Jeanette McDow has over 15 years of experience in medical billing and insurance claims processing. She currently works as an Insurance Billing Specialist for Senior Care Centers, where she is responsible for billing claims, following up on insurance claims, and overseeing the revenue cycle process for 50 facilities. Previously, she held roles as a Billing Coordinator at UT Southwestern Medical Center and a Medical Claims Analyst.
Vee Technologies provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process.
https://www.veetechnologies.com/industries/healthcare-payer/provider-network-data-management/credentialing.htm
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Vee Technologies provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process.
https://www.veetechnologies.com/industries/healthcare-payer/provider-network-data-management/credentialing.htm
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Healthcare Industry Highlight: Revenue Cycle ManagementCascadia_Capital
In our most recent Healthcare Industry Highlight Report on Revenue Cycle Management, we outline the trends driving consolidation and increased market activity and make predictions on the outlook and future of the RCM ecosystem.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
Coordination of Benefits and its implications to Health PlansCitiusTech
Coordination of Benefits (COB) allows plans that provide health and/or prescription coverage with Medicare to determine their respective payment responsibilities (i.e. determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). Member’s primary plan has the responsibility of paying claims first, followed by coverage by remaining plans. This process of splitting the costs across multiple coverage is called COB. This document introduces COB and how health plans and members benefit through COB regulations.
Tackling Reimbursement Challenges posed by Inpatient Coding with Professional...Medical Billers and Coders
The fact that inpatient medical coding deals with patients after they are discharged from health centers makes it widely different and much more complicated than outpatient billing and coding.
Medical billing and coding summary are useful while handling medico legal services. This ppt explains about what is medical billing and coding, how they are done.
Claim denials are costly. Learn the basics of establishing a strong denial management process and strategies to place your focus on denial prevention. Learn to reduce your costs associated with collection on your claims, reduce your days in AR and maintain a healthier Revenue Cycle.
Sun Knowledge Revenue Cycle Management ServicesSun Knowledge
Sun Knowledge Revenue Cycle Management gives you a clear visibility of your finances through payment follow-up. Prosthetics and orthotics billing are handled diligently.
Image Makers Perspective in Reinventing the Nigerian Nation i-Octane
‘An Image Maker’s Perspective of Rethinking Nigeria’. Paper delivered by Mr. Yomi Badejo – Okusanya at the 2015 Public Colloquium of the Nigerian Institute of Public Relations (NIPR)
Ogun State Chapter. Nigeria. Thursday, August 13, 2015.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Healthcare Industry Highlight: Revenue Cycle ManagementCascadia_Capital
In our most recent Healthcare Industry Highlight Report on Revenue Cycle Management, we outline the trends driving consolidation and increased market activity and make predictions on the outlook and future of the RCM ecosystem.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
Coordination of Benefits and its implications to Health PlansCitiusTech
Coordination of Benefits (COB) allows plans that provide health and/or prescription coverage with Medicare to determine their respective payment responsibilities (i.e. determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). Member’s primary plan has the responsibility of paying claims first, followed by coverage by remaining plans. This process of splitting the costs across multiple coverage is called COB. This document introduces COB and how health plans and members benefit through COB regulations.
Tackling Reimbursement Challenges posed by Inpatient Coding with Professional...Medical Billers and Coders
The fact that inpatient medical coding deals with patients after they are discharged from health centers makes it widely different and much more complicated than outpatient billing and coding.
Medical billing and coding summary are useful while handling medico legal services. This ppt explains about what is medical billing and coding, how they are done.
Claim denials are costly. Learn the basics of establishing a strong denial management process and strategies to place your focus on denial prevention. Learn to reduce your costs associated with collection on your claims, reduce your days in AR and maintain a healthier Revenue Cycle.
Sun Knowledge Revenue Cycle Management ServicesSun Knowledge
Sun Knowledge Revenue Cycle Management gives you a clear visibility of your finances through payment follow-up. Prosthetics and orthotics billing are handled diligently.
