plansSupport the Ongoing Maintenance of Reimbursement Software: Responsible for coordinating with the Reimbursement Analyst to ensure Billing Software is updatedwith the following items:o Payer fee schedule updateso Prior authorization requirementso Modifier requirementso Contracted payer changes (new or termed)o HCPC code updates**Full List of Duties Upon Request**

Englewood, Colorado, Us

Act as a liason between providers, health plans, hospitals and patient care facilities and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment. Responsible for all aspectsof the credentialing, re-credentialing and hospital privileging for all new and current providers who provide patient care. Maintain up to date data for each provider in credentialing databases and online systems as well as other administrative duties as assigned.

Centennial, Colorado, Us

Process Medical Staff and Allied Health Professional appointments and reappointments in compliance with Joint Commission Standards, Medical Staff Bylaws, and other regulatory agencies. Evaluates information received to determine need for Department Chair review during the processing phase of the application process. Compose replies to other hospital departments, outside facilities, and agency requests for information about Littleton Adventist Hospital practitioners’. Review and evaluate information in practitioners’ files to determine what, if any, information can be released in conformance with Colorado Peer Review Statutes. Serve as a resource for questions pertaining to the Medical Staff Bylaws, Medical Staff Structure, and Joint Commission Medical Staff Standards. Compose correspondence to ensure flow of appropriate information to other hospital departments, medical staff members, and outside facilities and agencies. Ensure that all information, including licensure, certifications, and professional liability insurance for all credentialed practitioners, meets hospital requirements and is updated and current. Prioritize multiple department tasks and projects to ensure they are completed in the required time frames. Ability to deal with multiple interruptions. Process paperwork for students, residents and fellows for educational rotations throughout Littleton Adventist Hospital. Complete the application process in the credentialing software to include: updating reappointment dates, entering DOP procedures approved by the Board, generate board approval letters, as well as voluntary resignation letters. Assist physicians and allied health professionals in completing their orientation to Littleton Adventist Hospital. Answer multi-line phone system. Order supplies for medical staff and IRB departments. Visual Cactus query and report writing

Centennial, Colorado, Us

Process Medical Staff and Allied Health Professional appointments and reappointments in compliance with Joint Commission Standards, Medical Staff Bylaws, and other regulatory agencies. Evaluates information received to determine need for Department Chair review during the processing phase of the application process. Compose replies to other hospital departments, outside facilities, and agency requests for information about Castle Rock Adventist Hospital practitioners’. Review and evaluate information in practitioners’ files to determine what, if any, information can be released in conformance with Colorado Peer Review Statutes. Serve as a resource for questions pertaining to the Medical Staff Bylaws, Medical Staff Structure, and Joint Commission Medical Staff Standards. Compose correspondence to ensure flow of appropriate information to other hospital departments, medical staff members, and outside facilities and agencies. Ensure that all information, including licensure, certifications, and professional liability insurance for all credentialed practitioners, meets hospital requirements and is updated and current. Prioritize multiple department tasks and projects to ensure they are completed in the required time frames. Ability to deal with multiple interruptions. Process paperwork for students, residents and fellows for educational rotations throughout Castle Rock Adventist Hospital. Complete the application process in the credentialing software to include: updating reappointment dates, entering DOP procedures approved by the Board, generate board approval letters, as well as voluntary resignation letters. Assist physicians and allied health professionals in completing their orientation to Castle Rock Adventist Hospital. Answer multi-line phone system. Order supplies for medical staff and IRB departments. Visual Cactus query and report writing

Centennial, Colorado, Us

In charge of Clean-up and maintenance of Centura Health Physician Group’s Cactus Database, create and run queries for a multitude of projects, data enter all new providers coming onboard with CHPG, run reports for insurance carrier audits, quality department, upper management and special projects on a daily, weekly, monthly, quarterly, semiannually and annual basis. As well as all daily personalized reporting requests.

Centennial, Colorado, Us

Process Medical Staff and Allied Health Professional appointments and reappointments in compliance with Joint Commission Standards, Medical Staff Bylaws, and other regulatory agencies. Evaluates information received to determine need for Department Chair review during the processing phase of the application process. Compose replies to other hospital departments, outside facilities, and agency requests for information about St Anthony Central Hospital practitioners’. Review and evaluate information in practitioners’ files to determine what, if any, information can be released in conformance with Colorado Peer Review Statutes. Serve as a resource for questions pertaining to the Medical Staff Bylaws, Medical Staff Structure, and Joint Commission Medical Staff Standards. Compose correspondence to ensure flow of appropriate information to other hospital departments, medical staff members, and outside facilities and agencies. Ensure that all information, including licensure, certifications, and professional liability insurance for all credentialed practitioners, meets hospital requirements and is updated and current. Prioritize multiple department tasks and projects to ensure they are completed in the required time frames. Ability to deal with multiple interruptions. Process paperwork for students, residents and fellows for educational rotations throughout St Anthony Central Hospital. Complete the application process in the credentialing software to include: updating reappointment dates, entering DOP procedures approved by the Board, generate board approval letters, as well as voluntary resignation letters. Assist physicians and allied health professionals in completing their orientation to St Anthony Central Hospital. Answer multi-line phone system. Order supplies for medical staff and IRB departments. Visual Cactus query and report writing

Centennial, Colorado, Us

Data entry of physician and allied health files, answering multi-line phone, customer service, multi-tasking, prepare reports and queries, filing, assist physicians and allied health professionals with questions regarding credentialing process, prepare weekly deposits, order supplies for medical staff and IRB departments, completed special projects as assigned, accompany physicians and allied health staff to HR to acquire badges, as well as show them how to access the physician’s lounge.

Saint Louis Park, Mn, Us

Greeting and checking patients into the clinic, insured demographic and insurance information was current, schedule follow up appointments for Family Medicine and multi-specialty departments, prepare monthly schedules for FM clinic, flex clinic, and hospital schedules for physicians to include vacation requests, super user for all new computer upgrades to include training of frontline staff and physicians, completed special projects as assigned, involved in implementation of Advanced Access, a process which created same day appointments for acute cases so patients can be seen by their own provider versus a trip to the ED or Urgent Care, Covered Urgent Care registration on a part-time basis in the evenings.

Naperville, Illinois, Us

Temporary position in the clerical field, typing, filing, data entry, answered multi-line telephone, general clerical, Trauma Services charting in a hospital, and worked in a Credentialing office in hospital systems.