Shaina Logan Email & Phone Number

Humble, Tx, Us

Katy, Texas, United States

Referrals, Authorizations and Rx Prior Authorizations

United States

Triage, room and update medical history of visiting patients. Perform in-house laboratory testing, call in diagnostic exams, request prior authorization of prescriptions, administer injections and address patient inquiries.

Beaumont, Texas, United States

Receive inbound calls for various local and national businesses.Triage calls to acquire adequate information from callers to leave messages for respective companies or On Call personnel.Annotate calls accordingly and dispatch calls/messages using specific account instructions.Follow up on calls/messages not dispatched or acknowledged within 10 minutes of call to ensure delivery of messages.

Knowledgeable of Front and Back Office procedures. Able to collect and save patient demographic and insurance information into the E-Clinical system.Verify insurance eligibility using Experian OneSource and Availity.Schedule and reschedule appointments.Manage patient/office calls, assign patient requests to appropriate medical staff.Monitor, distribute and save incoming faxes to medical staff and patient charts.Collect, process and post patient copay payments.Knowledge of ICD-10, CPT 4 codes and modifiers. Knowledgeable and experienced in medical claims process from data entry of patient demographic and service rendered information to collections of paid/denied/appealed claims.Experienced in the Revenue Cycle process, payment posting, balancing accounts receivables and reconciliation of accounts for accurate and timely close of month end.

Houston, Texas

Review, interpret, and post payments, denials, zero pay claims and recoups on EOBs and ERAs.Match Accounts Receivable/Accounts Payable reports at end of month close.Audit account credits to determine refund of insurance or patient overpayments.

Houston, Texas

Conduct audits of provider accounts to ensure accuracy of A/R anticipated, received & applied to patient accounts. Correct posting errors and misapplied payments.

Houston, Texas

Completed billing of secondary claims to multiple payers and financial assistance programs, collections on unpaid claims, audits of high patient balances, audits of outdated accounts with large insurance balances.

Houston, Texas

Completed daily follow up on outstanding, unpaid infusion claims by checking claim status via IVR, live representative and payer portals.

Houston, Texas

Billed Medicaid Home Health, Skilled Nursing and Occupational Therapy claims, completed provider registration with respective MAC. Prepared and shipped seminar materials for Home Health and Hospice Billing seminars.

Beaumont, Texas, United States

Receive and post payments of student tuition balances, cash management, assist Supervisor with other duties as assigned.