Miriam Munoz- Najar

- Working Queue for Delaware- Pensylvania

review for payer BCBS,Commercial,Mcd & MCR for DE

review MCD for PA

- Aged report for different Hospital

- High Dollar report

- Report for MCR review weekly and every quarter send

it 838 report.

- Report for MCD review weekly and every quarter send

it by MCD Delaware Website.

- Contractual & adjustment according with EOB'S

- Verified Insurance by phone and website

- Added Insurance in EPIC

- Refund , patient & Insurance

- Correspondence updated in the system as a needed

- undistributed review in EPIC

- Call at the payer.

- Void claim or correct claim

- Switch Insurance position Primary, Secondary etc.

for both facilities in PA.
Responsibilities include the following:
1. Post Payment exceptions from electronic file and balanced daily
2. Post payment and patients responsibility from lockbox posting manually
3. Posting zero payments from correspondence and from website payers various
4. Maintenance the Unapplied accounts in zero balances monthly
5. Process all zero payments with offset balances
6. Reconcialized DCR and DCR Daily
7. Keep updated daily email belong to changes, missing payments
8. Keep in zero undistributed Report from EPIC system.
Medassets. 2007 to 2019
Sr. Cash Poster Posting Electronic payers in all facility systems
Responsibilities include the following:
1. Posts payments and adjustments exceptions from an electronic file, and ensures each batch is balanced daily.
2. Posts payment and adjustments from bank lock-box and ensures each batch is balanced daily.
3. Posts other types of payment and adjustments from collection agency, interoffice transfers, time of service and credit card payments.
4. Reviews Explanation of Benefits to assure proper payment and adjustment has been received.
5. Verifies appropriate financial classification status is loaded into registration.
6. Update unapplied Report every week for rev cycle meeting
7. Handle all flags and transfer overpayment as requested
8. Handle all report for Commercial & Government teams