● Maintained solid knowledge of Insurance changes and updated in the registration department
● Coordinated and/or conducted communication between UPHS physicians and third-party payers
● Reviewed/Validated UPHS patient demographic and insurance data according to Patient Registration standards
● Validated enrollment and identified financial responsibility prior to utilization of service
● Responsible for maximizing departmental revenue by implementing and managing strategies to collect monies due for designated payers.
● Telephoned and corresponded with companies regarding unpaid claims to obtain settlement of claim.
● Performed post payment reviews to obtain correct reimbursement as needed
● Provided written reviews to third party payers
● Coordinated claim appeal process
● Responsible for obtaining and tracking referrals/authorizations
● Accurately posted Cash Receipts to proper patient accounts and acted as support for Billing Manager.
● Maintained UPHS Registration Certifications (SMS/IDX/APM)