Tamika Wynn

Manual posting of all charges for specified departments within a determined time.

• Documented actions in system to maintain patient history and billing files.
• Ensure proper ICD-10 and CPT-4 coding is appropriate and codes are sequenced properly.
• Investigate patient accounts registered in error to determine if accurate charge information was posted to correct patients account.
• Analyze Oracle reports to secure missing charges and diagnosis on accounts.

• Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
• Gathered demographic and insurance information to register patients for emergency room visits.
• Verified insurance coverage to confirm patient coverage for necessary medical services.
• Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
• Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.

• Act as a patient advocate and assist in the completion of payer required forms to ensure timely eligibility and reimbursement.
• Verify insurance eligibility, benefits, and reimbursements utilizing HealthNet, KIICS, Eclipsys Eligibility, or other third party tools including verbal/telephone and written communication.
• Coordinate pre-certification and authorization for inpatient stays with patient management or utilization review to ensure reimbursement.
• Interact and communicate with payers, customers, government regulatory agencies, supporting vendors and health system departments in a professional manner.