Anaisa Robles-Salas

My duties and responsibilities include but are not limited to general managerial duties and ensuring that phones are answered in a professional and courteous manner. My main responsibilities are:

• Billing Electronic and paper claims for Commercial Insurance, Medi-Cal, and HMO insurance
• Responsible for acting as a billing liaison between customers and the company, and insurance payers for assigned customer accounts.
• Answer and resolve customer queries via phone, email, and mail.
• Submit authorized claims for billing within the company's policy and service standards (24 hours preferred but no later than 48 hours).
• Review claim status for claims that are pending payment every 30 days or when a denial notice or EOB is received from the customer
• Monitoring claims for any Denials, Rejections, and Return to Provider
• Appeal for denials/ underpayment status (If Applicable)
• Accurately and efficiently document claim status and communications via HospiceMD System, phone, email, and mail.
• Maintaining clear records of payments and documenting incoming payments with attention to credibility.
• Followed up with appropriate parties to obtain prompt payments.

My duties and responsibilities include but are not limited to general managerial duties and ensuring that phones are answered in a professional and courteous manner. My main responsibilities were:

• Billing Electronic and paper claims for Commercial Insurance, Workers Comp, and Medicare.
• Receiving and sorting incoming payments with attention to credibility.
• Managing the status of accounts and balances and identifying inconsistencies.
• Ensure that all patients remain informed on their outstanding debts and copayments.
• Obtaining Worker’s Compensation Authorization for Home Health Services.
• Verifying patient’s insurance, checking in-network benefits, and informing patients of benefits before the agency opens the case.
• Billing electronic claims with 835 file forms and obtaining 837 Files for ERA’s
• Monitoring claims for any Denials, Rejections, and Return to Provider.
• Ensuring strict confidentiality of Financial Records.
• Researched and resolved billing discrepancies to enable accurate billing.

My duties and responsibilities include but are not limited to general managerial duties and ensuring that phones are answered in a professional and courteous manner. My main responsibilities were:

• To ensure personnel files were maintained in compliance with state, federal, and Joint Commission Regulations
• Billing Electronic and paper claims for Commercial insurance and Medi-Cal.
• Obtain patients authorizations for services rendered.
• Alert appropriate management team members regarding late or missing documents for data entry.
• Review submitted payroll registers for accuracy, reconcile errors, and adjust payroll drafts.
• Review time and attendance reports for accuracy and record work hours, overtime, leave deductions, raises, and other pertinent information.
• Participate in the supervision of field staff regarding punctuality, reliability, assignments, and related matters.
• Communicate with patient families on patient-related inquiries and complaints.
• Document and report to the supervising nurse when there is a change in patient status, changes in service requirement; or change in employee assigned to the case and report any unsatisfactory performance.
• Complete an intake form and route it appropriately for admission approval.
• Create new medical record charts for patients clinical records who have been admitted to the service.
• File clinical documentation in patient medical record chart weekly.
• Maintain files in locked cabinets to ensure the confidentiality of patient information per HIPAA compliance rules & regulations.