Sandy Hoffman Email & Phone Number

Rochester, Minnesota, Us

Credentialing services provided for independent providers in optical and chiropratic industries.

Minneapolis, Mn, Us

Working in Revenue Cycle Management Department maintaining medical staff within the organization by verifying their credentials. It is part of the responsibility in my position to ensure that the hospital or health-care facility complies with federal and state regulations regarding licensure and certification of facilities and medical professionals. I am working as a liaison between hospital and clinic administration and the medical staff, including physicians, technicians and nurses by maintaining the data for various providers within the Allina Health organization to track the expiration of certifications and licenses. I also ensure that health-care providers update their certification or licensing on time to be able to process new applications, renewals to provide physician privileges to the facilities and for reimbursement from various third party payers.I continue and strive to have a supportive leadership role within the organization to enhance processes and create a positive attitude that helps the entire department join together to become proactive and supportive with a unique cohesive team environment that improves relations within the entire organization. It is imperative to maintain strong organizational skills that allow me to monitor and track the credentials of the medical staff within the Allina health-care facility by using various Microsoft office and healthcare software programs such as; Epic, Symed, Apply smart and Onbase. I maintain and strive to provide quality written and communication via phone, letters and e-mails to providers and administrators within and outside of the organization. My position in affiliation and credentialing allows me to work independently, analyze data and conduct research while performing various demands of the job.

Us

Work with property owners to find good tenants for their buildings. These could be single family homes & apartments. Handle the signing of leases, renewals, showings, evictions and act as a landlord for property owners.

An airline employee that attended to passengers' comfort and safety during flights

Saint Paul, Minnesota, Us

•Maintain understanding of current standards, requirements and regulations for the Centers for Medicare on ACFAOM accreditation requirements, CMS Conditions of Participation. Requirements and facilitate organization compliance with these requirements. •Educate leaders, staff, and medical staff, and other stakeholders on accreditation process and requirements. •Coordinate organization sustainability plan for ongoing readiness.-Manage information and materials primarily related to Government and Commercial payer reimbursement of diagnostic tests performed on the PADnet device. Monitor Medicare policy and incentive programs across all states, track federal policy changes and healthcare news, research private payer policies. Create and maintain training materials appropriate for sales staff. Participate in sales staff training events, covering Reimbursement and Regulatory Compliance issues. Field all sales staff questions related to billing, coding, compliance, federal policy, and Medicare policy, regulation, and incentive programs. Create, maintain and distribute resource materials for customer use. Assist customers with billing or coding inquires, and in writing appeals when necessary. Answer any relevant customer concerns, before or after product sale. Assist in the development of materials for use in requests for public and private payer policy change; perform research on PubMed and other resources, draft and edit communication, informational documents, and policy interpretation statements. Create and maintain database of journal articles on topics relevant to technology, compliance and regulatory issues. Support the Marketing Department in the development of accurate and compliant documents. Support Development team in research, correct coding and compliance. Monitor relevant listservs, message boards, and newsletters

Responsible to train and guide billing staff on standard billing practices: post insurance & patient payments, transmit claims electronically, send paper claims, file insurance appeals, print and mail all monthly patient statements, A/R reports and follow-up, coordinate affordable payment plans for patients, order office supplies, communicate and monitor medical record updates. Personally assisted and organized standard operating procedures with corporate executives within Take Care Health-Walgreens Organization during transitional outsourcing phases.

Responsible for completing EDI enrollments for all third party payers. Responsible for registration and credentialing the Take Care Health facility locations with third party payers. Assisted credentialing team on individual provider enrollment forms with Medicare and other third party payers. Responsible for spooling electronic claim files and monitoring rejections reports and created and implemented payer ANSI rules with GE Clearinghouse for automatic claim files to avoid payer rejections. Responsible for assigning billing staff to all payer billing work and rejection queues. Patient Account Representative: Responsible for medical billing & collections for out of state Take Care Clinic offices located in multiple states. Entered daily charges, worked all claim rejections, filed appeals, processed necessary patient and insurance refunds, posted insurance and patient payments, ran weekly and monthly reports for financials, send patient statements, make monthly collection calls, send patient accounts to collections as well as post collection charges and contact and receive patient concerns via mail and phone.

Englewood, Co, Us

Primarily Responsible for Patient Financial Services, Government A/R Management & Billing directing, coordinating and planning of staff for government payers to ensure efficient and proper billing, account follow-up, account collections, reconciliation of patient accounts and other associated treasury functions. Collaboratively worked with Care Management, Health Information Management, Ancillary/ Clinical departments to resolve billing issues and ensure compliance with CMS billing guidelines. Adhereance to internal controls for applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans. Responsible for accurate and timely administration of uncompensated care and bad debt programs.The position required knowledge of medical coding, related medical terminology, the use of medical records, billing claim forms, and federal and state regulations concerning the use of medical records and medical billing; extensive knowledge of Medicare Recovery Audit Contractor (RAC) processes and Medicaid Integrity Contractor (MIC) processes; knowledge of industry standards and practices related to billing and account receivable management and implementing such standards and practices to ensure compliance with all regulatory requirements. Required supervisory skills for accepting responsibility, making decisions, directing, delegating and work flow and processes with adherance to Electronic Billing requirements.

Duluth, Mn, Us

Rochester, Minnesota, Us

Phoenix, Arizona, Us

Inpatient and outpatient billing specialist

Associate Of Arts And Sciences (A.A.S.), Business, Management, Marketing, And Related Support Services

Medical Secretary, Medical Administrative/Executive Assistant And Medical Secretary

Associates