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Click here or scroll down to respond to this candidateCandidate's Name
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Cell: PHONE NUMBER AVAILABLE / Email: EMAIL AVAILABLESUMMARY:Experienced Medical Biller, Cash Posting, Insurance Verification Specialist hard-working, with four years of Receptionist/Customer services experience. Committed to maintaining professional relationships to increase profitability and drive business results.QUALIFICATIONS:5 year of Insurance Verification Specialist4 years of Receptionist/ Customer service experienceBilingual Spanish reading and writingCash PostingProblem solvingManagementEpic,Centricity Group Management, BrigthtreeTyping 50 wpmExperience ICD 10HIPA Guise linesExcel knowledgeMEDICAL BILLING EXPERIENCE:ProHealth Care Associates LLP/Optum CareInsurance Verification Specialist /Data Entry /Research AnalystLake Success 09/2016-present Medicare, secondary and 3rd party payers Insurance Verification Commercial Insurance Online and phone representative Insurance verification and COB billing, Investigated type and level of insurance coverage to assess patient eligibility Maintains Insurance plan request database, ensuring data is entered accurately and in a timely manner, as determined through facility processes Contacts patients and provides updates on benefit verification information, requests additional information, insurance cards, and explains to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, at time of service . Research Analysts internal processes to detect errors that had caused financial injury Observations according to their perceived levels of harm and utilizing procedures, critical thinking, Teamwork to analyze files, documentation, and information in the interpretation of complainant allegations. Mathematics, communication, and critical thinking Research in Payments Unidentified account, Research and Analyst Payments received that cannot be posted to patient accountsLandauer, MedstarInsurance Verification Specialist Level 3 Great Neck, NY 04/2016 -09/2016 Medicare, secondary and 3rd party payers Insurance Verification Commercial Insurance Online and phone representative Insurance verification and COB billing, Investigated type and level of insurance coverage to assess patient eligibility Maintains Insurance plan request database, ensuring data is entered accurately and in a timely manner, as determined through facility processes Contacts patients and provides updates on benefit verification information, requests additional information, insurance cards, and explains to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, at time of service .Landauer,Medstar Great Neck, NY 09/2015 03/2016 Medical Biller/Cash Poster Post cash, Credit cards, ERAs, credit memos and checks into the computer system Ensures that accounts are credited correctly by documenting the account on the copy of EOB or checks. Transfer posting information to computer system Posts accounts receivable adjustments activity in the computer system Maintains accurate records and files concerning AR data entry activity Communicated problems/concerns with supervisor or with accounting department that could lead to inaccurate or untimely completion of monthly date entry Performs other duties as assignedFemmpro Garden City, NY 05/2015-07/2015 Medical Biller ExternBilled secondary insurances with primary EOBs, printed aging reports and appealed denied claims. Contacted insurance companies to investigate unpaid and denied claimsPosted claims, verified insurance information and assisted staff with other responsibilitiesProcessed and reviewed claims and resent claims to insurance companiesSent out statements to patients, set up payment plans, and followed up on claim statusSubmitted clean claims to various insurance companies either electronically or by paperPrepared invoices and contacted patients about past due billsThe New Nautilus Hotel Atlantic Beach, NY 01/2009 - 04/2012 Supervised and monitored front desk operationSupported administered, responsibilities, greeted guestsAnswered and forwarded customer callsNetworked with others coworkers on/with a wide range of skillsBedrock Concrete Inc. Brooklyn, NY 06/2006 - 12/2008 Completed payments and monitored expensesVerified and reconciled invoices in Quick BooksScheduled and prepared checks, proposals, invoices and contracts.EDUCATION:Sanford Brown Institute Garden City, NY 05/2014-07/2015Medical Billing and Coding Certificate, GPA 3.9An intensive 900-hour course comprised of theoretical and practical application of essential Medical billing and Coding skills |
