The Clinical Finance Division provides billing and collections services for ECU Brody School of Medicine's group practice, including all medical services provided in clinic-based settings and the professional component of services provided in hospital-based settings. Areas of specific responsibility include maintenance of medical fees, procedural and diagnosis coding (CPT and ICD-9-CM), charge entry, insurance claims filing and follow-up, account collections, document archival and remittance posting. Additionally, the division is responsible for managed care planning. Specific managed care responsibilities include contract review and negotiation, provider credentialing with contracted payers and monitoring of 3rd party payments to confirm ongoing adherence to contract reimbursement rates.
|Frank Evans |
Directs billing and collections functions, which include maintenance of medical fee fees, procedural and diagnosis coding, charge entry, insurance claims filing and follow-up, account collections, document archival, remittance posting and managed care contracting and planning; Chairs the Revenue Enhancement committee and works closely with Clinical Department Administrators, providers and staff to achieve timely, accurate and complete billings; Assists ECU Physician's group practice with new and prospective clinical programs by performing financial cost/benefit studies; Responsible for the generation of numerous upper level management reports used to monitor provider productivity and business operations; Serves on the ECU Care Board and assists in the development of related policies and programs to enhance the delivery of effective and efficient care to uninsured patients.