Innovative, patient-oriented healthcare professional with background in managed, ambulatory and long-term care. Strong background in patient care as well as claims analysis and management principles and practices, skilled at communicating, organizing and solving problems to raise the stature and rankings of health care facilities, offering vast experience in medical operations, excellent interpersonal communication skills and organizational savvy. Seeking a leadership role within an integrated delivery system.
Superior attention to detail
Office support (phones, faxing, filing)
Excellent verbal communication
Research and data analysis
Composed and professional demeanor
Understands insurance benefits
Insurance and collections procedures
Excellent problem solver
Resourceful and reliable worker
Multi-line phone talent
Workers' compensation knowledge
CMS-1500 billing forms
Filing and data archiving
Billing and collection procedures expert
Medical terminology knowledge
Trained in HIPPA compliance
Sharp critical thinker
Knowledge of Medicaid statutes and regulations
Promotes positive behavior
Professional and mature
Articulate and well-spoken
Works well under pressure
Dedicated team player
Business Liaison, 11/2013
to Current Northern Westchester Hospital – Mount Kisco,
Quickly responded to and resolved all customer service issues in a timely manner.
Trained new employees on program system and data entry .
Responsible for obtaining demographic and financial
information to ensure accurate patient identification and identify and secure
appropriate payment sources into Meditech System
Performs registration functions and insurance
Provides functional guidance to staff. Performs admitting functions; communicates information on financial
obligations to both inpatients and outpatients, to ensure a one touch
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Patient Account Representative, 04/2011
to 11/2013 Putnam Hospital Center – Carmel,
Precisely completed appropriate claims paperwork, documentation and system entry.
Professionally and courteously verified appointment times with patients.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Prepared patient charts, pre-admissions and consent forms as necessary.
Maintained strict patient and physician confidentiality.
Responsible for admitting patients, correctly
prepares daily batch reports/encounters for the Finance Department, preparing the daily deposits. Entering procedure codes with correct
diagnosis to patient accounts.
Clinical Trials Assistant, 06/1999
to 07/2000 Duke University Hospital – Durham,
Maintain and update demographics on computer data base; log forms received and file as appropriate; prepare reports from data base to include weekly reports and other reports as requested.
Receive and disseminate study-related regulatory documents and correspondence; assist in screening documents for completeness and compliance with protocol and appropriate regulations; assist in investigating incomplete, inaccurate or missing documents to ensure accuracy and completeness of data.
Assist in maintaining communications to provide information, track documentation and overall progress and adherence to established guidelines; ensure that study materials and drug kits are shipped and resupplied as requested; respond to routine questions related to study protocol and refer more complex questions to others as appropriate; document all conversations in the data base.
Communicate and coordinate with other study personnel to include data entry and randomization personnel, pharmacy, laboratories, study sponsors and others as needed for study implementation and routine problem resolution.
Communicate regularly with regional data monitors as needed to provide information before and after visits; review the monitor's post visit reports and follow up on problems identified as appropriate.
Attend routine weekly meetings and other meetings; stay abreast of information and any changes to study protocol
Revenue Cycle Specialist, 07/2000
to 08/2005 Duke University Hospital – North Durham,
Answer and resolve inbound inquiries and issues regarding patient account statements, explanation of benefits, balance due, and other patient and insurance billing scenarios.
Billing- sending out claims and patient statements for reimbursement.
Scheduling inpatient and outpatient appointments, pre-registration of patients prior to service; Cash management and payment posting; Charge correction, credit balance review and processing, and collection of accounts.
Low payment monitoring and resolving of outstanding balances;Reconciliations of cash accounts; Provider enrollment; Self pay analysis; Trend analysis of account receivables; Denials review and resolution.
BBA: Healthcare Administartion,
2016 The College of Westchester - White Plains,
Associate of Science: Business Administration,
2015 The College of Westchester - White Plains,