Image Makers Perspective in Reinventing the Nigerian Nation i-Octane
‘An Image Maker’s Perspective of Rethinking Nigeria’. Paper delivered by Mr. Yomi Badejo – Okusanya at the 2015 Public Colloquium of the Nigerian Institute of Public Relations (NIPR)
Ogun State Chapter. Nigeria. Thursday, August 13, 2015.
Ebook modelling jokowi's leadership style by admP Wijayanto
JOKOWI'S EFFECT !! Begitulah fenomena yang pernah terjadi di Bangsa Indonesia pada saat pemilihan Gubernur DKI Jakarta dan puncaknya pada pemilihan Presiden 2014 lalu.
Pada ebook kali ini Bpk. Anthony dio Martin menuliskan bagaimana kita bisa memodelling gaya kepemimpinan Jokowi yang dapat di aplikasikan dtempat atau organsasi Anda saat ini.
Baca, renungkan, dan refleksikan. Be Inspired
The collective motion of a large group of individuals has two different scales. Individuals move and interact on a local scale, while the motion of the group as a whole occurs on a global scale. All the movement of the group on the global scale is produced by the many movements of its members, and so a good model for the global behaviour should arise from local models for the individuals. We investigate the link between the two scales, and create formulae for producing a global model for any particular lattice-based local model using mean-field approximations.
POSISI CHINA DI ASIA PASIFIK PADA AKHIR DAN AWAL PASCA PERANG DINGINAhirul Habib Padilah
Pada periode pasca Perang Dingin, hubungan China dengan negara-negara Asia Tenggara bisa dikatakan menuju titik terang. Hal ini dibuktikan dengan banyaknya negara-negara di Asia Tenggara yang mulai menjalin hubungan dengan China. China juga mulai memiliki peran penting dalam perpolitikan kawasan dan juga internasional.
The importance of urgent care facilities in treating accident victims with quick medical care is vital. Managing auto injury claims thus becomes a substantial aspect of the urgent care facility's activities. This essay provides urgent care facilities with crucial pointers for streamlining their handling of auto injury claims, resulting in quick and accurate resolution of these claims.
1. Jeanette McDow
1119 Park VistaDr. #503 Arlington,Texas 76012 Cell:(713) 301-0823 Email: nettiemcdow@gmail.com
Education
Strayer University Currently Enrolled
Associates Degree in Applied Sciences
Academy of Healthcare Professions Sept 2001-June 2002
Certificateof Completion Obtained for Medical Billingand Coding
Experience
Senior Care Centers Dallas, Texas
Insurance Billing Specialist of Revenue Cycling July 2014-present
Create, edit, process and bill claim from AHT for long term care
Follow up on all insurance claims for 50 facilities
Resolves all electronic claims rejection and EOB denials
Performed all aspects of outstanding A/Rincluding appeals
Oversees the implementation of revenue cycling process.
Primary point of contact for the facilities regarding account balances and follow-up
Post all payments for Ins., Medicaid as required, move co-pays,ded., and adjustments per the EOB’s
Analyze and resolved revenue cycle issues associated with all professional accounts
receivable while insuring annual cash flow and appropriate collection ratios .
Meets and exceeded all goals and operation objectives, while making corrective improvements
where needed.
Provides business insight regarding all aspects of the revenue cycle to the Hospital Administrator.
Ensuring excellence in the delivery of the revenue cycle with focus on improved operational efficiencies,
patient satisfaction and cash flow collection procedures.
Responsible for the daily operation of all insurance staff members
Primary point of contact for the hospitalwith all staff and employed cons ultants on revenue cycle issues
Orients new staff
Establishes procedures and protocols to ensure patient complaints are resolved.
Participates in the performance improvement process.
Other managerial duties and special projects as assigned.
