Highly motivated and goal oriented bi-lingual individual who has displayed over 15 years of professional experience with excellent customer and executive skills. Proficient in problem identification evaluation, patient and insurance carrier resolution. Team player who works very well under pressure, independently and with a group.
Microsoft Word, Excel and powerpoint
Internet research and e-mail
Executive and Administrative Skills
Superior Management and training skills
Patient and physician Liaison
Billing and Coding expertise
Conference, meetings and presentations skills
Promoted to Billing manager after 7 months of employment. Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.
Billing Manager, 02/2007 to CurrentVitreous Retina Macula Consultants of New York － New York, NY
Supervised and trained admitting, billing and collection staff.
Directly supported CEO in managing operation work flow.
Assessment of billing practices such as correct usage of modifiers and coding procedures in compliance of Medicare PQRS.
Electronic submission of claims through Emdeon and E-Commerce on a daily basis.
Appeal claims which are denied, careful review and analysis of payments received to ensure compliance with fee schedules and policies.
Heavy patient interaction including patient balances, payment arrangements and collection.
End of month reporting and analysis of revenue to the physicians.
Greenwich, 06/1999 to 01/2007St. Vincent's Hospital Village － New York, NY
Medical Biller, 04/1992 to 06/1999St. Vincent's Medical Associates － New York, NY
Coding of claims for inpatient and outpatient services.
Heavy insurance carrier contact which included troubleshooting claims issues.
Pre-certification for specific services which required extensive knowledge of ICD-9 and CPT coding.
Heavy patient contact including refunds, outstanding balances and generation of referrals.
Preparation of daily bank deposits and accurate fiscal documentation.
Primary Care Office Assistance.
Effectively provided guidance, assistance and direction to patients and callers to ensure efficient operations and a welcoming environment.
Collection of insurance data from patients while screening the carrier requirements for referrals, pre-certifications, copayments and deductibles.
Daily submission of claims for all services rendered, including sub-specialties such as Internal Medicine; Social Work; Psychiatry and Nutrition.
Prepare consultation reports which involved physician interaction and patient assessment.
Associate of Applied Science:Computer Science,1993Monroe College － Bronx, NYGPA: Dean's List Graduate
Administrative Skills, ADS, Billing, consultation, CPT coding, direction, documentation, E-Commerce, e-mail, ICD-9, insurance, Internal Medicine, Medical Terminology, meetings, Excel, Office, Microsoft Outlook, powerpoint, Microsoft Word, Internet research, policies, presentations, Primary Care, Coding, reporting, troubleshooting