Kelli Ricevuto

• Supports approval and payment from third party payers for clinical testing ordered by provider
• Works within framework of integrated delivery system (IDS) at Hunterdon Healthcare to obtain in-system medical documentation to support request for approvals.
• Uses sound clinical knowledge of cardiovascular therapies to match provider documentation to requested diagnostic testing in order to obtain approvals.

• Obtains pre-certs from insurance about 30-50 daily

companies electronically and by phone

• Outpatient & In-Patient cardiac testing

• MRI and MRA testing

• Procedures

• Processes appeals when testing is denied by insurance company

• Arranges peer to peer meetings for all denials

• Keeps a log of all outpatient testing for all Hunterdon Cardiovascular sites and hospitals

• Maintains safe, secure, and healthy work environment by following, and enforces standards and procedures; complying with legal regulations.

• Protects operations by keeping patient care information confidential; follows HIPAA regulations

• Review physicians schedule on daily basis to ensure that all new patients/return-to center patients have financial consult (in-person or via phone) to review and answer questions on financial policies and requirements need to ensure that patients will receive maximum benefits from their policies.
• Manage assigned patients' financial issues throughout their treatment plan to ensure authorizations have been received, patients are financially cleared to start cycles.
• Follow-up with patients during their treatment plan process to ensure patients pay outstanding co-payments, balances, coinsurance.
• Answer patients calls/ and/or correspondence as it pertains to billing questions financial policies, claims, submission and any other finance related issue. 30-50 daily.
• Manage time effectively to complete daily assignments as required
• Maintain operations by following finance department policies and procedures as well as by studying existing and new credit and insurance information
• Support finance department by effecting daily and monthly close as directed.
• Contribute to team effort by maintaining excellent rapport and working relationships with patient services and supporting front desk actively as needed; cooperate with other RMA departments.

• Handled billing transactions for sales department when vehicles are purchased.
• Assisted customer service/sales department with internet leads and follow up with prospects through email and phone on their vehicle inquiry. over 100 daily.
• Stock in bound inventory,
• Maximized material usage through strategic nesting of parts, reducing waste and cutting costs.

• Reporting to designated manager, work directly with internet dealer base as well as supplement ADESA auction efforts to ensure exceptional service is met at all times.

• Assist e-Commerce department to increase internet business, administration of Live Block and Dealer Block sales, establishment of strong dealer relationships, and meet overall company goals.
• Performs duties assigned by designated manager. Practice and ensure that company policies and procedures and state or federal laws are followed at all times.