JENNIFER MADRIL

• Identifies and escalates issues that impact specific billing and follow-up activities to the appropriate department.
• Carries out all follow-up tasks, including investigating overpayments, underpayments, and delayed payments.
• Ensures that all tasks are directed to the correct work queue (WQ) and adhere to the proper workflow.
• Investigates claim rejections, making any necessary corrections promptly to guarantee timely and accurate claim resolution.
• Participated in ongoing training sessions, staying up-to-date on best practices in billing and collections processes.
• Researched accounts and completed due diligence to resolve collection problems.
• Maintained strict confidentiality of sensitive information while adhering to company policies regarding privacy protection.

Knowledge of EPIC billing, Hospice Billing, Excel, Word, Google Drive, Medicare-DDE

• Provides support of coordinated workflow process between clinical and financial teams to ensure accurate clinical documentation for timely claims
• Responsible for ongoing operations of patient record documentation pre-bill auditing through training and support of health information end users
• Collaborate with health information, clinical operations and billing teams in communicating the best practice standards and expectations to assure timelines
• Serves as the knowledge expert to ensure partners meet home health and hospice medical records documentation standards under Medicare requirements have been met
• Provide direct support and training to partner sites in performing pre-billing and quality assurance documentation with the revenue cycle
• Develop and maintain comprehensive training program for Health Information Coordinator and office staff roles
• Including refresher education with competency standards
• Training to include, Intake and clinical data entry, scheduling, Diagnosis coding requirements, Order processing, claim submission, Face to Face, OASIS/HIS exports and validation, and month end reports
• Create monthly and quarterly reports for partners to report financials
• Identifies and corrects process gaps in revenue cycle workflows by making recommendations to leadership on strategic goals and improvements
• Assist if needed in mock surveys through clinical chart reviews and scheduled technical record reviews.
• Troubleshot and contacted appropriate areas during system inoperability to reduce downtime.
• Established efficient workflows for medical record requests, reducing processing time without compromising on quality or accuracy.
• Developed comprehensive training materials for incoming Health Information Specialists, ensuring a smooth onboarding process and consistent performance standards across the team.
• Served as a resource for other team members by sharing expertise and knowledge on complex health information management topics, contributing to overall departmental success.
• Assisted in the transition to a new electronic health record system, resulting in improved data management and accessibility for healthcare providers.
• Reduced billing errors and increased revenue with thorough reviews of insurance claims and documentation requirements.
• Coordinated closely with IT professionals to troubleshoot technical issues related to electronic health records systems, minimizing downtime for clinical staff members.

• Prepare and send Medicare and Commercial payer claims electronically while ensuring accurate billing
• Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
• Verify Medicare eligibility when needed
• Responsible for daily downloads of Medicare ERAs, RTPs and FISS
• Post Cash Payments to accounts
• Handle billing adjustments to accounts
• Established, enforced and optimized billing procedures to streamline operations and minimize aging balances
• Ability to meet deadlines to manage Month End processes
• Submit claims timely with consistent follow-up
• Follow daily work flow to capture duties required to maintain steady cash flow
• Identify, Investigate and resolve issues quickly to maintain billing accuracy
• Work with team members and leadership to identify and develop process improvements
• Knowledge of Netsmart, Google Drive, Excel, Word, Ability, Medicare FISS, and my CGS.

• Position was a promotion from previous Billing Specialist position
• Served as the 'go to' person for all office and field staff for any computer/laptop issues
• Facilitated training for one on one sessions as well as small groups regarding tips and tricks to help staff mainly nurses and therapists to better use their laptops correctly
• Created manuals and cheat sheets as well as created tickets with IT when further assistance was needed
• Added new users, reset passwords, and maintained logs for assigned laptops, assisted with reports on monthly reporting for financials.

