Janice Percell

Serve as a liaison between Cones Health and multiple third-party payers. Initiate contact with third parties to identify and subsequently resolve obstacles affecting payment. Review third party remittance advices to assure compliance with expected reimbursements and to initiate further action as needed to facilitate full reimbursement. Pursues unsettled insurance accounts in the method and manner prescribed by policy, (so that no more than 10-15 claims go beyond the 60-day standard per year without appropriate resolution or action taken.)

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Analyze account balances to ensure accuracy of account for appropriate adjustments according to federal/state laws and hospital preferred provider contracts and in a timely manner; (with no more than 3-5 noted errors per year.)

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Responds to requests to ensure reimbursement is obtained. Respond to third parties’ requests for further information by coordinating with other Hospital departments such as Medical Records.

Promptly responds to all telephone calls regarding patient accounts for review and analysis. Properly evaluates priorities and organizes time accordingly so that required activities are completed on a timely basis. -

Maintain current working knowledge of changes in health care reimbursements. Attends seminars and weekly staff meetings. Follows all Corporate Compliance Rules and Regulations. Follows all HIPAA regulations without exception.

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Ensures thorough, concise, and up-to-date documentation is maintained in accordance with procedure, so that collection efforts, responses to inquiries, and patient account status can be researched and verified, as necessary by all reps for customer service to utilize to assure accurate response in patient inquiry resolutions. -

Maintain acceptable level of quality and production standards as determined by supervisory review and audit of assigned account categories. Notifies manager of possible or potential issues that may result in delays in payments or increase of denials.

Research, translate and update demographic data to ensure prompt

payment from customers, utilizing the system tools for resolution or phone

calls to the customers or physician's office for needed billing information

and update accordingly

Make requisitions go from unbillable to billable so that payments can be

collected for services rendered

Conduct interviews and administer pre-employment assessments using “Profiles International”

Manages a successful employee referral program

Strong skills using on-line applicant tracking systems

Instrumental in the startup of several classes for the Call Center

Generate statistical monthly reports

Generate Ads for Advertisements working with different Advertisement vendors

Administer Surveys Exit/Stay

Complete background checks and drugs screenings for potential new hires

Maintain various audits

Maintain various spreadsheets

Complete Budgets regarding hiring process

Recruitment selection of new hires, Open House, Career Fairs

Placing Ads with Advertisement Agents

Conduct interviews and administer pre-employment assessments

Composing New Hire Information/packets

Employee Relations

Maintain detail personnel records to ensure accuracy of data

Prepare all necessary personnel forms for new hires and termination

Process employee verifications

Maintain Employee Information Center

Other Administrative Duties

Process invoices for the Call Center

Order office supplies

Order flowers for Bereavements

Schedule Conference Rooms

Serve as Receptionist answering incoming calls and receiving visitors

Coordinated travel arrangements, including booking airfare, hotel and ground transportation.

Managed office inventory by restocking supplies and placing purchase orders to maintain adequate stock levels.

Organized weekly staff meetings and logged minutes for corporate records.

Prepared meeting minutes and edited subcontractor proposals, project punch list, transmittals, and memorandums for organizational support.

Prepare and print a variety of reports (Key Management Report, Accuracy Report, Week-At-a-Glance Report, Line of Business Report, and others) in support of sales staff and production team members.