Name
Cust Svc Med Term Appt
Sch Ch In/Out Reg Chg
Ent Clm Sub Pmt Post Jr
A/r Sr A/r Comment
Richard
95
70
95
95
95
95
85
85
80
60
Mary
70
65
90
85
85
70
80
60
80
65
Marianne
100
90
100
100
95
100
90
90
90 80
Sandy
95
90
100
100
100
85
80
85
85 70
Terry
85
70
90
85
95
85
85
80
90 75
Joanne
90
30
95
70
75
75
75
90
85 85
Bernadette
100
85
95
95
95
100
65
95
70 50
Regina
100
65
75
75
75
70
85
75
80
65
Anne
95
75
100
95
85
85
80
80
70
70
Lucy
100
75
100
80
90
90
70
55
90 45
Moderate to weak basic skills, poor customer
service skills noting a lack of accountability, weak in the managed care
process, coordination of benefits, contractual adjustment and filing
limitations.
Strong knowledge of physician billing
concepts. Missed questions on use of PIN and UPIN numbers and Medicare
post payment review process.
Strong basic skills, missed questions on filling
limitations, coordination of benefits, use of PIN and UPIN numbers,
contractual adjustments, and documentation.
Strong basic skills, missed questions on use of
PIN and UPIN numbers, modifiers and Medicare billing concepts.
Strong basic skills, moderate customer service
skills noting a lack of accountability, weak in managed care process, missed
questions on coordination of benefits, on use of PIN and UPIN numbers, filing
limitations, and post payment review.
Weak in basic medical billing knowledge, moderate
to strong customer service skills noting a lack of accountability, missed
questions on coordination of benefits and billing terminology, use of PIN and
UPIN numbers, contractual adjustments, and Medicare billing concepts.
Moderate to strong medical billing concepts.
Excellent customer service skills, missed questions on coordination of
benefits, use of PIN and UPIN numbers, the managed care process and insurance
ID process, filing limitations and post payment review.
Weak in basic medical billing knowledge, strong
customer service skills, missed questions on documentation , difference
between coinsurance and copay, coding, use of PIN and UPIN numbers,
contractual adjustments, medical billing concepts, filling limitations and
post payment review.
Moderate medical billing knowledge, strong
customer service skills noting a lack of accountability, missed questions on
coordination of benefits, use of PIN and UPIN numbers, contractual
adjustments, managed care process, modifiers, and Medicare post payment
reviews.
Strong front desk skills and customer service
skills. Missed questions regarding differences between a deductible and
coinsurance, the use of PIN and UPIN numbers, contractual adjustments and the
payment posting process, filing limitations, and post payment review.
Summary of Scores for Each Assessment:
High
Score Cust Srv
Med Term Appt Sch Ch
In/Out
Reg Chg
Ent Clm Sub Pmt
Pos Jr AR Sr
AR
100% - 4 90% - 2
100% - 4 100% - 2 100% -
1 100% - 2 90% -
1 95% - 1 90% -
3 85% - 1
95% - 3 85% -
1 95% -
3 95% -
3 95% - 1
95% - 1 85% - 3 90% -
2 85% - 2 80% - 1
90% - 1 75% -
2 90% -
2 85% -
2 90% - 1 90% -
1 80% - 3 85% -
2 80% - 3 75% - 1
85% - 1 70% -
2 75% -
1 80% -
1 85% - 2 85% -
3 75% - 1 80% -
2 70% - 2 70% - 2
70% - 1 65% -
2
75% - 1 75% - 2
75% - 1 70% - 1 75% -
1
65% - 2
30% -
1
70% -
1
70% - 2 65% - 1 60% -
1
60% - 1
55% -
1
50% - 1
45% - 1
9>75%
3>75%
9>75%
8>75%
8>75%
7>75%
7>75%
7>75%
8>75% 2>75%
1<75%
7<75%
1<75%
2<75%
2<75%
3<75%
3<75%
3<75%
2<75% 8<75%