Suresh Vaddebhoinay

• Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
• Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
• Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections.
• Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
• Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, patient correspondence and patient walk-ins.
• Fulfills patient requests for an itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
• Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, UNCPN and Hospital based clinics to address any patient concerns

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• Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy.
• Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible.
• Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances.
• Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors.
• Explained eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment.

• Worked as a process associate in commercial and managed care insurance.
• Worked mainly on Orders End to End process of accounts.
• Part of team where we together brought aging under control as per business requirements.
• Work with team leaders to identify challenges to improve overall process execution.
• Providing specialist collection services to customers including proactive calling to ensure debts are paid when due, performing full amount managements duties.
• Accurately enter and process billing information.
• Prepare and maintain various billing and A/R reports.
• Managing and resolving customer complaints.