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Click here or scroll down to respond to this candidateCandidate's Name
Medical Billing SpecialistWith over 13 years of experience in medical billing and a strong background in revenue cycle management, I am adept at ensuring accuracy in billing processes and compliance with healthcare regulations. My expertise in electronic health records and billing software, combined with my ability to work collaboratively with healthcare providers and insurance companies, positions me as a valuable asset in streamlining billing operations and enhancing financial performance. Work History2016-06- 2023-07Billing SpecialistThe New York FoundlingSubmitted claims to insurance companies, including Medicaid Managed Care Plans (MM-CPs), ensuring compliance with healthcare regulations. In charge of revenue cycle for varies payersResolved denials and reviewed explanations of benefits, enhancing customer satisfaction through timely responsesWorked effectively with medical payers such as Medicare, Medicaid, and commercial in- surances to secure accurate payments Verified accuracy of accounts payable payments, achieving an 85% reduction in payment errors and check reissues.2015-11- 2016-06Data AnalystUnited Bronx ParentsMaintained confidentiality of sensitive client or company information, adhering to HIPAA and other healthcare regulations Analyzed data to identify root causes of problems and recommend corrective actions, improving operational efficiency Documented effective and replicable methods for extracting data and organizing data sources, enhancing data management processes Participated in requirements meetings to understand business needs, facilitating collabo- rative problem-solving.2012-10- 2015-06Medical BillerAHRC, Access Community Health CenterPrepared and submitted medical claims electronically to governmental, private pay, and commercial insurance carriers, including MMCPs Responded to customer concerns and questions daily, demonstrating strong communica- tion and problem-solving skillsCommunicated with insurance provider relations to resolve denied claims, ensuring max- imum reimbursement for services provided Verified patient insurance eligibility, contributing to the accuracy of billing processes.2010-10- 2012-09Medical BillerBetances Health CenterDelivered timely and accurate charge submissions, including managing detailed, specifi- cally coded information for patient records Posted payments and collections on a regular basis, ensuring a steady funding streamAnalyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers, demonstrating attention to detail Personal InfoEmailEMAIL AVAILABLEPhonePHONE NUMBER AVAILABLESkillsLanguagesBilling systems and software,Netsmart(myevlov), Nextgen, ECW,Sage, Simple Practice, Counsol,Accumedic.Enhancing billing accuracy andefficiency.Strong knowledge of ICD-10, ICD-9,and DRG coding systems, ensuringcompliance withCoding guidelines and regulations.Excellent communication skills,facilitating effective collaboration withhealthcareProviders and insurance companies.Knowledgeable in revenue cyclemanagement, contributing to thefinancial performance of healthcarefacilities.EnglishEducationCertificatesVerified patient insurance eligibility, enhancing the efficiency of the billing process.1994-09- 1996-02Accounting, AssociateHostos Community, Bronx2009-09- 2010-10Medical Billing and Coding, CertificateSanford Brown Institute, NewYork2007-09- 2009-02Medical Office Systems Management, AssociateThe College of Westchester, White Plains2023-02 Certified Billing and Coding SpecialistCertification# A2N6K6P4. Exp. date 2025-02 |
