Candidate Information Title Medical Billing Data Entry Target Location US-NY-New York City Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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CONTACTQueens, NY Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEPROFESSIONAL SUMMARYMotivated and detail-oriented medical billing professional with over four years of experience in claims processing, appeals management, and insurance contract reviews. Proven expertise in resolving payment delays, ensuring compliance, and maintaining billing accuracy to optimize revenue cycles. Skilled in using advanced billing software to streamline processes and improve efficiency. I seek a collaborative team environment to apply my analytical skills and contribute to enhancing billing processes, driving financial performance, and supporting organizational goals.SKILLSPatient AdvocacyData Entry proficiencyHIPAA ComplianceMedical Billing & CodingInsurance Contract ReviewsCollaborative RelationshipsCalendar/ AppointmentClaims Processing & AppealsCustomer Relationship ManagementEOBs (Explanation of Benefits) AnalysisDocumentation & CorrespondenceBilling software and EHR systems Epic, Kareo, CernerAccounts Receivable (A/R) Accounts Payable (A/P)Software Applications (Commercial & Custom Billing Software)DANIELLE FISHEXPERIENCEAR Medical Representative / Medical Follow-up Docgo Oct 22- Oct 2023Verified claim statuses via phone or web for accurate and timely follow-up.Processed appeals for aged claims and insurance denials, resolving payment delays effectively.Reviewed and ensured the accuracy of EOBs (Explanation of Benefits) for payment, deductibles, and denials.Audited and maintained accounts, ensuring aged claims were processed promptly.Conducted initial eligibility reviews, recommending courses of action to management.Tracked and assigned cases using commercial and custom software applications.Monitored vital performance indicators to ensure efficient claim resolutions.Medical Billing Representative Northwell/Optum Feb 2022  Sept 2022Educated patients on payment options, billing procedures, and invoice clarification.Resolved billing discrepancies and ensured accuracy in premium invoices through detailed report analysis.Advocated for timely payment by collaborating with insurance companies on behalf of patients.Managed Accounts Receivable (A/R) and Accounts Payable (A/P) to maintain billing integrity.Medical Receptionist 112 GVR Medical P.C: Ida Tetro Nov 2021 - Feb 2022Handled daily administrative tasks, including scheduling appointments, answering phones, and data entry.Verified insurance coverage and prepared billing invoices for patient services.Provided HIPAA documentation and handled patient records requests with attention to confidentiality.Addressed and resolved complex prior authorization issues with insurance representatives.Processed prescription authorizations and refills efficiently.EDUCATIONMedical Billing and CodingAustin Medical Assistant Training - 2021Certified Professional Coding CourseBMCC- ED2GO - 2024Bachelor of Arts in Journalism, Minor in Criminal JusticeUniversity of Albany, SUNY - NY, 2016REFERENCESReferences available upon request.