Kristy Beck

Review clinical charges on a daily basis and perform charge capture audits by comparing the medical record documentation against the identified Epic reports.
Assist in overseeing the charge capture system for clinics and respective providers to promote its accuracy and integrity across revenue-generating departments.
Collaborate and work closely with operations and the revenue cycle team, third party vendors, applicable ancillary departments and providers to ensure all charges are appropriately captured. Ensure all documentation is complete and accurate, and work with appropriate clinical staff to resolve any issues relating to incomplete or missing documentation. Ensure that established daily routines/reports are completed in the given time period.

Meets Expected productivity standards on a daily basis. Follow up on aged receivables every 7 to 15 days. Performs inquiries on underpaid claims. Calculate reimbursement on every commercial and government accounts. Files administrative appeals as needed to payers. Maintain a good knowledge of insurance data bases and contracts. Identifies and communicates payer trends to team lead. Prepare for quarterly account receivable meetings and provide management with account updates to include discussion with management of problem accounts, Assists with billing management when needed.

Reviewed Inpatient records and interpreted documentation to identify all diagnoses and procedures. Applied charges and updated patient records by using onstaff. Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.Bill claims to Insurance Companies electronically and by mail.Follow up on claims for proper reimbursement. Appeal claims not properly paid or denied.

Responsible for daily processing and management of patients accounts following discharged. in order to submit a timely and accurate bill. Reviewed all information for accuracy, completeness and compliance. Worked with other departments of the hospital to ensure the quality of information directly related to submitting a compliant bill. Managed patients account until balance is paid becomes patients portion and resolve any credit balances with timely follow up.