Tierra Williams

Review and Analyze Contracts

Identify and report Revenue Cycle trends affecting reimbursement

Investigate payment variance for contract discrepancies and non compliance

Evaluate key performance indicator data to meet A/R performance goals

Attend meetings and provider relations calls to ensure standards and client expectations are met

Escalate and effectively provide problem resolution between plan and provider

Provide training and education for Revenue Cycle Representatives

Assist with managing AR daily workloads

Identify and track trending payer issues and escalate accordingly

Review and monitor month-end reports to ensure AR is properly stated based on client contracts

Monitor high dollar hospital claims for accurate billing to reduce underpayment discrepancies and maximize reimbursement

Assist leadership with special projects and team members escalated issues

Review accounts and conduct bi-weekly audits for team members Quality Assurance.

Attend weekly meetings with leadership providing timely and effective feedback on outstanding claims issues

Provide timely follow-up on all High dollar claims

Contact third-party and government payers regarding claim status or benefit specifics

Audit accounts for under payments and misapplied funds

Review EOB and remits for correct contractual and patient responsibility

Monitor AR to identify coding and billing errors

Perform eligibility checks via Passport to validate coverage and plan information

Provide assistance to patients/guarantors and payers regarding account status

Properly document account with follow-up details and additional information as required