Rafaela Roberts

Timely review and capture of emergency department (ED) facility level charges. Maintain productivity standards by ensuring that ED charge capture remains current or entered within 3 days of patient discharge. Maintain overall financial viability for UMC Revenue Cycle through collaboration and effective communication with ED care providers and leaders as well as coding, billing, and other charge entry staff. Collaborate with care providers to resolve missing documentation needed to accurately capture ED charges. Research and solve billing and coding issues for ED pre-bill edits to ensure timely filing of clean claims and overall reduction of discharge, not final bill (DNFB) status. Maintain productivity standards by working to resolve outstanding ED-related pre-bill edits timely

Instrumented in providing case management with opening an Outpatient Infusion Clinic. Functions as a contact person between all members of the healthcare team to relay necessary information in order to coordinate patients needs. Identifies potential inventory/delivery problems and initiates actions to resolve them. Supports clinical staff by retrieving on-going patient related information. Faxes and or communicates patient related information to physicians as needed. Enters information into the computer daily.

Received calls, prepared, and completed daily logs of direct admits. Coordinated distribution of admissions schedules for the next day registrations. Greeted patients and coordinated their registration process. Received and routed all calls that come into main admissions line. Prepared memos and spreadsheets for supervisors and director. Performed various office duties including but not limited to ordering supplies and seeing to the maintenance of equipment. Distributed patient valuables upon release of hospital admission for hospital patients.

Responsible for all pre-admits and follow-up for direct and POA admits and observations in addition to any outpatient services. Obtained insurance authorizations or referrals and entered the data into the computer system as a pre-admit account. Collected copays and deductibles. Provided exceptional customer service by promptly addressing patients inquiries and concerns via phone, email, or in-person. Completed admissions duties with timeliness and accuracy.