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Elaine C. Davis

Expertise In: Hospitalist Billing

Name : Elaine C. Davis
Experience : 10
Specialty : Hospitalist Billing
Location : Edgewood,MD
Description :

Elaine C. Davis has ten years experience in medical billing. She seeks to attain a position where her education and enthusiasm will be effectively utilized by the organization.

Skills:

  • Medical Terminology
  • Xifin Billing System
  • ICD-9 CM & CPT Codes
  • HCPCS
  • Operation Diagnosis
  • A/R Follow Up Medical Billing
  • Insurance Verification
  • Insurance Billing
  • Insurance Appeals
  • Appointment Setting Medisoft
  • Medical Records
  • HIPAA
  • Collections
  • Data Entry
  • Proficient with Word, Excel, Outlook & Internet Explorer & Mozilla Firefox Browsers


Experience:

  • Analyze data and input information into computerized account management systems.
  • Work with a variety of insurance plans and handle corresponding forms.
  • Proficiently use computer operating systems to run reports, schedule appointments, input billing information, and electronically file claims.
  • Examine employee time sheets to monitor arrival and departure times.
  • Review billing for accuracy and audit discrepancies to submit for final review.
  • Provide resolution to customer complaints relating to service.         
  • Ensure quality of service by adhering to company operational standards.
  • Oversee a staff of employees and assure compliance with company standards.
  • Assist with customer retention by handling escalation calls and resolving issues.
  • Hire, train, evaluate, and discipline employees and complete employee payroll.
  • Coordinate company designated projects and oversee a team of  up to 12
  • Determine time frame and procedures for accomplishing projects.
  • Communicate with project personnel to provide technical advice and resolve problems.
  • Resolve billing or service complaints and refer grievances to designated department.
  • Determine charge for service requested and attempt to collect payment as directed by management.
  • Enter new patient information into database
  • Scan all documents pertaining to case into account
  • Be sure all documents needed to process Medical Assistance are received before deadline
  • Appeal any cases not processed accurately or in a timely manner
  • Identify missing medical information from correspondence and other related documents.
  • Work simultaneously between multiple eligibility databases to obtain current insurance billing information, eligibility, demographic and other pertinent information.
  • Enter missing medical information into the Billing System.
  • Provide feedback regarding new or additional insurance billing findings to the team to ensure timely processing of claims.
  • Partner with team members to improve the capture of missing information so as to ensure increased efficiencies in the Error Processing Process.
  • Provide high level of quality customer service to all internal and external clients in need of un-billable billing guidance.
  • Partner with team members to identify problem carriers & accounts.
  • Maintain required levels of performance and quality as determined by management.
  • Maintain complete understanding of the Un-billable Operational processes.
  • Adhere to company policies, including attendance and punctuality.
  • Adhere to confidentiality (HIPAA) rules and regulations.
  • Create reports and documents to streamline work processes
  • Perform quality control checks on work completed by team.
  • Distribute daily work and confirm completion.
  • Set up new accounts and prep for claim submission.
  • Oversee and negotiate contracts with clients


Qualifications:

  • Medical Billing & Coding
  • Health Information Technology
  • Professional Coding Practice Medical Records and Documentation
  • Healthcare Delivery & Insurance Management
  • Healthcare Reimbursement and Legal Issues