Tamra B.

Behavioral & Mental Health Senior Financial Counselor @Discovery Behavioral Health

US

Managed patient financial responsibilities, utilizing KIPU EMR, VOB, SOC, COINS, deductibles, INN/OON/Accumulations, and MOOP to ensure accurate billing, reimbursement, and HIPAA complianceEngaged with patients and their families, providing support and guidance throughout their treatment journey in detox, residential, partial hospitalization, and intensive outpatient programsReviewed patient screenings in Salesforce upon admission to prepare for patient engagement and understand treatment chargeTrained in Managing Drug-Induced PsychosisWorked collaboratively with clinical teams, payors, and hospital staff to ensure seamless patient care and positive outcomesOversaw secure handling of financial transactions and confidential information, adhering to HIPAA regulations and infection control protocolsProcessed payments through Cybersource, utilizing CCOFServed as a key holder for the hospital safe and wallet closet, managing petty cash, patient cash, wallets, and cell/electronic privilegesHandled authorization for incidentals and pharmacy ancillary servicesMaintained accurate records and reconciled financial data to ensure compliance and financial integrityParticipated in weekly meetings to discuss patient census, denial letters, and peer-to-peer reviews, demonstrating strong communication and interpersonal skillsUtilized Patients Charts, Medical Records, Payor Relations, Salesforce VOB & Salesforce Financial Metrics Charts & Graphs. Applied Payment Posting in Salesforce & Reconciliation, charged payments & Incidentals through Cybersource & used CCOF.Interacted with Utilization Review and Patient Business Services to ensure timely reimbursement and proper documentationManaged Verification of Benefits (VOB), Share of Cost (SOC), and intricate calculations related to patient financial responsibilitiesUtilized Adobe Acrobat Pro, Outlook, and SharePoint for effective communication and documentation with hospital