Natalie Altieri

• Acts as a liaison between patient/facility/payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence
• Management of all facility non clinical affairs while delegating necessary tasks to team members in order to achieve an optimal work flow
• Provide leadership and training to other members of the financial team and serves as a resource for internal and external customers
• Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. Assesses need for alternative coverage sources
• Verifies insurance coverage and obtains authorizations and notifications throughout the patient's treatment. Obtains all necessary signatures and documentation required by the patient's insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient's treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient's care and maximum reimbursement with minimized financial impact to the patient
• Bills and follows all SNF/LTC claims (HMO/PPO/PI/Medicaid/Medicare and part B) from creation to collection to allow for quick claim turnaround and minimal claim errors
• Lowest AR days in the region since 2020
• Manage RFMS/Resident Trust accounts which include but not limited to care cost deductions and reversals, spenddown, opening/closing
• Experience in MatrixCare and AHT with ability to work in multiple portals and system to investigate claim denials/pull supporting claim documentation to file appeals

• Optimize reimbursement by identifying problematic areas
• Create and review SCA's (Single Case Agreements) to make sure top line is met
• Handle all Workman Compensation Claims
• Review all Overpayment Letters received to determine if owed or needs rebuttal
• Invoicing review and inventory match
• Apply payment methodologies in lieu of ASP availability (95%of WAC)
• Maintain HIPAA Compliance
• Run monthly Patient Statement report and perform write offs on accounts >120 days
• Deposit and payment posting/ including posting corrections
• Oversee all Denials, Reviews, and Appeals by writing letters, gather supporting documentation
• Complete monthly spreadsheet of claims greater than 30 days in order to obtain maximum revenue turnaround and identify patterned issues
• Maintain healthy/productive/positive relationships between Caseworkers, Insurance Contacts, Doctors, and Patients
• Generic intake duties including data entry and insurance verification
• Work daily within Word, Excel, and Office

· Developed cold call and email scripts to enhance outreach efforts.

· Worked from multiple Excel spreadsheets daily (including formulas)

·Updated leads in SalesForce to maintain accurate client records.

· Product upsell

· Built and nurtured relationships with clients

· Set up Demo Appointments

Achieved top sales performance for two consecutive months.

Reviewed contracts to identify upgrade and upsell opportunities.

Organized scheduling for demos, e-vites, and meetings efficiently.

Utilized Excel and Salesforce daily for data management and reporting.

Delivered impactful PowerPoint presentations to stakeholders.