Tracy Plath

Monitors and works with staff to ensure the timely billing and payment for facility billing accounts.

Work the DNFB report, billing error worklists, denials, writing appeals as needed, and working aged accounts receivable.

Administer continues training efforts by browsing accounts, answering questions from various accounts receivable & billing staff.

Monitoring of staff productivity to ensure benchmarks are met.

Ability to motivate and coach the team to higher levels of productivity.

Assists Manager with the day-to day tasks of the department.

Maintains knowledge of hospital standard operating and procedures.

Participates in the completion of compliance audits as needed.

Additional duties as assigned.

Assist staff daily with questions and concerns and provide training to new and current staff.

Responsible for reviewing payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate.

Calculate the usual and customary rate for any deductibles, coinsurance's and or adjustments according the professional and technical reimbursement and contracts procedure and policies.

Responsible for scheduling all payer meeting monthly and bimonthly as appropriate tracking payer logs to ensure accuracy and timely response to and from payer.

Assist the cash posting staff with any questions in regard to payor remittances to ensure timely cash posting.

assist cash posting with adjustments, payment transfer, and occurrence sheets for missing or misapplied payments.

Track the daily billing from SSI.

Additional duties as assigned.

All initial billing and follow-up for Inpatient CDPHP, Empire Blue Cross and Blue Shield.

Corrected all rejected and partially paid claims for all payers.

Verified eligibility on insurance websites and updated patient demographics daily.

Worked directly with billing manager to obtain a leaner process.

All billing and Follow-up for Medicare Outpatient and mental health billing.

Submitted Medicare claims on Omnipro for processing.

Corrected all rejected claims on Omnipro.

Moved from Outpatient Medicare to Inpatient Medicare.

Did all the Medicare billing and worked all the correction and denial on Omnipro.