accountant, accounts receivable, AR, billing, CMS, interpersonal and communication, CPT, credit, data entry, documentation, editing, filing, financial, Home Health Aide, ICD-9, insurance, medical billing, medical terminology, Microsoft Excel, Exchange, Outlook, Microsoft Word, organizational, processes, quality control, rapport, supervisor, telephone skills, phone, treatment plans
New York HealthCare Finance DepartmentNew York, NYAccount Receivable08/2014 to Current
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Performed quality control of the data entry system to verify that claims and payments were posted correctly.
Completed appeals and filed and submitted claims.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Thoroughly reviewed remittance codes from EOBS/APosted charges, payments and adjustments.
Monitored credit collection on past due accounts.
Pursued payments in the form of collection correspondence, delinquent statements, and phone calls.
Working in conjunction with the A/R Manager.
Assist the accountant to insure proper application of patient remittances.
Prepare monthly reconciliation status reports for the manager.
Prepare Private Pay invoices and all HMO insurances.
Carefully prepared, reviewed and submitted patient statements.
Verify Medicaid Eligibility
V.I.P Homecare Health Care AgencyBrooklyn, NYMedical Biller07/2013 to 05/2014
Reviewed and appealed unpaid and denied claims.
Verified patients' insurance coverage.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Posted charges, payments and adjustments.
Submitted refund requests for claims paid in error.
Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.