Alicia Towers

Hoag Memorial Hospital Presbyterian

08.2011 - Current

Collaborate with team members to achieve monthly targets, promoting a positive work environment and boosting overall productivity. Including Case Managers, Appeal Coordinators, Insurance Verification as well as Patient Access team.
Work closely with Appeal Coordinator to evaluate appeals and initiate first appeal directly to insurance as needed. Extensive knowledge of medical terminology to be able to successfully communicate with the clinical side, coding as well as the processing team on the insurance side.
Reduce outstanding debts by implementing strategic collections tactics and recognizing early Insurance trends of denials.
Streamline debt collection processes for increased efficiency in the workplace helping complete 40+ accounts daily.
Maintain accurate records of all collection activities, ensuring compliance with industry standards and regulations.
Evaluate, research and resolve missing information needed by insurances in order to resolve claims.
Proactively identify opportunities for improvements in the collections process, sharing insights and suggestions with management to support continuous growth and development.
Perform detailed account audits to identify discrepancies or inconsistencies that may have been hindering the collections process.
Research accounts and complete due diligence to resolve collection problems.
Research billing errors and discrepancies to initiate corrective action, many times making suggestions to leadership to help streamline collection process.

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