Trisha Costello

• Review medical charts and identify PHI and PII elements.
• Ensure compliance with HIPAA and client-specific privacy standards.
• Meet productivity and accuracy targets within established timelines.
• Collaborate with project leads and follow annotation protocols.

• Executed mental health billing processes, managed check postings, and trained peers.
• Oversaw mental health billing for online services, ensuring accurate and timely submissions
• Posted checks daily for mental health claims, facilitating prompt reimbursements
• Developed a Standard Operating Procedure after assessing training needs, significantly shortening training and onboarding duration.
• Conducted tasks from a remote location to maintain productivity

• Managed mental health billing, credentialing, and recredentialing for providers and health plans.
• Managed mental health billing for clinic and children’s residential facilities, transitioning from paper to electronic requests using BestNotes and Cerner for improved processing.
• Generated monthly aging reports for assisted living billing to prioritize outstanding claims and expedite payment.
• Created monthly aging reports for the assisted living billing which provided a focus to get claims that were outstanding paid
• Secured authorization services for the necessary mental health CPT codes from insurance plans.

• Conducted research on medical health insurance claims to assess patient eligibility and gather provider information for recoupments.
• Verified patient eligibility for recoupment through health plan websites to ensure compliance with recoupment standards
• Processed recoupments efficiently using Claims98 and Claims 2.0, facilitating timely resolution of claims
• Review provider-initiated recoupment by verifying recoupment has not already been processed
• Process provider checks by entering checks into Claims98 and Claims 2.0

• Processed patient billing utilizing CPT, ICD 9, and ICD 10 codes in Electronic Medical Records to ensure accurate billing and compliance.
• Handled multi-line telephone system to facilitate patient communication and appointment scheduling to answer patient questions, schedule appointments, and share results
• Administered patient assessments and collected vital signs to support clinical decision-making.
• Assisted in scheduling patient appointments, ensuring efficient workflow for providers and patients.
• Maintained accurate electronic health records, improving data retrieval and patient information management.

• Managed patient accounts receivable and billing through invoice creation and payment processing
• Ensured providers were notified of lab results via telephone ensuring accurate results given
• Developed customer relations strategies and marketed new services through client communication on test availability.
• Tracked lab supplies and ordered new stock to ensure availability before depletion.
• Developed desk level procedures for new processes and revised outdated procedures for improved efficiency.

GPA: GPA 4.0/4.0