Tracie Rowles

• Assisted in audit preparation, providing necessary documentation for thorough review of financial activities.
• Prepared detailed reports on account activity for management review, identifying areas for improvement or concern.
• Identified opportunities for process improvements, suggesting changes that led to increased efficiency in our billing department.
• Managed high-volume accounts, prioritizing workloads to ensure timely processing of invoices.
• Improved billing accuracy by diligently reviewing and verifying invoice data.
• Streamlined our billing process, reducing errors and increasing overall productivity.

Advance customer experiences by following claims through initiation to completion including delivery of results. Execute a wide range of account management duties including payment application, account mergers, and confirmation of eligibility and benefits. Hospital Biller with expertise in Medicaid, Medicare, and commercial insurances. Fast-learner and multi-tasker able to work with minimal supervision. Additional Contributions:  Navigate complex internal databases and software including Assurance, Meditech, Quadax, and Cerner software.  Successfully manage large amounts of data and ensure proper entry into systems; uphold high accuracy rates with careful review.

• Identified opportunities for process improvement, leading to more streamlined billing operation.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.

First point-of-contact to facilitate and submit Medicare and Managed Care claims by carefully reviewing coding and paperwork to ensure accuracy. Reduced wait times by efficiently addressing issues, accessing DDE, and correcting claims. Minimized delinquencies by distributing invoices within a timely manner and overseeing the collections process while accurately applying payments to accounts. Additional Contributions:  Boosted productivity and efficiency to manage a fluid pipeline of claims by deploying use of Kinnser and Zirmed software.  Cultivated a positive team environment by establishing a strong rapport with colleagues and assisting during times of high volume.

Subject matter expert on all matters related to billing including ICD-10 and CPT coding, benefits verification, and prior authorizations. Remained in consistent contact with multiple insurers to check patient coverages prior to rendering of services. Oversaw billing of commercial claims, payment posting, account management, and issue resolution. Thrived within a fast-paced work environment. Additional Contributions:  Utilized innovative software such as Centricity; handled sensitive patient information with discretion.  Sent all therapy and WC claims in the mail and liaised between patients and insurance companies.