UT Southwestern Medical Center Dallas Texas:
BillingCoordinator February 2013-June 2014
Post moderate to complex charges for physician services:reviewencounters
Ensure correct data entry of codes; ensure charges are entered/processed in accordancewith the
required targets.
Perform Bath reconciliation of all charges entered
Work and correct moderate to complex edits related to charges entry as assigned
Identifies and reports error trends in edit reports
Review accuracy of billingdocumentation in accordancewith the departmental policies.
May post chargecorrection and perform reconciliations.
Mentors less experience staff and my assistbillingmanager with trainingof new employees.
Perform other related duties.
Medical Claims Analyst April 2010-Feburary2013
Review and process insuranceclaims through the billingsystem (EPIC), includingMedicaid and Medicare,
third party payers
Resolve electronic claims rejectionsand EOB’s denial in a timely manner
Review and resolved correspondence from all organizations
Responsiblefor contactingpatient and /or third party payers to resolved outstandingbalances
2. Jeanette McDow
1119 Park VistaDr. #503 Arlington,Texas 76012 Cell:(713) 301-0823 Email: nettiemcdow@gmail.com
Identifies problems and inconsistencies by usingmanagement reports; summarizes findings and make
recommendations to resolvebillingissues.
Achieve and/or exceed daily collection accountproductivity goals
Function as liaison between clinical department and third party payers
Perform other duties as assigned
Super-user: Trainingnew employees on epic and in workques and workflows
Eligibility Services (ESI) Dallas, Texas:
Medicare/Managed Care Collector June 2009- April 2010
Medical Billingfor Medicareand MedicareHMO’s and all managed care
Performed all aspects of outstandingA/R follow-up includingappeals
Responsiblefor setting payment arrangements with patients who have outstandingbalances
Ensure all charges areposted on patient’s accounts
Ensure insurancecompanies arebilled in a timely fashion
Prepare and process any necessary adjustments/codingchanges on accounts through the system based
upon follow-up procedures
Upon receipt of insurancepayment, bill secondary insuranceand/or patient
Contact patients to obtain insuranceinformation needed to process claims such asCOBinformation,
accidentdetails,preexistingquestionnaire,etc
Prepare adjustments such as refunds, contractual differences and write-offs for approval and processing
Corner Stone Healthcare Group Dallas, Texas Sept 2008- Feb 2009
Medicare/Medicaid Collector
Medical Billingand Collectionsfor Medicare,Medicaid,VA, Commercial Insurances,PrivatePay,and
contractaccounts
Obtained Verification of patient demographics and billinginformation
Strong workingknowledge of ICD-9, HCPC, CPT codingand charge master
Data Entry of all correspondenceand applyingcharges and/or corrections in thesystem
Appeal Submission and performed all aspects of outstandingA/R follow-up
Responsiblefor performing resolution-oriented billingand follow-up to achieve cash recovery and A/R
goals.Performed task required to ensure the timely accuratesubmission and followup of insurance
claims.
Updated and reviewed high dollar logon a weekly basis,to insurereimbursement was received in a timely
manner
MedStar EMS Fort Worth, Texas: Sept 2002-Sept 2008
Patient Account Representative
Medical Billingand Collectionsfor Medicare,Medicaid,VA, Commercial Insurances,PrivatePay,and
contractaccounts
Obtained Verification of patient demographics and billinginformation
Strong workingknowledge of ICD-9, HCPC, CPT codingand charge master
Performed all aspects of outstandingA/R follow-up includingappeals
Responsiblefor performing resolution-oriented billingand follow-up to achieve cash recovery and A/R
goals.Performed task required to ensure the timely accuratesubmission and followup of insurance
claims.
Documented billingactivity in thepatient accountingsystems
Updated and reviewed high dollar logon a weekly basis,to insurereimbursement was received in a timely
manner
Efficient knowledge of TMHP, Net-Billingsystem for EMS
Liaison for patient, payer, and/or facility inquiries