Tracy Hampton Email & Phone Number

Charlotte, Nc, Us

Charlotte, Nc, Us

Timonium, Md, Us

Work as part of a project team to assess healthcare compliance, develop policy, or develop and execute monitoring plans for healthcare providers.: Understanding of regulations, guidance regulatory

February 2017 Duties includes day to day operational management of inpatient, outpatient and related technical/hospital revenue cycle activities.Collections management manage claim denial activities and reimbursement methodologies and terms.Provide continual follow-up and denials management activities on outstanding accounts through inquiries to payers, providers, or patients to facilitate prompt resolution or payment based on departmental guidelines.Responsible for charge capture, coding, edit resolution, reporting, and collection of patient service.Manage and meets revenue cycle targets, performance metrics .Work reports related to billing, such as work-lists, to ensure claims are submitted timely and accurately based on departmental guidelinesPrepare and/or post any necessary adjustments/claim changes on accounts through the system based on performed follow-up to expedite the collection process and to ensure the accuracy of the accountConfer with payers to determine the reason for unpaid balances and to negotiate payment commitments.

Monitors the status of denials, appeals, and claim errors by using X claims work queues and conducting routine, periodic follow up on previously researched claims items; monitors, reviews, NCCI edits, overpayment and underpayment reviews resubmitting claims and suggests revisions or updates to EOB rejections, documents, and will directly handle claims processes required to secure timely payment claims by follow-up with payers’ to reflect A/R balance for revenue cycle, and resolve aging claims audits. Adds and maintains notes to an internal database for tracking and reference purposes. Acts as liaison to hospital administrative personnel to expedite file approvals. Manages files and communicates physician privilege approvals to the team for scheduling purposes

Responsible for the efficient management of all aspects of billing expert management of healthcare billing-processing, capture charges on claims, adjusting and resubmitting of claim follow up, posting payments, insurance appeals, denials review ,medical records clinical electronic billing, and troubleshooting, reviewing contracts with patients, running reports, batches, understand the information on identification cards, distinguish between Medicare and Medicaid. Review all incoming claims-related paperwork for completeness; follow up on missing information to ensure claims are forwarded for processing in a time Obtain recertification information and documentation for payers as required. Contacts references, licensing boards, medical agencies, and other industry sources to validate a candidate's credentials

Pittsburgh, Pennsylvania, Us

Executed and performed reporting/ queries and verification, created and distributed manual invoices and spreadsheets. Compiled account reconciliations and payment history assisted clients and/ or guarantor regarding issues concerning patient's Report claims adjudication and/or claims system issues to management. balances. Resolved issues regarding services that have been posted to a patient's account. Assisted patients in resolving credit balances. Responded to inquiries from various individuals. Encoded data into the systems and compiled all necessary information and recovery. unpaid claim, denials reports Met all productivity and collection goals including dollars collected and accounts handled.

Associate Of Arts And Sciences - Aas, Health/Health Care Administration/Management

Certification Credentials, Social Sciences