Jay Culbertson

Banyan Treatment Centers Corporate - Pompano Beach, FLJuly 2022 to July 2024

Responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments.

Audit all charges through KIPU/Salesforce to ensure all charges are accurately captured for billing. Analyze and process all insurance and patient adjustment requests received from collections department. work with the finance department to help resolve account accuracy due to front-end money received, and ensure accounts are put in the appropriate status. Analyze (scrubbing) of all insurance paid claims with balance for coins/deductible for proper patient billing statements to be mailed. Review and analyze all patient credit accounts to determine the accuracy and process patient refunds accordingly. Prepare month-end process (Remit Report) to capture all recouped refunds to close out pending requests.

Make updates on contract spreadsheet for new insurance contracts, updated rates, and informing management and all other departments of all changes. Create portals in order for the posting department to have access to ERA. Maintain INN/ONN credentialing both in the "L" drive and the binders, as well as keeping all departments updated with changes. Ensuring all EFT/ERA enrollments in Collab are correct with newly uploaded payers. Maintain credentialing/facility binders/folders, update matrix spreadsheets.