Seeking to obtain a full-time position with an organization where I can utilize my record management, clerical, health information and insurance expertise and customer service skills and be an ideal asset to the organization.
MS Word, PowerPoint, Outlook & QuickBooks.
Ability to perform general office duties such as filing, typing and faxing.
Excellent verbal and written communication skills.
Excellent ability in multitasking in a high-pressure work environment.
ICD-9, CPT-10, & medical terminology and insurance experience.
HIPAA compliance knowledge.
May 2016 to Current RWJ Barnabas Health - Qualitas Pharmacy Services － South Plainfield, NJ
Responsible for posting large deposits from commercial insurances in electronic and paper EOB formats in a timely and accurate manner.
Knowledge with prior authorizations and cash posting.
Able to read and interpret EOB's.
Assist patient's with insurance and payment questions.
Verify accuracy of billing data and ability to process and correct denial claims with proper information to resubmit for payment.
Follow up and conduct collections on outstanding balance and accounts receivable.
Work with insurance company's on 'problem claims' that have trouble getting paid.
Medical Billing CoordinatorMay 2015 to Nov 2015 CG Healthcare Solutions － Toms River, NJ
Daily posting a variety of health service charges to patients' accounts.
Following up on unpaid accounts or denials and reconciling when practical.
Corrected claims via written appeals, unbundling codes, attaching records and more to complete the billing process to ensure clean claims and maximum reimbursement.
Processing new patient demographics.
Reviewing patients encounter forms to ensure accuracy and completeness prior to performing charges.
Taking the necessary actions to correct the encounter forms by contacting the provider of services, medical records department or the patient.
Provide excellent customer service to health care facilities and patients.
Current on HIPAA regulations.
Knowledgeable in timely filing restrictions.
Apr 2010 to Apr 2015 Healthport Technologies － Lakewood, NJ
Respond to all requests for medical record information from various appeals.
Coordinated with health care providers, patients, attorneys, third party payers, disability and subpoenas.
Ensured that all release of information are in accordance with HIPAA federal and state regulations.
Interacted with patients in person and by telephone, obtained appropriate authorization before release of information.
Maintained, filed and retrieved medical records from storage when requested.
Coordinated with other departments and assisted them.
Process invoices for patients, attorneys and various other billable requestors as per hospital policy and state regulations.
Assisted patients in finding their way in and around the hospital as well as assisting disabled persons to their destination by wheel chair.
Medical Billing SpecialistJun 2005 to Apr 2010 Manhattan Labs Physicians － Toms River, NJ
Post and reconcile insurance and patient payments.
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
Assign ICD-9 to physician's diagnosis and ensure correct level of service and various other CPT codes.
Accurately apply payments to patient accounts.
Ensure accuracy of insurance claims.
Verify and correct ICD-9 and CPT codes for a variety of specialties.
Set up new patient accounts.
Send secondary claims upon processing of primary insurance.
Monthly processing of patient statements.
Answer and resolve patient billing inquires.
Insure office practices are in compliance with HIPAA regulations.
Education and Training
HS Diploma2005Brick Township High School － NJ
accounts receivable, balance, billing, interpersonal, CPT, excellent customer service, data entry, diagnosis, faxing, filing, forms, general office duties, HIPAA regulations, ICD-9, insurance, Process invoices, medical terminology, office, Outlook, PowerPoint, MS Word, multitasking, Assist patient, QuickBooks, read, reconciling, maintain records, Research, telephone, phone skills, typing, written, written communication skills