Shelly Daugherty Email and Phone Number

Neonatal Registration/ Billing

UCCB COLLECTIONS

Greet guests upon arrivalAssist servers with their assigned sectionsDisplaying customer service throughout the establishmentClosing duties at end of shiftAccommodating guests with party needs

Recruit, select and train/develop associates as well as conduct on-board orientationWork with the Store Manager and Assistant Managers to develop the hiring, training, and retention strategy. Strive for maximum staffing levels and minimal turnoverMaintain required store staffing numbersAssist team members in delivering guest service, product knowledge and selling skills trainingProvide feedback to management regarding the performance and development of team membersEnsure WOTC compliance is 100% for all hires, as well as adherence to state/federal regulatory employment requirements-e.g. I-9 compliance, work permits and payroll practice

Answering of incoming phone linesPrecerting all procedure for medical/dental surgery'sPreparing predeterminations for upcoming dental surgery'sBilling of all medical/dental servicesFollow up on claims Dictations/letters to insurance company's for services preformedBalancing of all payments received from co paysHandling of all nurse calls/calling in prescriptions

Scheduling of all tests the hospital performsInstructed patients of test preparations/do's & don'tOutbound calls for incoming faxes Pre-register patients for upcoming testsReading of test results to determine insurance billingKnowledge of CPT/ICD9 codes

Scheduling of radiation patients and chemotherapy treatment Scheduling of regular doctor appointmentsDaily patient contact

/ASSIGNED TO THE PROFESSIONAL TEAMSWorking with patients and insurance companies to ensure coverage and any necessary precertification.Offering solutions that are satisfactory to the company and patientSetting up appointments for trauma and non-trauma patientsAuthorizing P.T. visits beyond amount allowed

Handling everyday patient contactResponsible for setting up in-service training for staffAssist with back office procedures

Worked as a Provider Relations RepresentativeWorked directly with office staff in regards to any office concerns with referrals, claims, authorizations or prescriptionsPerformed on site visits with newly opened office sitesResponded to telephone inquiries from members, providers and employers groups regarding healthcare benefitsProvided education to customers about ChoiceCare/Humana products, benefits, eligibility issues and policies and proceduresActed as a back up for employer support services on a daily basis and assisted in processing of enrollment formsWorked with broker managers to resolve billing and claim issuesManually made changes in the healthcare data base to provider's demographicsSet up and educated providers on the ChoiceCare/Humana website