Roslyn Peterson-Hale

• Reduced risk exposure for the company by identifying and addressing areas of noncompliance.
• Conducted thorough internal audits to ensure adherence to regulatory standards and best practices.
• worked with the compliance team to establish clear compliance guidelines and expectations for all departments.
• Improved communication channels between departments by attending regular meetings and reporting structures related to compliance matters.
• Strengthened company-wide awareness of relevant laws, regulations, and industry standards through targeted trainings, presentations, and ongoing communication efforts.

• Analyze accounts with credits to determine which entity needs to be refunded. Posted payments to accounts and maintained records.
• Made contact with insurance carriers to discuss policies and individual patient benefits when necessary.
• Analyze and respond to refund request documentation from carriers with requested refund of subsequent denials of invalid requests.
• Calculated adjustments, premiums and refunds.
• responsible for handling credits appropriately whether doing refunds, transfers, rebilling of invoice and reassignment of charges.
• Checked documentation for accuracy and validity on updated systems.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures. CPC Certified

Updated patient/guarantor information on the SMS/PHS systems

Correct billing invoices in reference to policy numbers and other pertinent patient information