Cheryl Alston

•Member of the Medicaid follow up team

•Review claims that have been billed to Medicaid and Managed Care Medicaid to ensure a payment is received in a timely manner

•Make corrections on claims that have denied and resubmit to Medicaid for reimbursement

• Responsible for billing and follow up for commercial payers, including, but not limited to United Healthcare ,Blue Cross Blue Shield and Cigna
• Answered customer questions regarding account discrepancies or problems.
• Resolved inquiries from patients, families and external payers.
• Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
• Provided customer service to patients regarding billing inquiries and account information.
• Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
• Analyzed claims denials from third party payers and identified potential solutions for reimbursement.

• Responsible for scheduling surgical procedures in the OR as well as other diagnostic procedures, such as x-rays, CT’s MRIs
• Responsible for scheduling outpatient referrals to other specialists
• Assisted with the check-in/checkout process
• Verified insurance eligibility
• Perform chart reviews for upcoming clinics
• Printed documentation such as operative, reports, lab reports, etc. for physician review

• Responsible for the supervision of the front desk and clinical staff
• Assisting Dr with credentialing application applications
• Writing and responding to office correspondence
• Handling medical records request
• Handling employee payroll
• Assisting Dr with the accounts payable
• Performing electronic and paper claims filing of insurance
• Generating patient statements
• Entering patient insurance and charges
• Collecting patient co-pays
• Assisting in patient collections
• Answering patient billing calls

• Performed electronic and paper claims filing of insurance
• Generated patient statements
• Enter patient insurance and charges
• Collected patient co-pays
• Assistant and patient collections
• Responded to patient and insurance correspondence
• Answered patient billing calls

• Invoiced individual patient contact lens orders
• Provided patient consultations on prescription lenses
• Calculated contact lens prescriptions through Keratometry spectacle readings
• Provided contact lens recommendations to doctors based on individual patient needs