LiveCareer-Resume

financial services associate resume example with 18+ years of experience

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Objective
Resourceful, Responsible,   Self-directed, Service-driven, Skilled, Strategic, Superior, Talented, Versatile, Well-qualified, Adaptable, Ambitious, Analytical, Articulate, Committed, Conscientious, Consistent, Creative, Customer-focused, Customer-service focused, Deadline-driven, Deadline-oriented, Dedicated, Dependable, Detail-oriented, Disciplined, Driven, Dynamic, Effective, Energetic, Experience, Expert, Flexible, Focused,  Hands-on, Hardworking, Highly motivated, High-performing, Innovative, Mature, Meticulous, Motivated, Multi-task-oriented, Organized, Outstanding, Performance driven, Personable, Positive, Pragmatic, Proactive, Productive, Proficient, Reliable, Accomplished
Highlights
  • Microsoft Office
  • Excel
  • Powerpoint
  • Computer proficient
  • Knowledge of Medical Terminology
  • Epic Prod
  • Epremis Electronic Billing System
  • Omni-pro Medicare Government System
  • Knowledge of ICD-9 and CPT Codes
  • Strategic Planning & Marketing in Healthcare
  • Process implementation
  • Account reconciliations
  • Healthcare Management Information Systems
  • Financial & Managerial Accounting
  • Interpersonal Communication
Accomplishments
Advised, Consulted, Created, Developed, Documented, Ensured, Established, Guided, Identified, Improved, Increased, Initiated, Integrated, Managed, Monitored, Prepared, Proposed, Recommended, Recorded, Reduced, Represented, Researched, Resolved, Solved, Streamlined, Trained, Won
Experience
08/2007 to Current Financial Services Associate New York Community Bancorp, Inc. | Old Bridge, NJ,
Post and reconcile insurance and patient payments, research and resolve incorrect payments.  Strong motivated and dedicated to the job Insure accuracy of insurance  billed claims, verify correct ICD-9 and CPT codes for a variety of specialties. Special projects that are assigned by the management team. Access to Epic accounts and update all patient demographics and update patient insurance coverages. Check all Verification of insurances before bill claim submission. Knowledge with insurance authorization and denials. Ensures work is performed in compliance with company policies including privacy/HIPAA. Electronic billing verify correct coding and charge to ensure clean billing up to over 3,000 billed claims daily. Proven the ability to solve problems and adapt to change quickly Retrieve laboratory results Hemoglobin levels and Hematocrit level from EDR software. Update and adjust the coding adjustment spreadsheet by reversing charges in epic and rebilling 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 billed claims  through the electronic Epremis Billing system. Work all Epremis rejections from the payer exception report and update and correct all patient guarantors and insurances.
02/2007 to 07/2007 Medical Biller/Revenue Cycle Department Urology San Antonio | San Antonio, TX, Nanuet, NY February 2007 to July 2007 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
05/2004 to 01/2007 Medical Biller Revenue Cycle Department | City, STATE,

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

04/2002 to 06/2004 Medical Biller/Case Management Harlem Hospital Medical Center | City, STATE, 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
Education
Expected in to to Bachelor of Arts | Finance , , GPA:
 Business Administration Ashford University/ August 2012 Bachelor's Degree
Expected in to to Master of Arts | Healthcare , , GPA:
MHA Healthcare Administration Ashford University/April 2014 Master's Degree
Skills
Claims, Payments, Collection, A/r, Accounts With, Associate, Audit, Epic, Financial Services, Hts, The Accounts, Billing, Accounts Receivable, Accounts To, Arrangements, Coding, Collections, Correspondence, Credit, Due Diligence, Idx, Including Accounts, Medicaid, Administrative Support, Case Management, Clerical, Data Entry, General Administrative, Medicare, Office Management, Posting, Cpt, Customer Service, Excel, Hospital Billing, Icd, Icd-9, Medical Terminology, Microsoft Word, Office Medical, Receptionist, Retail Sales, Word, Finance, Invoice, Medical Billing, Medical Invoicing, Payroll
Certifications
HFMA CRCR: Certified Cycle Revenue Representative 2/14/15 to 2/14/17

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Resume Overview

School Attended

Job Titles Held:

  • Financial Services Associate
  • Medical Biller/Revenue Cycle Department
  • Medical Biller
  • Medical Biller/Case Management

Degrees

  • Bachelor of Arts
  • Master of Arts

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