Jessica Alexander

• Advises patient/guarantor of financial obligations; collects and processes deposits, co-payments and pre-payment for services
• Assists patients in resolving issues with billing and collection of their hospital account(s)
• Reviews and analyzes patient account information, payment history, verifications and collection of insurance or other coverage information and/or assists patient in submitting needed information to billing or setting up payment arrangements
• Contacts and consults with patient, guarantor, or other representative as well as with Case Management team, various County, State, Federal or other outside agencies regarding patient matters related to eligibility for health care services
• Determines eligibility for a third party payment source according to established policies & procedures including private health plans, Victims of Crimes, Workers Comp
• Verify Medicaid/Medicare eligibility for admission eligibility, Assist Case Management with Medi-Cal insurance verification in order for patient to be place into SNF/ Long term care
• Daily census tracking self-pays for billing
• Verifying primary and secondary insurance coverage daily census/ refer to outside venders
• Immediately updates all patient financial information in Meditech & Soarian
• Collections, working with insurances and vendors for outstanding admission accounts before being placed in SNF
• Submits all applications and supporting documentation to the appropriate agencies to maximize reimbursement to the Hospital Informs and advises Case Management team of patients’ financial status and maintains open communication with clinical staff to ensure timely notification of any health conditions or diagnosis that could qualify for programs to assist them with their healthcare costs
• Assists patients in completing applications & forms when necessary and reviews for accuracy and completion
• Plans, organizes and prioritizes workload and processes information at a speed necessary for successful job performance
• Registers and interviews patients to obtain demographic and financial information necessary for patient identification, billing and collection of accounts.

• Evaluated aging reports to identify members to be included in monthly outbound collection calls.
• Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
• Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
• Researched portals issues related to non-payment within e-billing vendor portals.
• Verified accuracy of accounts payable payments, resulting in 60% reduction in payment errors and check reissues.

• Identify uninsured or underinsured patients for eligibility for financial assistance through this organization or through government or private programs
• Assist patients with application process for outreach programs and ou obligations to maintain certifications as required by state(s) and/or contractual obligation
• Respond to customer inquiries in accordance with state and federal laws or applicable internal policies
• This response may include charge estimates, clarifying billing practices, correctness of billing and options for resolving private pay balances
• Registers or Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures
• Verifies insurance coverage and obtains authorization for all services requiring precertification
• Obtains patient’s and/or responsible party's signatures on registration and issues required information to patients/ responsible party concerning Advance Directives, Privacy, Ethnicity, Medicare, Medi-Cal, and Tricare as necessary
• Screens patient for Medi-Cal or hospital sponsored financial program and provide appropriate documentation and referral.
• Increased client confidence in managing personal finances by providing tools and resources for long-term success.

• Conveying messages to providers
• TAR control and submitting E-TAR's
• Verify primary and secondary insurance coverage on new admits
• Assist staff with room availability, questions, calls, etc.
• Improved verification accuracy by implementing thorough quality control processes and procedures.
• Developed strong relationships with clients, ensuring timely delivery of accurate information.

Assist patients in scheduling outpatient appointments with medical software EPIC

• Gathers registration information for the Department
• Conveying messages to their providers when a patient is having an emergency situation
• Ensured accurate member verification, eligibility and coverage
• Managed doctor's schedule.

• Managed high volume incoming, outgoing calls, scheduling in-office/ outpatient procedures
• Supervised day-to-day activities including payroll
• Managed and maintained strong working relationships with a number of partnered agencies
• Promoted within time from administrator to supervisor
• Trained staff on HIPPA requirements, customer service, data entry and company procedures
• Ensured accurate member verification, eligibility and coverage.

• Managed high volume incoming, outgoing calls, scheduling in-office/ outpatient procedures
• Ensured accurate member verification, eligibility and coverage
• Managed doctor schedule.

• Developed performance measures, trained staff, and implemented front desk procedures
• Conducted training modules for IMS office system transitions to electronic records
• Coached doctors and colleagues on data entry and data system extraction techniques.

• Trained staff on HIPPA requirements, customer service, data entry and company procedures
• Promoted within time from administrator to supervisor
• Ensured accurate member verification, eligibility and coverage
• Supervised day-to-day activities including accounting and payroll
• Managed and maintained strong working relationships with a number of partnered agencies
• Managed doctor and physical therapist calendars while meeting customer needs.