Trina Holmes
Healthcare Reimbursement Consultant @4front Strategic Partners, Llc
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WORK HISTORY
Healthcare Reimbursement Consultant @4front Strategic Partners, Llc
Key contributions include:• Working closely with providers, patients, and clients to respond to inquiries regarding coding, coverage, benefits verifications, authorizations, and payment• Review and respond to provider claims issues; provide correct coding information and assist in resolving claims issues• Assist with various reimbursement hotlines and respond to emails and/or phone calls• Provide reimbursement education, value analysis, and coding 101 trainings for physician, hospital and ASC customers; as requested• Review medical records and provide guidance to physicians on documentation standards to properly support medical necessity when submitting claims and appeals• Support clients’ benefits verification and prior authorization process flows • Monitor and analyze claim payments and EOBs, as requested • Develop and implement effective reimbursement support programs and training materials, including reimbursement guides, quick reference coding guides and reimbursement training presentations; as requested• Effectively assist with both prior authorization and claim appeals, as requested• Collaborate with other consultants and team members to complete projects as assigned
EDUCATION
Winthrop University
Bachelor of Science, Healthcare Management
Pfeiffer University
Masters Degree, Health Administration
ABOUT TRINA HOLMES
New career path equals \"new goals\"Co-owner of Transcendent Consulting Services LLCOwner of Trina Holmes Consulting Services LLC
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