rachael nikirk

* Establish, maintain, and review the accuracy of provider billing numbers/enrollment with all payers for CCPN employed providers * Build and maintain athena tables related to provider enrollment including dashboards and correspondence tables * Work claim issues related to provider enrollment/activation * Build and maintain department Provider Profile access database

* Develop and write training material for MediTech/LSS system * Train Payment Posting, A/R Follow up, and Claim Edit classes * Take help calls on How-To Process questions; general support for 50+ physician offices * LSS/PBR report writing * Team member of SIP, help build and test upgrades to MediTech/LSS

* Supervising 16 employees covering payment posting, electronic billing, and reimbursement/disbursement departments * Supervisor of Technology areas of the CBO * Team member of SIP, helped build, test and train LSS/PBR

* Transmitted electronic claims and retrieved insurance reports from ProxyMed * Worked un-acknowledged claims * Assisted offices with ProxyMed and QSI rejections * Monthly reporting of ProxyMed and QSI rejections

* Printing, distributing, following all edits from both QSI system and ProxyMed * Assisted in transmission of daily electronic claims, tracking of rejects, unacknowledgments, and completed claims * Weekly reporting of site edits and corrections

* Accounts Receivable management of Medicare claims * Follow-up, correcting erroneous claims to receive payment * Data entry (charges, payments, adjustments, and demographics) * Occasionally assisting at sites as fill-in for various positions

* Accounts Receivable management * Data Entry (Charges, payments, and adjustments) * Collections, Appointment scheduling, surgery pre-certification * Assisted at check out and receptionist desks * Filed paper insurance claims * Organized a better system for collection of past due accounts

* Accounts receivable management * Data Entry (Charges, payments, adjustments, demographics) * ER and outpatient registration and receptionist * Worked patient accounts with 100% follow-up within a thirty day turn around.

* Accounts Receivable * Data entry (charges, payments, adjustments, demographics) * ER and outpatient registration, admitting, discharging, receptionist, collections, small amount of AP invoicing, housekeeping

CHRISTUS Health is a Catholic, not-for-profit health care system comprised of 30,000 employees who serve in more than 60 hospitals and long-term care facilities in six U.S. states and six states in Mexico and Chile. Ranked among the top 10 Catholic health systems in the United States by size, CHRISTUS has assets of more than $4.6 billion. We are inspired by our mission, vision and core values to deliver compassionate, high quality care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person.