Jennifer Greer

Perform highly complex medical billing, accounting, financial and analytical work performing a variety of specialized duties related to an ambulance billing revenue cycle. Competences and functions include: Execution of the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from public and private insurance companies, including The Center for Medicare and Medicaid Services (CMS); Oversee the duties and functions of subordinate staff; Expertise in the protocols of private and public insurance carriers and the regulations that govern them; Conducting individual or comprehensive fiscal payers analysis; Drafting business processes and procedures; Audit of accounts to ensure alignment with rules, regulations, or term and conditions associated with designated funding or programs; Processes accounting and financial transactions that require a high level of independent judgment in researching and reconciling discrepancies; Interpret and apply Federal and State rules, regulations, statutes, and guidance; Process related legal duties coordinating with the County Attorney’s Office; Retrieve data and prepare reports, financial statements, analysis, and fiscal or programmatic summaries; and special projects as assigned.

Performed complex technical and financial work specializing in the compliance, oversight, analysis, and processing of functions associated with an ambulance billing revenue cycle. Competences and functions include: Execution of the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from public and private insurance companies, including The Center for Medicare and Medicaid Services (CMS); Coordination with the County Attorney’s Office in ensuring the collection of funds owed and resolution of estates, probates, auto, claims etc.; In-depth knowledge and independent application of State and Federal regulations governing healthcare: Knowledge of standard medical terms; A high degree of independent judgment in applying concepts such as medical necessity; Applied knowledge of billing nuances related to private and public insurance carriers, hospitals, hospices, Veterans Administration, and skilled nursing facilities; Account analysis to determine the appropriate next steps in the disposal of accounts; Determining the appropriate billable party; Interpretation application of complex regulations and Department procedural billing policies; and determining and resolving various facets of secondary billing functions, e.g., denials, filing appeals, payment errors, no payer responses, etc. This is the journey level in the class series. Positions may provide direction and instruction to lower-level medical billing staff and may act as a group lead for one or more support staff.

Manage claims process, including accurate and timely claim creation, clean claim submission, follow-up and correspondence with providers/insurance inquiries.
Denial and insurance follow-up management including appeals, redeterminations/
re-openings, corrected claim submission and payer
contact for claims re-processing.
Assist in the clarification and development of process
improvements and inquiries with respect to individual payer policies and guidelines, correct coding per ICD-10, patient eligibility utilizing
3rd parties, and HIPPA compliance at all levels in order to maximize revenue.
Identify denial patterns and escalate to revenue cycle management as appropriate with sufficient information for additional follow-up and or root cause resolution. Make recommendations based on
information obtained and follow-up for timely purposes.
Post adjustments, transfer of responsibility and refunds, as necessary.
Verify all team members are HIPPA compliant, knowledgeable and productive in their daily workflow assignments, auditing, creating reports and identifying areas of weakness/strength. Create and
perform training platforms and designate workflow accordingly.

• Managed full-cycle accounts receivable processes, ensuring timely invoicing and collections.
• Reconciled customer accounts, identifying discrepancies and implementing corrective actions.
• Developed standardized procedures for processing payments, enhancing operational efficiency.
• Collaborated with cross-functional teams to resolve billing disputes and improve customer satisfaction.
• Calculate, prepare, and issue bills, invoices, account statements, and
  other financial statements according to established procedures.
• Reconcile records of bank transactions.
  Classify, record, and summarize numerical and financial data to compile and keep financial records, using journals and ledgers or computer.

• Streamlined warranty claims process to enhance efficiency and accuracy.
• Led team in processing high-volume warranty documentation with precision.
• Mentored junior staff, fostering skill development and knowledge sharing.
• Developed standardized procedures, improving workflow consistency and reliability.
• Enforce policies and procedures required by manufacturers before payment release. Promptly resolve rejected or denied receivable claims through direct communication or web portals. Timely processing of factory warranty claims in order to assure expedited payment for month end collection and technician payroll. Auditing
  all claims for compliance and communicate resolvable issues.
• Education and training of team members to maximize compliance and maximize revenue. Communicate with team members and
  management in order to maximize labor hours by using correct labor operation codes in correlation with parts department and technician CCC's.
  
• Journal entry posting, adjustments and schedule monitoring.