NICOLE HOLLINS

• Perform follow-up on coordination of benefits (COB) and insurance ineligibility issues. • Update patient insurance details and payer IDs to ensure claims are processed correctly. • Monitor and resolve outstanding claims assigned to Ally Medical through our third-party billing partner. • Manage cases involving workers’ compensation and attorney representation, ensuring appropriate documentation and timely follow-up. • Submit necessary corrections or updates to third-party billing workflows to address claim errors or rejections

Conduct detailed audits of patient statements to ensure billing accuracy. • Review accounts with high patient balances and escalate as appropriate for resolution. • Apply approved financial assistance discounts and service recovery adjustments to patient accounts. • Ensure all patient-facing billing adjustments are well documented and processed in a timely manner.

• Address deficiencies in medical records required for claim processing. • Process attorney requests for medical records and affidavits in compliance with privacy regulations.

• Implements department workflows and SOP’s as well as revenue cycle training materials.
• Supervise the daily business functions of the Insurance Verification team and conduct audits to ensure compliance and accuracy.
• Monthly MCO report data collection.
• Monitor claim denials in the clearinghouse for insurance related rejections.
• Conduct staff meetings to address revenue cycle daily functions and concerns.
• Work closely with Billing, Front Desk and Scheduling on day to day operations.
• Worked well in a team setting, providing support and guidance.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Insurance verifications.
• Steps forward to address any issues related to insurance and or polices.

• NSA negotiations and IDR processing.
• Insurance verification.
• Charge Verification & Compliance review to capture rejection data.
• ERA and payment posting.
• Data Management and reporting.
• Charge Capture.
• Money conveyance to ensure proper distribution.
• Collaboratively works with other Departments and areas within the hospital regarding the charge capture process, patient billing compliance issues and appropriate use of ICD-10 and CPT codes.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient coding.
• Commercial, Medicaid and Medicare Billing.
• Charge and data entry.
• Works collectively with providers to ensure proper billing practices.

• Charge Verification & Compliance review to capture rejection data.
• Data Management and reporting.
• Charge Capture.
• Money conveyance to ensure proper distribution.
• Collaboratively works with other Departments and areas within the hospital regarding the charge capture process, patient billing compliance issues and appropriate use of ICD-10 and CPT codes.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient coding.
• Commercial, Medicaid and Medicare Billing.
• Charge entry.
• Works collectively with providers to ensure proper billing practices.

• Insurance verification.
• Charge Verification & Compliance review to capture rejection data.
• ERA and payment posting.
• Data Management and reporting.
• Charge Capture.
• Money conveyance to ensure proper distribution.
• Collaboratively works with other Departments and areas within the hospital regarding the charge capture process, patient billing compliance issues and appropriate use of ICD-10 and CPT codes.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient coding.
• Commercial, Medicaid and Medicare Billing.
• Charge entry.
• Works collectively with providers to ensure proper billing practices.

• Charge Verification & Compliance review to capture rejection data.
• Hospice Billing.
• Insurance Verification.
• Charge Capture and payment posting.
• Collaboratively works with other Departments and areas within the hospital regarding the charge capture process, patient billing compliance issues and appropriate use of ICD-10 and CPT codes.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient coding.
• Commercial, Medicaid and Medicare Billing.
• Claim billing for Hospice and Physician charges.
• EOB posting and Electronic Remittance Posting.

• Correct and process billing charges for facility and professional claims.
• Insurance verification.
• Charge Verification & Compliance review to capture rejection data.
• Data Management and reporting.
• Charge Capture and payment posting.
• Collaboratively works with other Departments and areas within the hospital regarding the charge capture process, patient billing compliance issues and appropriate use of ICD-10 and CPT codes.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient coding.
• EOB posting and Electronic Remittance Posting.
• Check in and check out patients.
• Reconciling day end.