Jennifer Perry

Serve as critical member of the Center for Cancer care team by providing patient with direction and support regarding the financial impact of their treatment;

-Financial Screening/Financial Toxicity

- Call Insurance companies to obtain benefits for J code/HCPCS for patient treatment.

- Explain HCPCS benefits with patient to assess financial toxicity related to patient treatment.

Works with Nurse Navigator in the patients navigation appointments to provide patients with an expectation of potential out of pocket cost and available financial assistance

Patient Financial Counseling; Complete Benefits Investigation with patient Insurance & Explain these in detail regarding Co-pay, deductibles, Explanation of benefits, advance beneficiary notices. Assessing financials / financial Toxicity of both new and established cancer patients.

-Meet with patients to go over Cancer center bills when they need further explanation or assistance regarding how these claims were billed.

- Assist with patient by reaching out to Revenue Cycle/billing department if claim needs to be reprocessed by insurance or further review.

Obtain Prior Authorization for Chemotherapy regimen , Radiation Therapy & Imaging ;

- Provide Medical records/Clinical information to obtain Authorization for Chemotherapy HCPCS or Radiation Therapy HCPCS and the number of units per fraction/treatment that is requested per the Doctor treatment plan.

-Provide Clinical information for authorization request for Imaging ; PETCT, CT , MRI Etc.

Internal Financial Service support; Partner with Revenue Cycle/Medical billing to provide Medical records, denial assistance for claims & other supportive assistance. leading continuous improvements initiatives within Oncology service line around financial metrics and coding accuracy.

-Provided assistance with Medical billing department/Revenue Cycle department in assisting with denials for Chemotherapy drugs ,Radiation Therapy treatments, Imaging services & for Authorizations;

-Call Insurance companies to get clarification on status of claim / to appeal insurance to overturn the denial.

-Provide any clinical information to assist in overturn of the denial or request reprocess claim with Authorization number.

-Obtain Medical Necessary Letter by Doctor

-Create Appeal letter to Insurance

- Attend/Participate in denial meetings with Revenue Cycle/Billing Department

Coordination of Financial Assistance from Patients; Partnering with patient financial services to ensure coverage through Charity Care. Working with Pharmaceutical companies to provide affordable medication for eligible patients. Researching and collaborating with outside resources and insurance companies for possible financial / Copay assistance for patient according to their needs. Assistance in arranging and finding financial support services for patients.

Managing supportive documentation for Patients; helping patient complete various financial assistance applications. Complete forms and letter to Insurance for visit coverage.

- Meet with Patient to complete assistance programs applications.

-Obtain Income documents from patients for eligible for assistance programs ; Income tax 1040, Pension , Social Security Award Letters.

- Complete Physician forms/obtain physician signatures for assistance programs.

-Submit Copay assistance claims by gathering EOB (Explanation of Benefits) from Insurance showing HCPCS code out of pocket cost for patient responsibility

-Process Copay assistance payment to appropriate claim/DOS for in which they are assistance the patient for specific HCPCS code/treatment.

-Track all assistance on Excel spreadsheet to provide to management with financial numbers for assistance.

Order Chemotherapy / Replacement Assistance drug for patient treatments as well as maintain annual Re-enrollment form to ensure Free drug/Replacement drug for following calendar year.

- Call Pharmaceutical companies to have the process shipment for patient next treatment based on patient care plan.

- Call Pharmaceutical companies to replace Chemotherapy drug base on dosage administered based on MAR/care plan

-Maintain Smartsheet /Spreadsheet with list of Free drug/Replacement Drug patient to ensure medication is here for patient treatment date.

- Complete Re-enrollment for Free drug/Replacement assistance yearly or if change in insurance occurs - complete Physician form, help assist patient form to help patient continue to receive assistance for the following calendar year.

Manage the completion and submission of forms such as Medicaid visits allowance, AFLAC forms, Transportation form & other related forms.

Completed the following Certification/Training/Enrollment in:

9/23/2018: Certification of Completion: George Washington Cancer Center Oncology Patient Navigation Training - 20 Hour Training

9/18/2018: Certification of Completion: Association of Community Cancer Centers Financial Advocacy boot camp Certification

02/07/2020: Certification of Completion: Association of Community Cancer Care Financial Advocacy boot Camp Level II Certification

05/03/2020: Re- Certified for the Certification of Completion: Certified Patient Financial Services Specialist through Healthcare Business Insights for billing/denials/Insurance

07/29/2024: Enrolled into AAPC courses for Medical Billing Training for Certified Professional Biller

Maintains and control all uninsured and underinsured patients who access services in the clinics or hospital.

Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignments.

-Completes all PFS & PAS financial assistance applications with high quality work and submits to management for approval on a weekly basis.

-Scans and post payments as necessary to assure payment application is completed.

-Works A/R related to the aging buckets to contribute to the reduction of receivables.

Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.

-Ensure Accurate information is obtained for charity care, discounts, payment arrangements.

-Receive payments from patients or Insurance companies.

-Review all self pay work list & updates insurance and guarantor information as needed. Updates insurance plan codes and assist with pricing and charge information for customer service

Improved customer satisfaction by promptly answering inquiries and providing accurate information.

-Ensures all records are documented with detailed information from the call center contact with patients and financial counseling coordinator.

Managed incoming calls professionally, directing callers to appropriate personnel or taking detailed messages when necessary.

-Abides by all HIPPA regulations and reports daily contacts and metrics to coordinator or manger.

- Answer questions related to billing statement /services that patient receives.

Provided support during financial audits by supplying necessary documentation and responding promptly to inquiries.

-Precisely evaluated and verified benefits and eligibility.

-Complete appropriate claims, paperwork, documentations and system entry

-Performed billing and coding procedures for long term care, skilled nursing facility & assisted living facility

Review contracts thoroughly before entering into the billing system, ensuring adherence to agreed-upon terms

-Executed billing tasking & recorded information in company system. Billing claims on UB04.

-Manage invoicing an payment processing operations

-Handled account payments and provided information regarding outstanding balances

-Monitored outstanding invoices and performed collections duties

-Posted and Adjusted payment from insurance companies

-Produced and mailed monthly statements to customers assisted with related request for information and clarification

-Received and sorted mail, prepared packages for delivery and scanned documents

Collaborated with other departments to resolve billing discrepancies, resulting in improved customer satisfaction & increase in overall revenue growth.

-posted & adjusted payments from insurance companies

-work A/R aging buckets to contribute to reduction of receivables

- follow up on denials to try to overturn them, complete appeals when applicable.

-Completed/Obtain Medical Necessity letters

Managed high-volume transactions during peak hours while maintaining attention to detail, ensuring seamless customer experience.

Balanced cash drawers accurately at the end of each shift, minimizing discrepancies in financial records.

Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.

Established trust with clients by maintaining confidentiality and protecting sensitive financial information.

Processed customer transactions promptly, minimizing wait times.

Resolved customer issues promptly, fostering positive relationships between the bank and its clients.

Learned about customer's financial needs, established trust, and optimized sales opportunities resulting in quality customer service.

Answered telephone inquiries on checking and savings accounts, loans, and lines of credit.