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Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLE
Professional Summary
A highly motivated, versatile, dedicated billing and collections professional focusing on the medical industry
Strengths include maintaining patient accounts, achieving collection goals, and ensuring billing accuracy. Skilled
in ICD-10 and CPT 4 coding, along with excellent project management and technology abilities. A well-
organized, detail and deadline-oriented team player, with excellent communication and problem-solving skills.
Skills
Microsoft Office Suite
Quadax, Medisoft, PCS, Medical Manager, IDX, Medex, Novovision, Claims logic, ADS, SMS, MAC,
Omnipro,
Sales logic, Lotus 123, Epremis, Epaces, Epic, Hyperspace
Self-motivated, team worker
Professional Experience
Audit & Control Specialist 2020- Current
Navaderm, - New York, NY
Contacted insurance companies in regards to recoupments on accounts
Called insurance carriers to optain payment details on unapplied cash
Prepared refunds to insurance carriers on overpayments received
Applied a breakdown of payments line by line when needed
Account Administrator Collections 2010 to 2020
Therapath Laboratory New York, NY
Collected over $500 thousand monthly from over two thousand Commercial, Medicaid and Medicare
cases in meeting company revenue goals
Verified the accuracy of over two-hundred billed accounts daily by checking patient eligibility,
performing pre-certification and ensuring proper ICD-10 and CPT-4 coding
Maintained patient accounts through work lists, spreadsheets, and account receivable reports
Posted all insurance carrier payments and worked denials on a daily basis
Administrator Patient Accounts - 2005 to 2010
Weill Cornell Medical College, New York, NY
Exceeded ninety-five percent of the company collections targets for over 90 days and bad debt accounts.
Effort led to patient referrals
Adjusted and closed Self-Pay, Medicare, and Medicaid, Blue Cross/Blue Shield and commercial
accounts
Maintained and retrieved medical necessity letter, reports and films for court cases and arbitration
Directed the transfer of uncollectible accounts to collections agencies after exhaustive attempts of
reconciliation
Posted all insurance carrier payments and worked denials on a daily basis.
Education
Roxbury Institute Eastern Technical School
Certificate in ICD-10 and CPT-4 coding Diploma, Medical Laboratory Technician
Queens College Lehman College
Diploma, Pharmacy Technician B/S in Hospital Administration
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