Robert Highley Email and Phone Number

Assist PFS with any contracted commercial and managed care payer issues.Act as a trainer/educator as needed to representative staff on healthcare contracts, policies and reimbursement.Maintain in-depth working knowledge of commercial and managed care plans to identify underpayments and rising issues that could impact compensation.Delivery and interpretation of policy and procedure changes as it relates to specific contracts.Facilitate meetings with payers and vendors in pursuit… Show more Assist PFS with any contracted commercial and managed care payer issues.Act as a trainer/educator as needed to representative staff on healthcare contracts, policies and reimbursement.Maintain in-depth working knowledge of commercial and managed care plans to identify underpayments and rising issues that could impact compensation.Delivery and interpretation of policy and procedure changes as it relates to specific contracts.Facilitate meetings with payers and vendors in pursuit of underpayments and payer issues.Track and report payer issues to PFS Management and CoxHealth Network. Show less

Responsible for working, researching and following up on accounts receivable for assigned payers and assigned clinics to insure timely reimbursement.Responsible for providing customer service to clinic personnel, insurance companies and our patients.Responsible for the supervising, training and education of representatives on assigned teams on healthcare contracts, policies and reimbursement.Maintain in-depth working knowledge of workers’ compensation contracts to identify… Show more Responsible for working, researching and following up on accounts receivable for assigned payers and assigned clinics to insure timely reimbursement.Responsible for providing customer service to clinic personnel, insurance companies and our patients.Responsible for the supervising, training and education of representatives on assigned teams on healthcare contracts, policies and reimbursement.Maintain in-depth working knowledge of workers’ compensation contracts to identify underpayments and rising issues that could impact compensation.Track and report payer issues to PFS Management and CoxHealth Network.Responsible for attending litigation and court proceedings as a representative of the healthcare facilities and provided testimony on cases on behalf of healthcare facilities. Show less