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Essay about multitasking skills
Confidentiality in patient care
Confidentiality for health care professionals
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Summary
Client Services Professional with experience serving customers, managing confidential information, and multitasking in a fast paced customer-focused environment.
Professional Experience
St. Vincent Carmel Hospital March 2017 – July 2017
Patient Financial Insurance Claims Follow-Up Representative
• Analyzed account balances on patient accounts to determine if payments had been received and applied correctly based on the explanation of benefits that have been received from patients insurance.
• Validated and billed the insurance company or patient as appropriate.
• Communicated daily with various insurance carriers via phone, e-mail, fax transmissions, or mail to obtain claim status and provide necessary documents or information
Flinker S., Ward D., Calabrese T., (2013). Accounting Fundamentals for Health Care Management, 2nd edition.
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
The purpose of financial measurement in healthcare is to provide the community with the services it needs, at a clinically acceptable level of quality, at a publicly responsive level of amenity, at the least possible cost. This is done by providing healthcare finance managers with accounting and finance information to help accomplish the purpose of the organization (Nowicki, 2015). When making accounting decisions about budgeting and inventory control, an understanding of economics, statistics, and operations research is needed. Major Financial Measures
-A monthly claim report lists all claims the insurance carrier has denied or not paid by the required time limits set by the state. It also has a listing of detailed information about the claim itself to better identify the exact claim listed. The monthly claim report is necessary for reimbursement because they must be sent to an auditing team to make sure the correct attention to the overdue claims so that they are paid and if not paid the provider should be send a notice on why the claim is not being paid or why the provider is going to be receiving a partial payment. This is called a remittance advice sent to the providers office so that they claim may be edited and resubmitted.
The American Psychiatric Association (APA) Code of Ethics (2002) is the foundation for psychology’s professional practice and ethical responsibility. Although it is important to know the ethical standards, professionals must also apply them into practice. The current case example examines the importance of professional consultation, when faced to identify ethical dilemmas in clinical practice, make ethical decisions, and gain insight into self-awareness. This case also highlights the importance of implementing self-care in clinical practice, especially when treating patients who present with severe symptomatology.
His company has the capacity to do a formal analysis of medical bills but he didn’t do that here. He just glanced at the bills.
There are several factors that contribute to the complexity of the revenue cycle. Frequent changes in contracts with payers, legislative mandates, and managed care are just a few examples of reasons why revenue cycle in the healthcare industry is so complex. Furthermore, the problems that arise in the steps of the revenue cycle further complicate the whole process. For example, going through the steps of the revenue cycle efficiently is extremely difficult when it is managed by poorly trained personnel. Furthermore, if a healthcare provider does not have the proper information system to track patient records and billing, receiving reimbursement can become difficult. In addition, one of the main factors that delay payments is denial from the insurance companies. The reason for Denial includes incorrect coding, the certain sequence of care and medical necessity or even delay in submitting claims. Lastly, inefficient patient correspondence can not only hinder the process of revenue cycle but also result in many patient complaints (Wolper, 2004).
What is the difference between a.. In what ways can “client” be defined? A client is someone who comes into a human service system with complicated things going on in their lives; this can include psychological, cultural, financial, social, spiritual, and educational problems. 3. What is the difference between a'smart' List the different perspectives on client problems.
Consultant is defining a professional person who provides an expert advice in a particular area. A consultant is requested to help determine what treatment/services the client requires. A consultants also used their expertise to ensure that clients who require a particular type of knowledge or service (example:-a cardiologist for a client who had a myocardial infarction, a psychiatrist for a client whose risk for suicide needs to be assessed). Coordination of the consultant’s recommendations with other h...
In the modern world of the health-care industry, it is vital that an organization’s financial statement analyses be kept up to date and reported accurately within the company. A financial analysis is an evaluative method of determining the past, current and projected performance of a company (Investopedia.com, 2016). Collectively, patients seek superior quality of health care services and integrity from professionals who work in the hospitals and serve the communities worldwide. Although the health care industry is rapidly changing as time progresses, providers still have an obligation to satisfy the patients and deliver excellent care to those in need.
In the past Parallon has had limited opportunities for en masse analysis. Requirements for analysis include unit number, patient number, client information, payor and payment information, and general logic. Improving Parallon’s accounts receivable process required a standardized analysis process. Accounts eligible for analysis do not have Medicare as a primary insurance, and secondary was present. All accounts must be in accounts receivable or collections agency status. Organizing accounts into three specific categories assisted in developing decisions based on account criteria. Account separation methods included accounts without a primary or secondary payment processing, accounts above threshold, and accounts with a denial code. Conflicting processes result in the inability to review denial accounts through this standardized process. Placing thresholds on financial classes limits the amount of errors possible due to contract agreements and rates. Payment percentages determine if accounts meet payment threshold requirements for analysis.
Lastly, as a customer service in one of the busiest places I have learned so many things, it turned out to be a great outcome and lovely atmosphere. Customer service entails much patience, and listening skills with each different person that approaches me every day. Staying up to date with each customer involves multitasking and building a wonderful relationship while understanding their needs. Recently, I have noticed my job has become a way for me to enhance my techniques to starting my profession confidently and
I enjoy working with amazing clients like you, with similar worries and concerns. My mission is to guide you to achieve remarkable success, be more productive, get more clients and make more
what you can help them achieve. You will also encounter those clients that are there
Preparing the necessary documents for the clients such as will, property papers, property transfer papers, compensation papers etc.