Yvette Sparrow Email & Phone Number

850 Southampton Avenue, Norfolk, Va 23510

905 Redgate Avenue, Norfolk, Va 23507

Responsible for ensuring hospital chargemaster accuracy and compliance. Review, code, approve and implement additions/modifications to the charge description master. Maintain knowledge on current guidelines, regulations and reimbursement methodologies for key payers with regard to all hospital services. Analyze and define system integration data sets for optimum usage of system software in all charge related aspects of the revenue cycle. Assess and resolve system edits, manual adjustments, rejects and denials in the billing and follow-up department by enacting modifications to the charge description master and/or payer bill code. Use report processor to create various reports as needed upon request. Manage audit and compliance staff.

905 Redgate Avenue, Norfolk, Va 23507

Maintain hospital reimbursement module to ensure accurate revenue projection and carrier compliance with contracted rates utilizing knowledge of contract language, reimbursement methodologies and system integration. Produce and analyze monthly reports to identify revenue recovery opportunities and initiate claims appeals. Create and maintain record of revenue recovery accounts reflecting expected reimbursement and collection amounts. Provide charge and reimbursement analysis to hospital departments using knowledge of the hospital patient management report processor. Review and evaluate new charges from hospital departments for coding and compliance, assist in facilitating the hospital’s annual chargemaster review and implement resulting system modifications. Supervise Contract Specialist staff.

4417 Corporation Lane, Virginia Beach, Va 23462

Supervise claims research team and uphold accountability of established standards. Responsible for the internal processes required to resolve claims issues identified by providers or as a result of internal audit findings. Analyze and maintain reports used to measure, monitor and manage claims research projects. Assist in the development, implementation, maintenance and improvement of automated technologies, processes and policies and procedures. Serve as a liaison between Medical Care Management, Process Management Team and Provider Relations to identify opportunities in education, contract negotiations and the management of provider’s expectations. Use understanding of information systems, compensation techniques, procedural coding, processing policies and analytical principles to monitor and investigate identified claims problems.

4417 Corporation Lane, Virginia Beach, Va 23462

Plan and implement hospital, ancillary and physician contracts utilizing knowledge of contract language, system integration and reimbursement methodologies. Recommend and implement system modifications to support new products, provider contracts, procedural coding and policies and procedures relating to provider/vendor reimbursement and benefit issues. Define and test integration of modifications to base files to ensure accuracy of claims processing. Maintain accurate benefit, provider/vendor, CPT code, HCPCS code, revenue code and reimbursement information requiring proficiency and technical understanding of claims processing system. Provide service and support by conducting research and resolving areas of concern.

4417 Corporation Lane, Virginia Beach, Va 23462

Effective collection and accurate posting of employer group insurance premium payments. Implement and maintain accurate group benefits and membership information in order to assure claims are processed correctly. Reconcile group accounts to ascertain accuracy of payments and adjustments requiring proficient use of spreadsheet software. Interact with employer groups, including site visits, to ensure customer satisfaction in all aspects of the Account Services function.

Resolute Professional Billing Administrator, Epic Systems Applications Administrator

Cpc-H, Certified Professional Coder - Hospital