Tracy Sexton

*Responsible for enrollment of IU Health providers with insurance payers.

*Manage denials and write offs assigned to Provider Enrollment by billing analysts.

*Research and report on TPWO "Third party write offs".

*Research and report on data pulled by financial team in reference to denied charges.

*Participate on multiple teams outside of enrollment to facilitate and improve processes. ex: PFL Team-Root Cause Improvement; TPWO Team; Medicaid 1:1 Match Team.

*Fill in where needed to help with enrollment projects.

*Responsible for insurance billing, denials and cash posting for Behavioral Health.

*Pulled pivot reports to merge data between hospital cash posting system and Behavioral Health cash posting system.

*Balanced monthly data.

• Checked documentation for accuracy and validity on updated systems.
• Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
• Verified client information by analyzing existing evidence on file.
• Generated, posted and attached information to claim files.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Maintained confidentiality of patient finances, records and health statuses.
• Communicated effectively with staff members of operations, finance and clinical departments.

*Responsible for entering all orders requested by physicians.

*Assisted nursing staff with patient vitals and documentation.

*Coordinated group therapy times and locations on unit.

*Managed patient charts and assisted physicians with documents.

*Assembled all patient documents pertaining to charts and records.

*Maintained a high level of confidentiality for locked Behavioral Health Unit.