Billing Department

Billing

General Info

The Billing/Credentialing is the income center of EPIC Health. It touches every patient account seen at all sites, and is responsible for ensuring we are paid for the services we provide.

Department Hours

Monday – Friday

8:00am – 5:00pm

After-hours assistance: Call or Text

Charge Entry Staff

  • Audit all charges inputted in by providers
  • Reconciling all procedures done prior to submitting
  • Inbox review and response
  • Inbound/Outbound Patient Calls
  • Financial Hardship
  • Special Projects

Insurance AR Staff

  • Work Que based on insurance carrier
  • All rejections worked and resubmitted over to carriers
  • Clearinghouse
    • Failed claims
    • Rejected claims
    • Confirm all claims were submitted
  • Special Projects

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Credentialing Staff

  • Enrollment of all providers with all insurance carriers for all sites
    • Direct contracts
    • PO/TPA contracts
    • f/u as needed
  • Revalidating contracts for all payors
  • Documenting all information in our credentialing software as well as personal folders
  • Adding/Removing providers on malpractice
  • Licenses/DEA reminders for renewals

Meet the Billing Department

Nillian Shaouni

Billing Manager

 

 

Charge Entry Staff is our team of trained billing employees – all local – who submit all charges to insurance (or patients in the case of self-pay) to ensure we receive payment for the services rendered. They do an audit of what the providers have documented and ensure everything is reconciled prior to submitting. They also provide customer service by accepting payments, answering questions regarding why a bill was received, or other billing related questions. They also process documentation for financial hardship.

 

 

Tina Vandermark

Billing Manager

 

 

Brook Shikwana

Billing Manager

 

 

Manal Goins

Biller Specialist

 

 

Eva Shamammi

Biller Specialist

 

 

Insurance AR Staff are the staff who ensure we get paid for all claims sent out within a timely fashion. Our staff is both local and global. They are responsible for working any claims that are rejected by the insurance carrier to ensure they are paid in a timely fashion. T They also provide customer service by accepting payments, answering questions regarding why a bill was received, or other billing related questions.

 

 

Jodi Long

AR Specialist

 

 

Linda Salama

AR Specialist

 

 

Madan Kalabi

AR Specialist

 

 

Sangeeth Kumar

AR Specialist

 

 

Sushanth Gowda

AR Specialist

 

 

Credentialing staff are the staff who ensure we are participating with all insurance carriers for all sites. They also follow up with providers to ensure that their malpractice, licensures and DEA do not expire.

 

 

Danica Carroll

Credentialing Specialist

 

 

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