Chavanette Allen

• Working knowledge of various billing processes and the ability to support answering team questions and training up team members.
• Works closely with leadership to review reports, scrub inventory and escalate identified denial payor trends and training opportunities.
• Skillset to work across multiple markets and systems to provide inventory coverage.
• Proficient in building upon skills in a fast-paced environment and adaptable to change.
• Bill primary claims appropriately completing the billing requirements via electronic submission or paper claims including any attachment of required documentation.
• Properly submit claims to secondary and tertiary insurance companies with the appropriate Explanation of Benefits (EOB) attachments, if applicable.
• Complete subsequent billing to third party payors to include rebills, secondary billing and/or special billing.
• Fulfill paper billing payer requirements with submitting itemized statements, medical records, and any required forms to process the claim.
• Review billing editor for all edits on UB04 and 1500 claim forms types related to charges, coding and patient information prior to billing to minimize underpayment, denials, and re-bill attempts.
• Responsible for verifying correct insurance information is loaded into demographics using VI, account notes and related accounts as resources.
• Responsible for routing accounts with needed updates for valid billing to the appropriate department or contact utilizing the workflow process.
• Review the editor and/or control ID for all unbilled accounts and/or rebill requests. Bill all late charges with proper billing codes, per Late Charge Workflow.
• Notate accounts with proper activity codes for workflow back to the facilities for review of unclean claims or to the appropriate department for next steps of claim workflow.
• Reviewing rejected claims to determine the cause and what the next appropriate steps are to resolve utilizing our available resources. Responsible for calling insurance company if rejection is unclear to determine next step needed for billing.
• Expectation to complete all assigned inventory daily provided by leadership and maintaining inventory goals.
• Maintain and abides by all billing policies and procedures, objectives, quality assurance programs and safety & compliance standards.

Performance review process by writing and delivering performance and pay messages Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer service Tracks 200 employees interactions per hour for auditing, reporting and training purposes Evaluated customer account information to assess current issues and determine potential solutions Informed customers about billing procedures, processed payments and provided payment option setup assistance Cultivated impact relationships with customers and drove business development by delivering product knowledge Reviewed account and service histories to identify trends and issues Addressed customer service inquiries quickly and accurately Reduced process lags and effectively trained team members on best practices and protocol Escalated customer concerns, store issues and inventory requirements to supervisors Delivered high level of service and support to each customer, paving way for future business opportunities Supported end-users by responding quickly to phone messages and following up on complaints Consulted with customers to determine best methods to resolve service and billing issues Answered customer questions and addressed concerns, resulting in 60% reduction in complaint calls Cultivated customer loyalty, promoted repeat customers and improved sales Evaluated account and service histories to identify trends, using data to mitigate future issues Responded to customer requests for products, services and company information Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions Achieved and consistently exceeded revenue quota through product and service promotion during routine calls Fielded diverse customer questions about issues such as available merchandise, current prices and upcoming company change