Brooke Hunter-Smith

• Accurately and appropriately analyze complex medical bills and verify payment recommendations
  based on claim history, medical notes, usual and customary rates (UCR), statutory regulations
  including state laws and fee schedules, available MPN/PPO contracts, coding guidelines, client
  instructions, and company policies and procedures.
• Apply fee agreements/contract rates per client protocols; verify correct application of system automated rates.
• Support indexing department where needed.
• Assist in Quality Assurance as back-up role.
• Maintain 99.5% accuracy and exceed production goals

• Validation of medical bills per fee schedule/UCR guidelines.
• Application of contract rates/fee agreements

Review worker's compensation bills and validate correct payment per statutory regulations, apply PPO discounts, fee/client agreements.