Robbin Terrell Email & Phone Number

Lawrenceville, Ga, Us

Austerll, Ga

Interviews patients and/or their representatives to obtain complete and accurate demographic, financial and insurance information, required for billing and collecting patient accounts..• Conducts intensive screening of all Medicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility, prior to registration.• Answered complex credit and billing inquires, investigated high bills, analyzed customer credit status, quoted amount due, authorized extensions and made payment arrangements for payment of past due bills, final bills and returned checks.• Performed accounting functions related to orders, adjustments and corrections.

Greater Atlanta Area

• Contacted insurance companies to follow up on appealed claims. Held payers accountable for timely resolution on all claims sent back for reprocessing and all appeals.• Drafted written letters of appeal on various types of denied claims.• Ensured correct reimbursement rates are being paid per client contract summaries.• Referred accounts to the appropriate departments for necessary action,• Maintained appropriate and accurate system documentation with notes and standard codes.• Notified Supervisor of payer trends in denied accounts• Applied adjustments/credits to accounts as needed.• Responsible for contacting patient to obtain correct insurance information as well as verification of patient eligibility via insurance web portals/phone access.

Greater Atlanta Area

• Responsible for analyzing previous denied accounts in Allscripts/EFR and other available resources in order to determine the appropriate actions necessary to resolve denied accounts.• Medicaid /Medicare claim resolution experience, utilizing GA Web Portal MMIS and DDE.• Responsible for initiating the next billing, follow up and or collection steps, which included calling patients, insurers or employers as appropriate.• Responsible for tracking, trending, and proving the root cause analysis of denials received by payers• Responsible for Accounts Receivable for both patient and insurance accounts as well as sending appeals and adjudicating incorrectly denied claims.

Atlanta Ga

 Proactively collaborated with Providers to address their needs, concerns and priorities with regard to healthcare claims. Collaborated with all PRGX Healthcare departments to ensure adoption to program resolutions. Provided a positive Provider experience and improved satisfaction while maintaing a professional relationship that improved customer satisfaction. Responded to inquiries and escalations from providers regarding issuance of recent overpayment/underpayment demand letters, record receipts, audit processes, and resources. Maintain knowledge of all lines of business, operational, policies and procedures, client specific requirements/contracts and automated audit systems

Greater Atlanta Area

 Provided expert research and resolution to RAC Medicare claims processing errors identified during adjudication process.  Utilized SQL to produce quality reporting.  Processed inbound and outbound data files within agreed upon SLA. Delivered resolutions to various ad-hoc requests from internal departments accurately and expeditiously. Managed data file uploads and return file downloads. Ability to think creatively to quickly identify downstream impacts & workarounds to issues affecting business processes. Effectively communicated potential Medicare compliance or process issues to upper management.

Norcross, Ga

• Responsible for operations of patient business services, insurance verification and authorizations. • Responsible for resolving unpaid claims identified on aged A/R• Reviewed and responded to all billing correspondence• Appealed underpaid or denied claims within all payer guidelines.• Submitted reimbursement request to all government and commercial payers.• Entered charges accurately to ensure proper fast payment responses. • Responsible for contacting patient to obtain correct insurance information

Health Information/Medical Records Administration/Administrator

Certified Medical Assistant, Medical/Health Management And Clinical Assistant/Specialist