Ron Jeter Email & Phone Number

Perform all collection efforts for all accounts over a specified age or that have been directed to collections in an effective and efficient manner.• Review delinquent accounts for insurance payment versus patient responsibility, with appropriate follow-up.• Telephone patients and insurance companies to discuss delinquent accounts within the laws associated with collections.• Follow up via internet and telephone with insurance companies to inquire on the status of claims and/or payments to ensure prompt processing on overdue accounts.• Reviews, prepares and forwards all collections accounts over a specified age or have become uncollectible to the Patient Accounts Manager to process for the outside Collection Agency.• Prepares and processes accounts with credit balances for refunds.• Submit paper and/or electronic claims on a daily basis.

Researched and verified health insurance payments based upon data provided on an Aging Report.• Posted payments for health services rendered to appropriate client accounts.• Populated lists for outstanding client balances and conducted collections efforts to bring balances current.• Received client financial assessment documentation and processed applications for financial hardships.• Reviewed client accounts to determine accuracy of overpayments, posted unapplied funds to unpaid balances and forwarded accounts for reimbursement to responsible parties.

• Ensured expedient payment of hospital bills by pre-certifying/verifying patient information prior to submitting claims. • Responded to requests for information/documentation from insurance carriers. • Contacted insurance carriers or reviewed information from insurance systems to determine claim status and/or balances due on billed accounts.• Resolved problems and coordinated benefit payments for services rendered by treating physicians.• Researched and drafted appeals regarding claim denials or incompatible payments and requests rebilling of accounts as needed.

• Verified all patient medical insurance benefits and eligibility. • Met with all patients to review benefits and obtain signatures on appropriate billing forms and financial documentation. • Coordinated appointments with the receptionists and therapists as allowed by patient medical insurance policies. • Obtained and entered pertinent billing information (demographics, referrals, prescriptions, authorizations, ailments). • Tracked and Retrieved necessary authorizations, referrals and prescriptions for all patient visits. • Informed front desk personnel of patient financial responsibilities. • Assisted Billing Department staff with patient account discrepancies and allocated collected funds to proper patient accounts. • Collected and processed patient information for medical records. • Audited and reviewed patient accounts and Explanation of Benefits (EOB) to generate necessary information to negotiate settlements on outstanding balances for treatments. • Billed primary and secondary insurances for payments on patient visits. • Entered charges to be processed for billing to all private and commercial insurances.

Healthcare Management-Health Informatics

Nursing