Olive Jean Rose R

Worked with the provider to ensure the completion of claims in a timely manner.

Ensured deliverables while adhering to the quality standards.

Convert dosages to billable units to reduce AR days.

Identified issues, analyzed information, and provided solutions to problems.

Handled provider concerns, and escalated major issues.

Trend denial data and determined the root cause.

Coordinated with the team for mentoring and training.

Performed additional tasks, audited daily work orders, and assigned work.

• Claims Resolution Case Team - Provide Athena Collector clients with accounts receivable management services through the advanced systematic processes of remittance tracking and denials management
• Work to improve workflows
• Connecting with payers to determine a claim status, denial reason, and Follow up
• Reviewing back-end coding denials
• Seek out the most expedient path toward appropriate denial management
• Resolution of claim denials identifies and resolves trends, and works to reduce the volume.
• Resolved customer queries and problems using effective communication, and provided step-by-step solutions.
• Customised customer experiences to build brand loyalty

• Worked with the Provider
• Completion of claims to payers in a timely fashion
• Worked on claims and denials to ensure maximum reimbursement
• Compiling and Documentation
• Collaborated with team members to achieve target results
• Organized files to support efficiency and traceability
• Responsible for the closing of the patient accounts within the required TAT
• Responsible to conduct quality meetings and team hurdles