• Prepare and send Medicare and Commercial payer claims electronically while ensuring accurate billing
• Verify Medicare eligibility when needed
• Responsible for daily downloads of Medicare ERAs, RTPs and FISS
• Post Cash Payments to accounts
• Handle billing adjustments to accounts
• Established, enforced and optimized billing procedures to streamline operations and minimize aging balances
• Ability to meet deadlines to manage Month End processes
• Submit claims timely with consistent follow-up
• Follow daily work flow to capture duties required to maintain steady cash flow
• Identify, Investigate and resolve issues quickly to maintain billing accuracy
• Work with team members and leadership to identify and develop process improvements
• Knowledge of Netsmart, Google Drive, Excel, Word, Ability, Medicare FISS, and my CGS.

• Responsible for management of 17 employees including payroll, approving PAL, yearly performance reviews and employee issues
• Delegated daily tasks, addressed employee questions and resolved scheduling issues.
• Managed Medical Record team that POTs and PIOs are sent and received with physician's signature and checked in the system correctly and timely
• Managed team workload to reach targets for specific tasks.
• Oversaw face-to-face documents from physicians to ensure they are appropriate for Home Care billing
• Participated in Weekly AR and Pending calls to address any issues among 9 Home Care divisions
• Run monthly staff meetings to inform employees, training when needed
• Conducted interviews and followed hiring process
• Consistently recognized as a top performer across multiple supervisors and management chains
• Identified to manage special projects based on my ability to stay organize and deliver on time as requested
• Most recently, selected to participate and train employees on our new updated computer system, Homeworks-Cerner
• Traveled to 9 division to train and educate employees on new system
• Implement new processes and workflows to employees and staff
• Managed multiple projects simultaneously, prioritizing tasks for optimal resource allocation and workflow efficiency.
• Discussed opportunities to streamline current processes and provided direction to team
• Reviewed and implemented standards and procedures for processing medical records requests
• Served as a liaison between management and team members to address concerns and facilitate problem-solving initiatives.
• Discussed routine instructions to team members on job responsibilities
• Manage employee scheduling and kept track of important dates, including deadlines and meetings
• Purged outdated files
• Communicate assigned responsibilities to each group member to delegate tasks
• Collaborated with management team to meet organizational and departmental goals.
• Knowledge of 3 different scanning systems; Edoma, TIMMS, and CPR+

• Responsible for all office duties within the Hospice Department, maintaining office supplies, phone lists, scheduling meetings and managing calendars, entering data into system, updating patient list and discharging from Hospice Pharmacia, organizing office space and providing point of contact for needed information.
• Preparing Hospice Admission Booklets and Communication Logs for Field Staff
• Collected and Reported statistical data for monthly meetings
• Processed AP accounts for department to ensure invoices were paid correctly to any vendors
• Handled concerns regarding Hospice donations and distributed mailings accordingly
• Expedited order processing, liaising with suppliers to ensure timely delivery of products.
• Actively participated as the facilitator for Camp Lighthouse and our yearly Memorial Services for our Hospice Patients and their Families and most currently played a role with helping the Hospice team open Sentara Hospice House.
• Led successful projects from conception to completion, achieving objectives on time and within budget constraints.
• Collaborated with area managers to evaluate needs and optimize operational plans.

• Responsible for all aspects of Medicare billing; sending and receiving electronic of batch submission, downloading remits and accepting reports
• Distribute Medicare monies to Payroll and managers
• Work daily Remittance Advices and mark A/R for accounts paid
• Follow up on any zero payments, overlaps and denials
• Manage daily RTP and MED Reviews
• Work AR accounts for accuracy and handle all needed follow ups to keep AR days low
• Consistently balance Excel spreadsheets for accuracy of bills sent and still outstanding
• Medicare verification knowledge in the FISS system
• Consistently executed cash posting of Medicare revenue with a high degree of accuracy
• Served as Billing Supervisor backup when she was unavailable to staff and/or other departments
• System Knowledge- BTI/Beyond Now Technology/Homeworks, FISS, ELGA, Excel, Wavenet, CMS.