Taryn Knox

ABA Therapy Company

Systems worked: Central Reach, Waystar, & Podio

• Generate and follow up on claims processed to insurance payers for behavioral health charges.
• Followed all company policies and procedures to deliver quality work.
• Generate reports detailing findings and recommendations.
• Maintain database systems to track and analyze operational data.
• Perform credit and sales adjustments to balance accounts for month end finance records.

• Helped patients maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
• Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
• Improved patient well-being by providing compassionate and attentive personal care.
• Completed entries in log books, journals, and care plans to accurately document and report patient progress.
• Traveled to clients' homes to complete healthcare services and promote continuity of care.

• Creates and maintains spreadsheets for claims billed and expected reimbursement
• Performs administrative assignments
• Generates monthly reports, setup meetings, and reorders supplies
• Maintains polite and professional communication via phone, email, skype, and mail
• Addresses the needs of clients and staff to maintain a positive environment.

• Accessed client’s facets system to review claims adjudication
• Generated report to analyze trends in closed claims to provide feedback to the appropriate department
• Provided detailed proofing support on claims submittals to ensure accuracy of totals, verbiage, calculations or other key variables prior to client submission
• Reviewed provider contracts, applied appropriate payment methodology, applied outcome/closure status
• Performed focused or complex support and administrative assignments for the audit, including file management, data management.

• Followed up on billed accounts & monthly cash report to ensure accurate and timely payment
• Actively maintained tickler file and AR spreadsheets for patient accounts based on age
• Applied AR, billing, & coding knowledge to correct claims as needed
• Submitted adjustments according to payer contracts and fee schedule
• Applied knowledge of contracts, DRG’S, CMS rates to effectively get claims paid
• Maintained and prepare files for insurance appeals and audits
• Held group meetings to discuss payer issues with team members
• Remained current on all reimbursement, terms/ conditions, departmental procedures and applicable regulations.

• Prepared and submitted claims accurately and timely through electronic and manual billing process
• Verified patient demographic information and insurance eligibility
• Worked with Envision, Siemens Imaging, Smart Chart, and Xactimed Billing System
• Performed adjustments according to payer fee schedule
• Created and maintain spreadsheets for claims billed and expected reimbursement
• Followed up with insurance payers for appeals, denials, and rejections
• Held monthly team meetings on payer issues to report directly to manager.