Chiquita Toliver

Analyzed figures, postings and documents to maintain accounting program accuracy while utilizing systems such as IDX, Allscripts Practice Management, Touchworks, FACETS and Trust Commerce. Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts in addition to processing payments via telephone and in person with a focus on accuracy and efficiency.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Generated financial statements and reports detailing accounts receivable status

Follow up with insurance companies concerning the payment and processing of claims, while communicating with patients and ensuring that medical information was kept private. Discussed medical histories with patients in effort to provide most effective medical advice. Educated patients on account services and resolved client inquiries regarding statement information and account balances. Explained plans for treatment and payment options. Obtain insurance verification, eligibility information and obtained authorization for medical services provided. Created and submitted written appeals to insurance companies in order to obtain payment. Scheduled surgeries, managed pre-certifications and verified supplemental or alternative insurance coverage. Reviewed and corrected claim errors to facilitate smooth processing.

Responsible for answering 40+ phone calls and scheduling patient appointments. Triages phone calls as necessary. Schedules returning appointments in accordance with physician and/or office guidelines and provides patients with appointment details such as time, location, directions, instruction sheets, etc. Assists in scheduling patients for services with outside facilities. Handled complaints and questions, and re-directed calls to other team members as appropriate.

Make recommendations on player's complimentary offers through thorough analysis of a guest's casino play, for both tables and slot activity. Promote the MLife card and all amenities/benefits afforded to members with their sign up. Utilize both Opera, Patron Management, Cleo, and LME when assisting guests and players with requests.

Maintain and coordinate all aspects of the medical record room, including gathering, assembling and filing all documents as needed. Order and catalogue all patient records, imaging and billing information for 6 spine surgeons, 3 pain management specialist and 1 chiropractor. Daily preparation of medical charts for review by administrative staff and clinical staff. Coordinated with Iron Mountain Connect to create monthly reports for records, closed terminated records and completed chart audits/ purging. Developed and created a more effective filing system to accelerate paperwork processing. Scanning and uploading all documents in paper charts to the EMR system titled EPIC. Adhering to all HIPAA guidelines and instructions. Detecting and monitoring potential compliance issues concerning proper chart maintenance and creation, i.e. liaising with patient coordinators/administrative assistants in effort to correct identification, insurance, and IDX errors with patient information.

Perform all related operations and duties associated with maintaining the complex. Auditing and error proofing all monetary transactions. Operate all lines of communication between the complex and upper management/ floor management and cash vault.