Tocoa Robinson Email & Phone Number

Remote

• Dedicated Enrollment support responsible for all enrollment cases, requests, follow up & communication • Identifies opportunities to streamline the overall enrollment process specific to assigned accounts • Oversees enrollment for add-on accounts post implementation • Audits accounts at the domain level monthly to ensure maximum enrollment for all possible payers by transaction type • Understands customer needs and setup requirements based on their account type (i.e. physician group, HS&H, RCM, lab, billing service, etc.) • Maintains up to date and accurate documentation • Trains clients on Waystar Enrollment screens and processes • in-depth knowledge and understanding of the EDI enrollment process • Clear and effective communicator with excellent verbal and written skills. • Demonstrated attention to detail and organizational skills • Ability to meet deadlines with a strong sense of urgency • Ability to prioritize multiple tasks under aggressive time constraints • Excellent troubleshooting and analytical skills • Self-motivated with the ability to multitask and work independently as well as in a team setting • Ability to effectively build and maintain professional relationship with client’s enrollment contact • Acquire in-depth knowledge and understanding of the entire enrollment process • Facilitate enrollments for new and existing clients • Track and follow-up with clients, payers and intermediaries to ensure timely completion of all EDI enrollments • Prioritize multiple tasks under aggressive time constraints • Perform other duties and /or projects as assigned by management within the area of responsibility and control

Buford, Georgia

• Maintains corporate provider contract files.• Organizes, documents and maintains contract terms, fee schedules, carve-outs and payment policies.• Responsible for general knowledge of payor rules and contract guidelines.• Continually monitor and update Medicare and other payer-specific reimbursement rules so pricing information for patients and practitioners remains accurate.• General support regarding plan participation, claim issues, contract and policy interpretation for the organization.• General support regarding reimbursement inquiries, policy and contract interpretation pertaining to new codes, procedures, equipment and/or supplies.• Periodically conduct training sessions for relevant staff to develop their understanding of insurance policies.• Proactively reports critical issues to management as it relates to patient policies or policy changes.• Tracks, maintains and documents agency requirements for credentialing providers, ensuring all providers are in compliance.• Ensures facilities and staff credentials meet government and accrediting agency standards.• Staff contact for assistance in authorization appeal resolution• Other projects as needed

Johns Creek, Georgia

• Gathers patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians' offices; retrieving information from automated printer.• Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.• Receive insurance co-pay payments and post amounts paid to patient accounts.• Schedule and confirm patient appointments, check-ups and physician referrals.• Based on the insurance verification notes cashiers calculate the patient's payment.• While checking patients out, monitors charts for balances or delinquent accounts.• Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.• Maintains patient confidence by keeping patient records information confidential

Cumming, Georgia

• Maintain atmosphere of compliance by managing all store operations to ensure that, among other things, sales transactions, customer payments and collection activities are properly performed in accordance with the Company’s operating procedures and all applicable laws• Increase store profitability through customer relationship development, community involvement, marketing, soliciting new business sources, employee training and managing all store operating expenses• Coach, lead and develop all team members to maximize their performance potential• Direct, prioritize, delegate and supervise the work of all store employees

Georgia

Associate'S Degree, Medical Insurance Specialist/Medical Biller, Honor Student

High School Diploma, Business Administration And Management, General

Health/Health Care Administration/Management, 3.9 Gpa

Education record