April Neufeld

Working in Athena/CPS review patient accounts with credit balances. Determine if a true credit or incorrect adjustment. Correct account as determined from researching EOBS and reviewing payment information obtained from waystar.

• Coordinates daily deposit spreadsheet with Revenue Cycle Supervisor, Controller and payment posting vendor to ensure all the revenue cycle payments received by TUCC are posted and reconciled in a timely manner.
• Work all front-end edits within Encoda in order to submit a clean claim to the insurance carrier.
• Work closely with the coding team to develop strong edits within Encoda to increase clean claim rate.
• Generate evidence-based appeals to insurance carriers as needed.
• Follow-up with all outstanding AR projects as directed by management.
• Provide feedback loop to management if there are coding or insurance carrier issues.
• Utilize payer portals and place phone calls to carriers as needed.
• Relay policy changes to the team as payers’ release updates.

• Payment posting for Apex Paramedics, Arvada Fire Protection District and Denver Health Paramedics.
• Medicare, Medicaid, Lockbox payments and Commercial EFT’s using Rescue Net billing system.
• Obtain missing EOB’s through Availity and other payor websites.

• Processes guarantor refunds on EMS credit accounts created by guarantor overpayment.
• Processes insurance company refunds on EMS credit accounts created by overpayments from insurance companies.
• Efficiently reviews follow up workflows to locate missing payment details.
• Accurately post and reconcile refund payments to patients and insurance companies.
• Self-manages daily workload to make sure timely filing statuses are being met.

• Establish and maintain accurate work queues and other work distributions to achieve optimal performance and process flow to ensure reconciliation of monies posted.
• Work with insurance company provider representatives and accounts receivable management to resolve issues.
• Audit accounts make necessary corrections.
• A/R Follow-up Workers Compensation and Colorado Medicaid.
• Payment posting for physician billing in Onbase and Epic.

• Daily Deposit balancing of 40 clinics and 2 practice management systems.
• Direct and monitor activity of payment posting and refund staff with responsibility of multi-million-dollar receipts processed through lockbox and wire transfers.
• Establish and maintain accurate work queues and other work distributions to achieve optimal performance and process flow.
• Process refunds for personal and insurance across the 40 clinics on a weekly basis.