Teresa Forquer Email & Phone Number

Conduct full desk reviews and audits for all provider types. Perform on-site field work.

Responsible for performing resolution-oriented billing and follow-up to achieve accounts receivable recovery and goals of assigned SNF receivables for 7 Skilled Nursing Facilities.Ensures reimbursement through efficient billing operations and effective accounts receivable management.Conducts pre-billing audit for accuracy of claims.Monitors aged accounts.

Performed analytical reviews and completed desk reviews of providers that receive Medicare reimbursement in accordance with Centers for Medicare and Medicaid Services (CMS) regulations and Government Auditing Standards. Prepared documented working papers, developed audit conclusions, prepared audit adjustments and final audit reports. Effectively.

Performed desk audits on provider cost reports using Medicare regulations and reimbursement principles. Completed reopening requests sent in by providers. Recommended changes where necessary to the automation procedures to help meet departmental workload goals and participated on action teams to improve work processes. Executed database queries to complete.