Managing

Full revenue cycle management activities, including: payer contracting, new intake onboarding, verification of benefits, claims coding & billing, payment posting, client invoicing & inquiries, out-of-network billing assistance, balance due follow-ups, denial appeals, researching/reporting, and regular meetings with the individual provider.

Projects

Completed past projects for group practices, community centers, and individual providers:

• transitioning practice management to a new electronic billing system

• clearing unpaid claims target goal of $100K

• doubling weekly patient payments to $11K with improved processes

• auditing significant write-off trends and creating recommended best practices (i.e. referrals & authorizations)

• developing a provider education webinar and resource guide for Medicaid billing

Consulting

Partnering with providers to evaluate their billing cycle and revenue flow. Ensuring they are accurately coding their claim bills for full service time and incorporating the right payer/client mix to achieve their monthly revenue goals. Educating providers in the requirements of specific payer contracting and strategies to maximize their revenue. Establishing best practice standards in group practices and training engagement with team to improve accuracy and efficiency.