Susan Christensen

· Act as liaison for transplant patient billing issues.

· Maintain communication between the Revenue Cycle Operations team, professional services, Contracting/Managed Care, and Transplant department on specific patient accounting and billing issues.

· Call insurance companies to find pertinent information regarding policies and payment benefits.

· Input patient and insurance information into Transchart system.

· Effectively communicated answers regarding billing, treatment and scheduling by phone and in person.

· Verify insurance and communicate coverage to staff and patients.

· Obtain data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.

· Obtain prior authorization and precertification for outpatient procedures.

· Maintain compliance with local, state and federal regulations governing insurance, Medicare and Medicaid requirements.

· Maintain knowledge of medical terminology to better understand services and procedures.

· Coordinate with contracting department to resolve payer issues

· Acts as Kidney, Liver and Heart acquisition cost report subject matter expert, answering internal and external questions and inquiries.

· Setup and enter Single Case Agreements SCAs/LOAs in Ctrax systems.

· Review 50+ patients’ cases per week and verify insurance coverage information.

• Global billing, KACC billing and reimbursement functions
• Batch billing both Physicians and Hospital bills
• Claims entry and tracking provider claims
• Maintaining Patient logs and entering new patients in database
• Verifying Insurance benefits
• Chart creation of new referrals

• Prepares PowerPoint presentations for the director and manager as requested
• Builds relationships with vendors, customers and internal departments in order to complete projects or obtain services
• Maintaining excel spreadsheets for various logs
• Performs administrative duties under Director, coordinating project resources, scheduling meetings
• Privacy Access Audits for 4 hospitals, verifying appropriate access in patient accounts

• Supports director and 12 member team for Audit Automation, Change Management, Training & Quality Support and Management Review Departments
• Plan meetings and schedule conference rooms online through Microsoft Outlook
• Manage Calendars in Microsoft Outlook
• Serve as System of Tracking Audit and Reimbursement (STAR) Administrator includes manual data entry, Hospital Cost Report Information System (HCRIS) uploads and report generation
• Assisted in training for National Star and Updating Policies
• Process i Request for all new employees'
• Approving and fulfilling requests for access to Trailblazer systems and computer applications
• Maintain, verify, update and track all files located on Sharepoint
• Update and maintain Intern Residents Information System (IRIS) database, track the progressive stages of interns at hospitals and generate reports for the Audit offices and providers
• Maintain, track and update all training records into Learning Management System (LMS) and Continuing Education Training (CET) hours of all Audit Staff
• Grade test, make certificates and maintain hours of training
• Administrative tasks: typing, filing, copying, meeting registrations, data entry, sending and receiving faxes and mail
• Assist all areas with planning special projects and monitoring timelines
• Make accommodations for air travel, hotel and car reservations
• Maintain all office equipment and order office supplies
• Prepare offsite storage procedures that include manual box and recording box numbers and the description of each box contents, and maintain excel log of all files stored