Reynee Rainey Email & Phone Number

Responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and escalating as appropriateResolve claim processing delays from various payer products including HMO, PPO, Medicaid, Medicare, Auto and Workers’ CompensationEffectively utilize ERA payment information to identify trends and make recommendationsBe able to utilize various data sources to drive decisionsIdentify contract protection that can be leveraged when… Show more Responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and escalating as appropriateResolve claim processing delays from various payer products including HMO, PPO, Medicaid, Medicare, Auto and Workers’ CompensationEffectively utilize ERA payment information to identify trends and make recommendationsBe able to utilize various data sources to drive decisionsIdentify contract protection that can be leveraged when disputing delays in paymentWork with vendors and other organizations when needed to resolve open accounts receivableArticulate any payment delays to representatives from healthcare payer companies and government agenciesContact payer companies via phone or correspondence and initiates request for paymentEscalate Payer lack of response and/or lack of payment within Payer organization as appropriateOvercome objections that prevent payment of the claim and gain commitment for payment through concise and effective argumentIdentify problem accounts/processes/trends and escalate as appropriateUtilize effective documentation standards that support a strong historical record of actions taken on the accountIdentifies Payer trends and communicates trends to supervisor for further action/escalation Show less

Dallas/Fort Worth Area

Work each account to its conclusion - reviewing and following up payment denials, contacting insurance carriers for payment resolution, submitting insurance claims to clearing house or individual insurance companies, retracting clams, and processing write offs and adjustments for non-payable charges according to payer contract. Assisted with patient care, payment assistance department, training new employees, and billing of claims during the pandemic. Responded to inquiries from… Show more Work each account to its conclusion - reviewing and following up payment denials, contacting insurance carriers for payment resolution, submitting insurance claims to clearing house or individual insurance companies, retracting clams, and processing write offs and adjustments for non-payable charges according to payer contract. Assisted with patient care, payment assistance department, training new employees, and billing of claims during the pandemic. Responded to inquiries from insurance companies and providers. Assist the Customer Service team in taking patient phone calls. Exceeded monthly goals of $100,000.00. Negotiated settlement agreements with third parties. Follows HIPAA guidelines in handling patient information. Show less

Plano, Tx

• Work each account to its conclusion - reviewing and following up payment denials, contacting insurance carriers for payment resolution, submitting insurance claims to clearing house or individual insurance companies, retracting clams, and processing write offs and adjustments for non-payable charges according to payer contract.• For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer.• Responded to inquiries from… Show more • Work each account to its conclusion - reviewing and following up payment denials, contacting insurance carriers for payment resolution, submitting insurance claims to clearing house or individual insurance companies, retracting clams, and processing write offs and adjustments for non-payable charges according to payer contract.• For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer.• Responded to inquiries from insurance companies, patients and providers.• Assist the Customer Service team in taking patient phone calls.• Exceeded monthly goals of $100,000.00.• Negotiated settlement agreements with third parties.• Follows HIPAA guidelines in handling patient information. Show less

Irving, Tx

• Supervised misc. payor team thru authorizations and collections.• Monitored and assigned daily workload to the AR team to optimize load-balancing and revenue; evaluated AR staff members. • Trained reps. on payor preference to avoid backtracking and to increase profit through an efficient process.• Design and implement policies, protocols and systems to improve productivity and efficiency, as well as, enhance revenue acquisition.• Assured program compliance with all applicable… Show more • Supervised misc. payor team thru authorizations and collections.• Monitored and assigned daily workload to the AR team to optimize load-balancing and revenue; evaluated AR staff members. • Trained reps. on payor preference to avoid backtracking and to increase profit through an efficient process.• Design and implement policies, protocols and systems to improve productivity and efficiency, as well as, enhance revenue acquisition.• Assured program compliance with all applicable federal and state rules, regulations and laws related to healthcare billing.• Met monthly goals exceeding $1,000,000.00.• Negotiated settlement agreements with third parties. Show less

Irving, Tx

• Researched high volume of accounts in cold AR• Provided customer service in all interactions, such as when working with Patient Account Specialists, payors and center staff.• Worked each account to its conclusion - reviewing and following up payment denials, contacting insurance carriers for payment resolution, filing appeals, submitting insurance claims to clearing house or individual insurance companies, retracting clams, and processing write offs and adjustments for non-payable… Show more • Researched high volume of accounts in cold AR• Provided customer service in all interactions, such as when working with Patient Account Specialists, payors and center staff.• Worked each account to its conclusion - reviewing and following up payment denials, contacting insurance carriers for payment resolution, filing appeals, submitting insurance claims to clearing house or individual insurance companies, retracting clams, and processing write offs and adjustments for non-payable charges according to payer contract.• Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Insure claim information is complete and accurate.• Posted insurance and patient payments using medical claim billing software.• For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer.• Respond to inquiries from insurance companies, patients and providers.• Exceeded monthly goals of $150,000.00.• Follows HIPAA guidelines in handling patient information. Show less

Flower Mound, Tx

• Prepares schedule for tellers in conjunction with Branch Manager.• Facilitates one on one training sessions, evaluates employee performance within the department.• Identified performance problems and provides recommendation for action to Branch Manager and Human Resources as appropriate.• Responsible for department operating within the established guidelines, following all approved policies and procedures. Takes immediate action to resolve all compliance issues.• Facilitates… Show more • Prepares schedule for tellers in conjunction with Branch Manager.• Facilitates one on one training sessions, evaluates employee performance within the department.• Identified performance problems and provides recommendation for action to Branch Manager and Human Resources as appropriate.• Responsible for department operating within the established guidelines, following all approved policies and procedures. Takes immediate action to resolve all compliance issues.• Facilitates daily cash requirement for the credit union. Manages cash orders, shipments, and vault reconciliation.• Motivates tellers to make qualified referrals to Cash Management and Home and Holiday Loans. Show less

Flower Mound, Tx

• Provide account services to customers by receiving deposits, verifying cash and endorsements, cashing checks, accepting savings deposits and withdrawals.• Balance cash drawer daily in accordance with established policies and procedures.• Participated in branch opening/closing rotation schedule.• Assist with balancing vault and ATM as needed.

Richardson, Texas

• Filled in for absent teachers on short and long term assignments.• Instruct and motivate students in all course study.• Assign lessons and correct homework.• Maintain discipline in the classroom.• Maintain a learning center that is conducive to learning, safe, attractive and stimulating.