Lori Petrowske

Billing:

Responsible for billing all Auto and Workers Compensation claims within insurance timely filling limits, interprets third party requirements and appropriately bills for facility and physician services within timely filling requirements.

Follow-up and Collections:

Responsible for follow-up with payors necessary to obtain payment and/or to all patient and insurance accounts within insurance timely filling requirements. Contacts insurance companies regarding outstanding insurance bills.

Denials:

Responsible for researching, investigating and reducing denials in both quality and dollar amount, investigating and researching denial trends on EOB's to prevent any future occurrence, serves as the denial point of person for all claims, plus submitting appeals.

Collaborate with healthcare providers, insurance companies and internal departments to address billing discrepancies and ensure timely reimbursement. Review and verify 40 accounts a day to ensure accurate billing and coding requirements. Maintain-up-to date knowledge healthcare regulations, insurance polices, and billing procedures to facilitate compliance and optimize revenue cycle management.

Collect facts about accidents, investigate claim details and collect statements from all involved parties. Provide premier customer service patients, support, and attention to detail. Work closely with attorneys and adverse carriers, set up inspections and car rentals. While maintaining productivity working 50 accounts a day.

Initiate out-patient authorization for out-patient radiology testing and interventional radiology procedures for 2 campuses. Obtain clinical information from doctor's offices via calling/emailing and faxing. Meeting weekly productivity of 250-300 authorizations with 99-100% accuracy. ER bedside registration, ran estimates including self-pay international patient's. Collected co-pays and deductibles and out of pocket balances. Filled out birth certificates for newborns and faxed them to the county register.