Ligia Devia

Responsible for ensuring maximum reimbursement to the Medical Center by managing patients accounts by conducting billing and collection activities, account review as well as account services.

• Analyze IP self pay accounts for Multi Hospital Medical Center
• Perform all required patient accounts maintenance including refunds
• Pull and analyze assigned report to ensure that high priority patients are flagged appropriately
• Ensure all refunds are accurate
• Complete all Balance adjustments
• Complete all patient request for specific statement of admission
• Review and update the Epilepsy report to ensure appropriate coding and assign to billing staff for claim generation.
• Work Inpatient aged AR for Tisch as well as LOH.
• audit all patient payment in Epic and red flag any discrepancies as required.
• communicate with patients to review any refunds as well as provide additional support as necessary.
• Elevate issues to senior management accordingly.
• Utilize insurance portal in order to confirm patient information and claim status
• Review and ensure that administrative accounts are being handled base on department guidelines.
• Audit High Balance report on a weekly basis.
• Analyze monthly Invoice from out side vendors.

• Make all necessary balance adjustment for the rebill hold report
• review all EOB's for patient liability
• Handle workers compensation and no fault accounts from the trial balance.
• Maintain monthly revenue reports of vendor invoices for workers compensation and no fault accounts
• review workers compensation and no fault correspondence for distribution to appropriate agencies
• randomly analyze accounts on vender close reports to ensure proper payments have been applied
• directly interact with law offices, patient and insurance companies to obtain account information.
• verify the accuracy of all billed accounts and also identify that payments have been applied properly
• Resolve complex credit balances involving multiple payment by reviewing accounts thoroughly and identifying over payments in order to apply refunds or make adjustment as needed.
• developed a tracking system via excel to ensure all workers compensation and no fault accounts have been billed timely and efficiently with all necessary documents.
• coordinate timely retrieval of medical records.

• Handled Manged care and self pay account for outpatient department
• updated and maintained NYS fee Scheduled for workers compensation and no fault accounts
• verified CPT & ICD9 codes for accounts
• follow up on workers compensation and no fault claims with adjusters and attorneys.
• worked on Eagle system.