Sandra Altreche

Remote Medical billing specialist responsible for billing clean claims, follow up and collections, resolving denials, filing appeals and reconsiderations for a variety of payers using billing software and payer sites for third party billing company.

Billing Advocate responsibilities include daily monitoring of billing staff and their required duties, importing of electronic claims to EHR system, daily reporting to management, resolving claims errors and denials. Escalation of issues from Sites. Review correspondence, distribute as needed. Review, distribute aging reports. Resolve trading partners' issues and payer rejections, process, request refunds. Attend 3rd party site calls and meetings.

Manage all Out Patient billing for Georgia Medicaid, CMO's for GA Medicaid, SC Medicaid, and NC Medicaid. This includes doing follow up work, denials, appeals, posting payments and resolving credit balances.

Managed all Staff and daily functions for the following four departments. Business Office, Patient Access, Financial Services, and Scheduling Department.

Performed interviews and hiring for all positions. Performed employee evaluations and discipline. Managed schedules and timesheets. Handled all departments' goals, strategic plans, and departments' policy and procedures.

Managed the daily operations of the Business Office and all of the Staff, including hiring, discipline and evaluations.

Ensured all accounts were maintained on a thirty day basis, maintained insurance company tables, daily billing of approved claims, resolved credit balances, posted payments, month end close. Performed bank deposits, maintained balanced books.

Handled all Physician Billing, account review, denial management, payment posting, End of month close. Resolved credit balances. Performed bank deposits.

Maintained Physician credentialing for all insurance companies. Updated and maintained table requirements for billing system.

Interviewed and Hired employees and performed annual evaluations.

Maintained an alpha split for all Medicare and Medicaid outpatient and physician bills. Handled the daily billing for my accounts, maintained accounts at a thirty-day basis, worked denials, did appeals, worked credit balances, handled phone calls, and daily incoming/outgoing mail.