Currently an MBA Student, who is a detailed oriented and who is a reliable financial professional with over 5 years of experience working in the medical industry. Areas of specialization include Customer Service, interviewing, and financial reporting. I have computer skills that include: MS Word, Excel, PowerPoint, Access, Epic, Epaces, Omni, Availity, Lotus Notes, NaviNet, Oam, Edm, facets, HHS connect, and GroupWise.
Works well under pressure
Forecasting and planning
Driving continuous improvement
Works well with teams
Hospital Care InvestigatorHarlem Hospital Center - NY, NY12/2014 - Current
Developed monthly reports.
Lower Bad Debt cases
by 40%. Therefore, Revenue increased by 40%.
investigate fraud, complaints, and billing discrepancies
Inform patient of hospital rates; performs in-depth interviews
with patients, families, relatives and friends in an office setting or the
hospital, during field investigations, and/or by telephone to determine
patients' and/or legally responsible relatives ability to pay for services
performed insurance verification, pre-certification and pre-authorization
functions for hospital billing
Provide excellent Customer Service to patients
Fianancial Care InvestigatorBrookdale Hospital and Medical Center - Brooklyn, NY07/2012 - 12/2014
Efficiently performed insurance verification, pre-certification and pre-authorization functions for hospital billing
as liaison with social services and home care agencies
billing and payments
investigated fraud, complaints, and billing discrepancies
Eligibility AssociateFidelis Care NY - Queens, NY07/2010 - 07/2012
and Submitted 30+ Medicaid, CHP and FHP applications daily
Access New York and Child Health Plus applications according to New York State
Assisted Supervisors and senior associates with
generating reports, researching applications and retrieving information using
Reviewed and analyzed suspicious and potentially
fraudulent insurance claims.
MBA: Adelphi University - Garden City, NYCurrent
Current GPA 3.75
Course work includes Finance, Technology and Operations Management, Leadership, Accounting, Statistics, Negotiations , Team building , Entrepreneurship and Investment Analysis and Building Shareholders Values
Bachelor of Science: Business Management Concentration HR ManagementFairleigh Dickinson University - Teaneck, NJ2010