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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLE--PROFILE:Highly-skilled financial professional seeking a position utilizing my knowledge, skills and expertise with Patient Services. Over 20 years experience with front and back office Management, Financial Counseling, Patient Financial Services, Medical Biller and Customer Service for acute care, rural, or university facility environments. Unique palette of skills covering service and efficiency enhancement, expert fair debt collection practices, Medical Billing, Patient Access, and Financial Clearance. A talented leader and trainer, adept at developing effective teams, clarifying roles and their part in the bigger picture, increasing staff commitment and thinking outside the box.WORK HISTORY:04/03/2019 - Present Accounts Receivable LiaisonOur Lady of Peace, Lewiston, NYLiaison between Department of Social Services and OLP Residents and families to implement Nursing Home Medicaid.Assist Residents and Families with Medicaid Applicationsand all pertinent documentation.Attend Sub-Acute Rehab Meetings to track and record residents that become long term.Work with outside agencies to obtain Nursing Home Medicaid.08/18-12/18 Medical SecretaryNiagara Dermatology, Lewiston, NYCheck patients in and check out.Insurance Verification.Post co-pays and payments on patient account.Answer phones, schedule appointments.Assist with new patient paperwork.Registration Secretary01/18-04/18 OA Centers for Orthopedics, Portland, MEScanning Electronic Medical Records.Answering patient phone calls, assisting with insurance questions.Sent out Patient New Packets.Closed the switchboard, contacted on call services.Record keeping for physicians on call.08/17-12/17 Medical SecretaryMaine Eye Center, Portland, MECheck patients in and check out, schedule appointments, referrals, authorizations.Medical letters and Medical Records to patients Primary Care Physicians and Specialists.Follow up calls for appointments.01/17-06/17 Authorization CoordinatorVNA Home Health Hospice, Portland, MEAuthorizations from Insurance Companies for In Home Healthcare ServicesWork directly with all clinicians to ensure authorizations have been obtained before next visit.Verification of patient insurance to insure home health benefits and effective at the date of service.02/16-10/16 Reimbursement SpecialistMercy Hospital, Portland, MEMedical Billing Commercial and Blue Cross Blue ShieldOut Patient and In- PatientFollow up BillingInsurance Verification07/12-02/16 Financial Clearance SpecialistCatholic Health System, Buffalo, NYInsure all pertinent insurance information has been entered correctly at admissions for proper reimbursement.Remit resolution for all Medical PayorsPerform appeals with appropriate documentation to insurance companies with timely follow up on status appeal.3/11-03/12 Utilization Review RepresentativeVeterans Health Administration of WNY, Buffalo, NYPrimary contact between staff and third- party insurance companies.Collects insurance information from individual insurance carriers, patients, and patient families.Interprets insurance policy language to ensure proper information is obtained.Identifies policy benefits, deductibles, limitations, filing limits, effective and expiration dates.Assists the supervisor in maintaining standard operating procedures and training manuals.Obtains Pre- Authorizations for all Radiological studies.10/10-03/11 Patient Access Financial SpecialistErie County Medical Hospital, Buffalo NYBed side front end registration for the Trauma Center.Insurance Financial Clearance.Financial Counseling. Screen and Process Medicaid Applications.03/07-10/09 Physician Billing and Collections SpecialistPractice Management/Reimbursement Company, North Tonawanda, NYSpecial Projects for hospital in-patient billing and claims resolution.Collection Follow up.Medical Billing for the Nephrology Associates.Charge Posting remit invoices.Dialysis hospital and office billing.Payment posting, aging/collections of self pay accounts.EDUCATION:Associates Degree, Accounting and BookkeepingKelley Business Institute, Niagara Falls, NYDiplomaLewiston Porter Sr High School, Lewiston, NY |
