⚘Patsy L. Email & Phone Number

United States

Working Workers Compensation Pain Relief Centers, Anaesthesia, and Surgical CentersIdentify delinquent accountsWork aging reports Performs collections - actions including contacting Bill Review Adjusters, Ins., Attorneys, etc. by telephone, email, fax. Submitting claims/Resubmissions/Reconsiderations/Appeals to the appropriate payer.Evaluates patient financial status and establishes contract payment plans. Stays informed on all current Medicare, Medicaid, and third party payer regulations and requirements. Informs management and other staff members of changes and keeps documentation current and accessible. Successfully reduces days in A/R and meets assigned goals. Responds to overflow Customer Service incoming patient phone calls. Other assigned duties as required.

Tampa/St. Petersburg, Florida Area

Working Workers Compensation Pain Relief Centers, Anaesthesia, and Surgical CentersIdentify delinquent accountsWork aging reports Performs collections - actions including contacting Bill Review Adjusters, Ins., Attorneys, etc. by telephone, email, fax. Submitting claims/Resubmissions/Reconsiderations/Appeals to the appropriate payer.Evaluates patient financial status and establishes contract payment plans. Stays informed on all current Medicare, Medicaid, and third party payer regulations and requirements. Informs management and other staff members of changes and keeps documentation current and accessible. Successfully reduces days in A/R and meets assigned goals. Responds to overflow Customer Service incoming patient phone calls. Other assigned duties as required.

Tampa/St. Petersburg, Florida Area

JOB DESCRIPTIONObtain necessary documentation to determine maximum allowable for Out of Network ReimbursementPrepare and submit clean claims to insurance companies via electronic and paper submissionsPerform data entry, collection and follow-up effortsResearch and obtain necessary information from provider/officeProvide thorough, efficient, and accurate account updates for all efforts made in an attempt to get a claim processed and fully adjudicatedContact healthcare insurance carriers to acquire claim status and resolve accounts appropriatelyReview patient information to research and resolve unpaid claims

Jacksonville, Florida

Jacksonville, Florida

Ensures the coordination of invoice activities leading to timely reimbursement.Researches and resolves denials received that have not passed payer edits and may lead to a final appeal of denied services.Determines and initiates action to resolve rejected invoices, prepares payer corrections, and/or appeals using electronic and paper processes.Oversees accounts receivable adjustments to resolve overpayments and payment rejections according to standard operating procedures.Provide payers with detailed itemization of services performed to ensure timely reimbursement. Review EOPs/EOMBs/EOBs for accuracy of patient responsibility.Assures the completion and coordination of work in an associate’s absence, or as needed to maintain departmental standards.

Tampa, Florida

Responsible for review of medical bills to ensure payment recommendation adhere to state fee schedule and/or UC, customer and contracted PPO guidelines. Able to demonstrate analytical skills.Confirm claimant and health care provider information • Confirm diagnosis between medical bills and claims data • Utilize and interpret supporting documentation attached to medical billings • Application of appropriate Fee Schedule, U&C and CPT guidelines and PPO Contracted reductions.

Tampa, Florida

As an Accounts Receivable Associate I research denials, partial payments and overpayments to reconcile customer accounts. I ensures payments received are reconciled accounts. I Create/Submit reconsiderations and SBRs for outstanding balances due, Maintain Workers Comp Accounts, Work with Bill Review and/or Adjusters to reconcile any outstanding AR issues.I Communicate with Carriers & Bill Review Companies via phone, email or mail to resolve discrepancies with billing. I run AR Aging: Review A/R aging weekly for outstanding misc. and corporate billings. I make collection calls as needed to confirm payment or status of bills.I confirm all diagnosos codes utilizing ICD-9 ICD-10 website, and providers NPI numbers through NPI Registry.I review WC medical bills to make sure they are being processed in accordance with contracted rates.

Tampa, Fl

As a Bill Review Specialist I performed data entry and investigated EOBs partial payments and/or non-payments received. I was Responsible for reviewing medical bills to process accordingly with contracted rates. I reviewed denials and submitted appeals for additional payments. I researched and assigned accurate provider facilities to incoming invoices. I ensured system data accurately reflected submitted billing information and mad any necessary corrections as needed.I assisted with appropriately assigning contracted rates to workers’ compensation patient files.Responsible for Scanning-Faxing-emailing all required documentation to special handling clients on routine weekly, biweekly, monthly schedule. I communicated with Adjusters... Insurance Carriers... and Bill Review Companies via phone/emails/fax to all special handling clients on past due invoices.I Worked closely with the Client Services/Account Managers and Billing Dept. to resolve outstanding invoices. I prepared monthly invoicing reports for special handling clients.

Tampa, Fl

Employed through Williamslea as sub-contractor for Humana’s CarePlus facility, located in Tampa FLSchedule and complete projects to meet quality standards and deadlinesProcess confidential (HIPAA) or sensitive mail in accordance with security and confidentiality regulationsPrepare weekly time sensitive and confidential overnight packages for pick up (FedEx, UPS, DHL etc.) as requiredReceive, process, package and mail out Checks, Explanation of Benefits (EOB’s), Enrollments, Legal and more with a weekly and/or daily priority deadline for each departmentMaintain logs & paperwork Complete projects to meet quality standards and deadlinesPrioritize work load to balance multiple projects and deadlinesSort and distribute incoming, outgoing and interoffice mail