Elizabeth Hinds

Implemented processes for billing Medicare as a non-participant and managed billing for various payers including CA/AZ/CO Medicaid, Managed Care, Commercial, CA Regional Centers, and Government payers. Provided team training to enhance efficiency and compliance in revenue cycle operations.

Assisted team members with collections, payment posting, and system inquiries, ensuring smooth financial operations. Implemented a new process for Medicare billing and managed billing for AZ/CA Medicaid, CA Regional Centers, and MCO's.

Managed the complete revenue cycle for behavioral health inpatient and outpatient services, including SCA and LOA agreements and out-of-network negotiations. Handled claim submission, patient billing, payment posting, and account reconciliation.

Managed appeals, denials, status inquiries, and collections for inpatient insurance claims. Provided insurance follow-up across all payer types including Medicaid, Medicare, Commercial, and Managed Care, and assisted team members with collection questions.

Processed UB04 and CMS1500 forms for Medicare, AZ Medicaid, and Commercial payers, covering behavioral health, physical therapy, inpatient, and outpatient claims. Contacted insurance companies to correct provider files and verify patient eligibility, and managed payment posting and claims rebilling.

Processed claims on UB04 and CMS1500 for AZ Medicaid and provided support to team members with processing questions, authorizations, and eligibility. Played a key role in ensuring accurate and timely claims submission.

Assisted providers with contract issues, billing questions, authorizations, client eligibility, and denials. Processed behavioral claims, verified adjudication, and handled inpatient and outpatient claims on UB04 and CMS1500 for AZ Medicaid.