AURORA A. HARRISON

• Manage hospital revenue cycle functions including billing, claims follow-up, and authorizations for multiple specialties
• Review and resolve denied and underpaid claims, identifying root causes and communicating with billers
• Communicate with insurance payers (Medicare, Medicaid, Commercial plans) to verify claim status and resolve discrepancies
• Ensure accurate coding and billing practices in compliance with payer guidelines and regulations
• Collaborate with clinical, coding, and front-end staff to correct claim errors and prevent future denials
• Utilize EPIC and payer portals (Availity, Government sites, Private Insurance Portals to obtain Authorizations)
• Assist with process improvements to enhance revenue cycle efficiency and reduce claim turnaround time
• Maintain strict HIPAA compliance while handling sensitive patient and financial data

• Fully remote position.
• Gathered personal and insurance information from each patient.
• Answered 30 average daily phone calls to schedule appointments and address patient inquiries.
• Managed incoming telephone calls, took messages and directed callers to personnel.
• Communicated with patients to gather intake data and verify chart information.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Called patients to schedule Urology, Neurology & Otolaryngology appointments, consistently double-checking information and availability.

• Back-up supervisor to rehab manager, secretary and float coverage of multiple rehab clinics with multiple specialties, trained new hires, consolidated 3 outpatient rehabilitation clinics into a new Metabolic Center for Wellness converted all rehab charts to to new EMR -Epic system 2020
• Validated insurance and advised patients of benefits and coverage in Healthnet, Univera, Availity, Radmd/NIA, Medicaid, Medicare, Navinet
• Investigate unpaid claims and reviewing monthly aging reports.
• Secured pre-authorizations and pre-certifications for rehab services requiring authorization
• Called insurance companies to ascertain benefits information
• Complied with confidentiality regulations in handling customer information.
• Instructed patients on amounts covered under benefits plans in easy-to-understand terminology.
• Updated patient and insurance data into EPIC EMR System
• Scheduled and verified patients had proper insurance coverage prior to therapy or appointment scheduling.
• Handled billing related activities, coding, denials and claims focused on rehab specialties.
• Led and motivated 13 employees through supervision, training and coaching on duties and daily operational activities.
• Supervised administrative staff of 13, rehab secretaries delivering consistent coaching and mentoring to improve job efficiency.

• Admissions and Emergency Room Department Registration
• Supported hospital and clinic operations using customer service skills and detailed system knowledge.
• Coordinated insurance authorizations, collected co-payments and resolved discrepancies.
• Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
• Applied HIPAA privacy and security regulations while handling patient information.
• Obtained necessary signatures for privacy laws and consent for treatment, health, financial and religious information from patients at time of admission.
• Assembled registration paperwork and placed identification bands on patient.
• Verified demographics and insurance information to register patients in computer system.