Senior Process Associate
CurrentDepartment: Medical Billing• Provide home health services to patients in Michigan and handle medical billing.• Manage the complete business cycle including client and patient coordination.• Process claims insurance, handle denials, conduct eligibility checks, and obtain authorizations.• Utilize portals such as Availity, TriZetto, Conex, Medicare, and Medicaid.• Participate in referrals programs from All-Script and Epic.• Follow up with hospitals for patient medical records, documents, and diagnoses.• Collaborate with doctors, clinicians, and nurses, assigning patients to clinicians and conducting follow-ups.• Conduct Mc-Bee Diagnosis review, CMS processes, and send faxes.• Manage weekly clinician payroll, agency payroll, and invoice payments.• Engage in client coordination, business development, and administrative tasks.• Manage medical patient data and maintain records in Cure Companion.• Administer Sunquest and Copath applications and participate in on-call duties (Service Now).• Manage medical patient data and maintain records in Cure Companion.• Resolve tickets in Precise Q.• Provide solutions via email and phone and address queries.• Conduct cold calling, business development, and provide customer support.
