Sylvia Milner

HB- Certified Financial Counselor with extensive experience in customer service, screening/processing Medicaid/Medicare Savings and Financial Assistance/Fund applications. Educating every insured patient of their OOP, Co-insurance, Deductible and Co-pay responsibility giving insurance allowed amount /estimates and provide every self-pay current/ prospective patient with a "Good Faith" estimate in accordance with the No Surprises Act(NSA).

• Coached team members in techniques necessary to complete job tasks in daily team huddles.
• Assist manager with new hire interviews/ train staff
• EPIC Super User Go-Live 2014
• Participated with the success of the integrated hospital Financial Assistance and OnBase scanning system implementation and assisted with creating F/A and C/S tip sheets EPIC 3 GO-Live 2014
• Financial Assistance and Bad debt audits
• Create EPIC POS reports for F/C's on all campuses(SMH, JMMC & SFH)
• Conduct SMH High $ Medicaid pending/self-pay with in house vendors
• Insurance verification(updating & billing)
• Customer Service walk-in inquires/disputes for hospital and physician accounts
• Self-pay walk-ins and in-coming calls
• Budget plans
• Scanning
• Worked different stations to provide optimal coverage and meet production goals.
• Kronos
• Attorney's billing request/Subpoenas
• Bad debt collections (EPIC and Archived Paragon system)
• Train/monitor staff/vendors/agencies
• Cashiers personals patient and non-patient collections
• Monitor FC's WQs
• Registration updates
• Resolve credit balances
• Report staff statuses to upper management via TEAMS
• Currently assisting with Financial assistance process for TC Wave 9

HB Customer Service Rep T/L cross trained staff to handle multiple tasks within customer service/ cashiers area and trained all new employees. Handles large volume of walk-ins and incoming calls from patients, in-house departments, doctor offices and attorney inquiries. Screened/ processed Financial assistance, Brainard Fund, Pink-Aid applications, scanned application to secure On Base imaging system and audited the F/A WQ's for accuracy. Assisted self-pay vendors with inquiries/resolving billing issues, monitored BD accounts and signed affidavits for court proceeding.

• Boosted morale within the team by organizing engaging team-building activities and encouraging open communication among peers during daily team huddles
• Provided estimate to current/prospective patients
• Set up budget plans
• Managed escalated customer issues, ensuring swift resolution and maintaining positive relationships with clients.
• Verified insurance (via RTE/Websites)
• Billing/ follow-up on no-fault/workers comp accounts
• Adjusted insolvent estates,homeless and bankruptcy approved accounts
• Cashiers patient personals, cash/insurance posting and check scanning for patient and non-patient departments
• Assist manager with interviews and new hire training

Electronic/manual billing and follow-up to Medicare Part A&B and all commercial insurances secondary billing via UB-04/ 1500 HCFA for hospital facility and physician fees.

• Participated in networking events within the healthcare industry to stay informed about changes affecting the field of medical billing.
• Maintained up-to-date knowledge of changing Medicare regulations and guidelines, ensuring accurate and compliant billing practices.
• Trained new staff members on Medicare billing procedures and best practices, improving team efficiency.
• Audited patient accounts to identify discrepancies in billed services, correcting errors to ensure proper reimbursement.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Resolved complex billing issues by conducting thorough research and collaborating with relevant parties.