Financial Analyst Resume Example Columbia University

FINANCIAL ANALYST

Summary

Highly efficient Medical Coder and Biller Manager with experience in Pain Management and Orthopedic billing for Anesthesia, ASC and Physicians. Excellent multi-tasker, strong attention to detail and hard worker. Seeks a position of increased Responsibility and authority.

Highlights

Strong work ethic ICD-10 proficient
Deadline-driven CPT and HCPCS coding
Exercises good judgment Qualified ASC coder
highly organized and independent; able to effectively Medicare and Commercial Insurance
coordinate tasks to accomplish projects with timeliness and HIPAA compliance
creativity. Medical billing software
Experienced supervisor with a management style that Arbitration and Litigations process.
Motivates staff productivity. Electronic Medical Record (EMR) software
Highly organized and efficient in fast-paced multitasking Full understanding on out of network billing.
Environments; able to prioritize effectively to accomplish
objectives with creativity, enthusiasm and humor. Billing procedures, understands NY & NJ PIP and WC LAWS, Familiar with commercial and private insurance carriers,
Patient chart auditing ability, Understands insurance benefits, CMS-1500 & UB-04, NF5, NF3 billing forms knowledge, Knowledge on out of network billing, Advanced computer proficiency (both PC and Mac), Intuit QuickBooks.

Experience

06/2016 to Current

Financial AnalystColumbia University － New York, 10032Research Finance duties: -Monitors grants activity on a regular basis to ensure expenses are in compliance with University and agency requirements. -Monitors sponsored projects budgets vs expenses (over/under spending) and identify and report any deviation Identify the need for and requests internal transfers Assist in coordinating grant salary distributions and cost transfers Update salary grids for grants salary allocations Assists in the quarterly attestation process Coordinates with Pre-Award personnel to obtain from them complete budgets, Notice of Grant Awards, contracts, PINs, and any other documentation related to the award, for new awards and for continuations and renewals Coordinates with Pre-award for any subsequent re-budgets required to be filed. Coordinates with the finance staff to initiate grants expenditures and reimbursements. Coordinates with finance staff to initiate internal transfers when required. Assists in the annual budget preparation and quarterly updates. Collaborates with other departments when grants and/or personnel are across departments. Perform other duties as assigned.

12/2009 to 06/2016

Revenue Cycle ManagerAccelerated Surgical Center of North Jersey － Paterson, NJ

Coordinated all department functions for the billing team.
Oversees the billing process for all the established units.
Maintained detailed administrative and procedural processes to improve accuracy and efficiency.
Supervised and trained billing and collection staff.
Created databases and spreadsheets to improve inventory management and reporting accuracy.
Directly supported CEO in managing operation work flow.
Created and maintained computerized record management systems to record and process data and generate reports.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Verified patients' eligibility and claims status with insurance agencies.
Diligently filed and followed up on third party claims.
Assigned appropriate medical codes with a 95 percent accuracy rate.
Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
Thoroughly reviewed remittance codes from EOBS/AR's.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Accurately posted and sent out all medical claims.
Submitted electronic/paper claims documentation for timely filing.
Responded to correspondence from insurance companies.
Posted and adjusted payments from insurance companies.
Identified and resolved patient billing and payment issues.
Maintained and updated collections tracking spreadsheet to help organize payment information.
Compiled and tracked outstanding balances owed to medical facilities.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Completed appeals and filed and submitted claims.
Posted charges, payments and adjustments.
Applied payments, adjustments and denials into medical manager system.
Carefully prepared, reviewed and submitted patient statements.
Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables meticulously tracked and resolved underpayments.
Consistently informed patients of their financial responsibilities prior to services being rendered.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Primary liaison between billing team and professional staff.

08/2012 to 06/2014

EPIC PAIN MANAGEMENT － Paramus, NJ

Implementation of the billing department.
Recorded and filed patient data and medical records.
Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Thoroughly reviewed remittance codes from EOBS/AR's.
Completed appeals and filed and submitted claims.
Applied payments, adjustments and denials into medical manager system.
Meticulously tracked and resolved underpayments.
Performed full-cycle medical billing in a fast-paced medical practice.

10/2007 to 02/2009

Billing RepresentativeASAP MED SOLUTIONS － Randolph, NJ

Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for professional component.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Verified patients' eligibility and claims status with insurance agencies.
Accurately posted and sent out all medical claims.
Submitted electronic/paper claims documentation for timely filing.
Responded to correspondence from insurance companies.
Posted and adjusted payments from insurance companies.
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Prepared billing correspondence and maintained database to organize billing information.
Identified and resolved patient billing and payment issues.
Entered numerical data into databases in a timely and accurate manner.

Education

BBA: Business administration - Operations managerInteramerican University of Puerto Rico － Ponce, PR, USABusiness administration - Operations manager

Business administration - Operations manager

Accomplishments

COC AAPC (American Academy of Professional Coders).
Accomplishments Successfully established and managed the billing department during 6 years, with five different units in charge of areas such physician, ASC and Anesthesia billing.
Set up job descriptions and standards of performance for all positions in billing office.
Revising of physician's contracts with Insurance company and able to recovery unpaid claims in the past.
Analytical ability, with extensive experience in conception and execution of the Billing process.
Effectively motivate others on all levels in the achievement of individual and organizational goals.

Skills

administrative, AR, Arbitration, auditing, benefits, Billing, Business administration - Operations, charts, CMS, CPT, creativity, databases, database, diagnosis, documentation, fast, filing, financial, forms, home care, ICD-10, Insurance, inventory management, Mac, managing, Medical billing, medical manager, medical manager, multitasking, network, policies, processes, coding, QuickBooks, reporting, spreadsheets, spreadsheet, supervisor, treatment plans

Resume Overview

Companies Worked For:

Columbia University
Accelerated Surgical Center of North Jersey
EPIC PAIN MANAGEMENT
ASAP MED SOLUTIONS

School Attended

Interamerican University of Puerto Rico

Job Titles Held:

Financial Analyst
Revenue Cycle Manager
Billing Representative

Degrees

BBA : Business administration - Operations manager
Business administration - Operations manager

Financial Analyst Resume Example

Resume Score: 90%

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