Ashley McKnight

● Oversee the daily activities of each biller

● Assign daily billing to team and assign billing projects as needed
● Train billers on initial, secondary and tertiary billing via platform
● Review and correct rejections via clearing houses
● Communicate with Organizations on new billing guidelines and resubmission of claims
● Submit corrected claims via portal for specified payors
● Maintain accurate notes and feedback in CRM regarding Organization input

● Proactively engage and communicate with organization to ensure billing is properly reported and provider feedback is strategized .
● Review common billing errors made by team such as missing DX code, NPI, modifiers etc

● Ensure all billing is completed by the end of each work day

● Oversee the daily activities of the front office area to ensure department
standards are met
● Schedule weekly route deliveries
● Collaborate with back-office qualification teams to facilitate timely
processing of orders
● Communicate with Sales team to obtain complete and accurate
documentation based on payor and other regulatory requirements
● Collect payment and billing information as needed
● Maintain office inventory and/or office supplies
● Review incoming faxed orders and determine action to be taken.
● Answer incoming patient and referral source calls received at the local
branch related to new orders, and ongoing patient service needs e.g.,
troubleshooting, order status and other general inquiries
● Maintain thorough operational knowledge of the appropriate
Credentialing Policies & Procedures

 Communicate with patient and families regarding health-related issues
 Coordinate daily schedules for all teams
 Establishes, maintained and closed patient charts in an orderly matter.
 Handles all patient care data entry and performs receptionist duties as required
 View medical records for delinquent accounts
 Evaluate and analyze all admissions
 Order HME items and schedule deliveries
 Complete monthly education to support and promote new policies and
objectives.

● Contact insurance companies to resolve unpaid claims
● Forward rejected claims for further review when needed
● Gather information and communicate disposition of case
● Mail, print and fax claims and medical records to insurance providers
● Process corrected claims thru Medicare DDE system
● Interpret medical policy guidelines
● View EDI transactions and ERA files
● Make follow-up calls using client aging report
● Run A/R reports to track all cases in appeal for performance measurement and
outcomes purposes
● Notate all payments made to facility
● Sign, fax and document agreements per facility

 Managed a team of 8 billers
 Attempt to collect payment on past due bills
 Setup payment arrangements with the payer
 Made outbound calls to insurance companies in regard to medical claims
 Open and make contact on correspondence through mail
 Processed and documented payments as they are received

 Created daily payment reports for team

 Checked billing status on payor portals

Made payment adjustments and established files for payor audits.