Senior Medical Account Receivable Specialist / Team Lead
I worked at Change Healthcare, a company focus on leading independent healthcare technology industry providing data, analytics-driven solutions and services to help improve clinical, financial, and patient engagement outcomes. March 1, 2017 McKesson Corporation (NYSE MCK) and Change Healthcare Holdings, Inc., formed a new healthcare information technology company, setting an incredibly exciting course for the future. I organized Quality Assurance accounts by auditing, expertise on… Show more I worked at Change Healthcare, a company focus on leading independent healthcare technology industry providing data, analytics-driven solutions and services to help improve clinical, financial, and patient engagement outcomes. March 1, 2017 McKesson Corporation (NYSE MCK) and Change Healthcare Holdings, Inc., formed a new healthcare information technology company, setting an incredibly exciting course for the future. I organized Quality Assurance accounts by auditing, expertise on Pending claims daily, controlled on electronic claims for all government payers’ primary and secondary claims for Medicare, Medicaid, BCBS, commercial payers, handled dental claims, tracked on outstanding claims and account balances. Built from the ground up, here’s how I’d brought my daily activities to life: 1. Implemented improved tracking of patients by establishing budget plan for past due accounts as per provider policies which increased exceeding patients’ reimbursement by 15%.2. Merged office in 2017 expedited productivity from old to new system by working on pending claims, expertise in created and submitted batches after resolving claim errors by error reports with an appropriate action by all payers’ guidelines.3. Remodeled earned customer service satisfaction reward in 2018, improved patient outcomes by identifying and resolving patient billing inquiries, complains for indigent status, sliding scale, self-pay discounts and incorrect coding charges.4. Accelerated offshore teams’ work by sending Quality Assurance accounts to increase the quality work by providing directions by web meetings, developed a strategy by sending back the rebuttals with controversy comments within the deadlines. 5. Reshaped appeals method with team lengthened from 25% to 95% by using excel tracking clarifying tools and also reduced the print cost. Show less