Diligent and driven Financial Services Associate who has achieved success in a variety of roles with increasing levels of responsibility. An effective communicator and team-builder with strong analytical, management and organizational skills.
Knowledge of Medical Terminology
Customer service skills
Epremis hospital Billing System
Omni-pro Medicare government system
Knowledge of ICD-9 and CPT codes
UB-92 billing forms
Financial & Managerial Accounting
Strategic Planning & Marketing in Health Care
Managed Care & Contractual Services
September 2007 to Current
NYU Langone Medical CenterManhattan, NYFinancial Services Associate
Post and reconcile insurance and
patient payments, research and resolve incorrect payments. Strong motivated and dedicated
to the job
Insure accuracy of insurance claims, verify correct ICD-9
and CPT codes for a verify of specialties.
Special projects that are assigned by the management team.
Access EPIC updates patient demographics, update patient
Check all Verification of insurances before submission
Knowledge with insurance authorization and denials.
Ensures work is performed in compliance with company
policies including privacy/HIPAA.
Electronic billing verified correct coding and charge to
ensure clean billing up to over 3,000 claims daily.
Proven the ability to solve problems and adapt to change
Retrieve laboratory results Hemoglobin levels and Hematocrit
level from EDR software.
Update and adjust the coding adjustment spreadsheet by
reversing charges and billing accounts on a daily bases.
Charge and supply posting on patient accounts
Add procedure codes to claims on a daily bases
Work Medicare and Medicaid commercial claims on electronic
Work all Epremis rejections update and correct all patient guarantors
February 2007 to July 2007
Rockland Independent Living CenterNanuet, NY
Responsible for Medical Billing and claims procedures and all other relative activities to process Sent to Medicaid the billing record with in the first three business day after the pay period Kept the information up to date at the billing system batch denied declaim Reviewed and resend billing and any other required to Medicaid Made monthly reports regarding billing amount collected amount with information such as dated invoice numbers providers name check numbers Kept backup filed up to date Entered new employees information Solved payroll procedures problems and worked issue regarding the fiscal Made all duties assigned to the finance department Sent all Medicaid claims to eMedny for processing Medical Biller/Revenue Cycle Department.
June 2004 to February 2007
Columbia UniversityFort Lee, NJ
Reduced accounts receivable by following up on unpaid claims with third party payers patient of other accounts responsible party Investigated assigned accounts to determine what additional steps must be taken for claims to be paid Maintain a through working knowledge of all aspects of billing and collections Process HFCA 1500 requirement diagnosis and procedure coding and applicable county state and federal requirement Researched and responded to insurance request address incoming correspondence and prepared correspondence to insurance companies patient and or guarantor as necessary Assisted with claims including accounts that are delinquent initiates appropriate action and maintains records Contacted insurance companies and or patient guarantor through direct contact letters or other means of due diligence updated the online system with accurate and completed information Checked status of claims using online functionality and automated system as necessary Reviewed accounts history for third party sponsorship Established payments arrangements according to present guide lines information on IDX bar Medical Biller/Case Management.
April 2002 to June 2004
Harlem Hospital Medical CenterManhattan, NY
Conducted data entry for patient information admissions hospital stay ambulatory surgeries and discharges Contacted and collaborate with various Medicaid and Medicare agencies daily to managed and coordinate patient medical collection and follow up on third party reimbursements and payment posting appeals approval and denial reviewed and requested for clinical information Corresponded with IPRO regarding patient refusal in being discharged Provided assistance to the Social Work and nursing homes to ensure and coordinated proper placement for patient in need of home care services Performed general administrative support of office management Received incoming authorizations from providers Reviewed new born admission.
Ashford University Finance Bachelor of ArtsBusiness Administration
Certified Revenue Cycle Representative-2015
accounts receivable, administrative support, backup, billing, Billing System, CPT, Customer service skills, data entry, diagnosis, due diligence, finance, government, ICD-9, insurance, letters, Medical Billing, Medical Terminology, Excel, Power Point, Microsoft word, nursing, office management, payroll, coding, requirement