Medical billing/coding professional with 7 years experience.
Provides administrative assistance to Site Medical Director and hospitalists, scheduling assistance, and contributes to the efficiency of patient chart flow and billing processes.
Supports the EVP of Clinical Compliance and Special Projects Coordinators in everyday operations, including but not limited to, audits of various clinical measures and compiling the minutes and presentations for the QA/QI meetings.
Works closely with insurance carriers to close HEDIS measures by providing medical documentation.
Evaluates patient care by collecting data and performing analysis of care provided to patients to ensure quality care.
Assists with audits of UDS measures. Completes medical record request for carrier reviews.
Managed Care Units clerical support, research provider and recipient status on FMMIS (Florida Medicaid Management Information System),
Type letters & memos and copy materials as needed,
Enter and track wheelchair requests on Excel, Update unit logs (manual & automated),
Assist nurses with site visits letters,
Telephone support & route calls, Unit incoming & outgoing mail,
Assists with Power Point training materials,
Assists other staff as needed,
Compiles monthly and quarterly reports for Program Administrator's review, Inputs data into Service Authorization System (SAS), Organize and update Program Administrator's materials, Medipass enrollment changes backup, MFMP (My Florida Market Place) Back-up, Track staff assignments, Track Medipass Site visits and Medical Record Review follow ups. Assist with and track Fair Hearings and ABA (Applied Behavioral Analysis) referrals.