Alexandria Miraglia
Staten Island,NY
Summary
Medical Billing and Coding Specialist with 4 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
9
9
years of professional experience
Work History
Medical Biller and Coder
RTR Financial Services
06.2023 - 05.2024
- Correctly coded and billed medical claims for various No Fault and workers compensation Insurances
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Updated notes on each patients account by using EPIC software
Medical Assistant/Medical Biller and Coder
Manhattan Orthopedic Care (MOC)
01.2020 - 05.2023
- Chaperone providers, ensuring MRI scripts are generated, draw cortisone injections, assist with removing sutures
- Filling out workers compensation forms for work related injuries, disability forms, FMLA
- Documenting all patients sent out for MRI's, what faculty they were sent to, authorization numbers, date they were sent out on excel spreadsheets
- Setting up peer to peer for the providers to obtain prior authorization from insurance denials
- Scheduling patients for surgeries.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
Medical Assistant/Surgical Technologist
Dr. Tsapok OBGYN
06.2018 - 04.2022
- Triaged 40+ patients a day, taking vitals, weight, background medical and family history
- Performed phlebotomy
- Assisted doctor during surgical procedures such as D&C, hysteroscopies, leep procedures, cryos, novasure
- Obtained client medical history, medication information, symptoms, and allergies.
- Called and faxed pharmacies to submit prescriptions and refills.
- Autoclave instruments
- Centrifuge blood in SST tubes
- Set up OR for surgical procedures.
- Sanitized, restocked, and organized exam rooms and medical equipment.
Accounts Receivable Manager
RFM Specialty Cut Meats, Inc.
03.2015 - 01.2020
- Ensured timely payments from clients through effective communication and proactive followups.
- Posted customer payments by recording cash, checks, and credit card transactions.
- Prepared bills receivable, invoices, and bank deposits.
- Developed and maintained strong client relationships, fostering trust and open communication.
- Verified discrepancies and resolved clients' billing issues
- Maintained accurate financial records by regularly reconciling accounts receivable ledgers.
- Managed past due balances, financial inquiries and other accounts receivable functions.
- Contributed to company profitability by diligently monitoring customer accounts and minimizing uncollectible amounts.
- Collaborated with sales teams to resolve billing discrepancies, ensuring prompt payment from customers.
- Assisted in annual budget preparation by providing detailed analysis of historical accounts receivable performance trends and projections.
Education
College of Staten Island
Staten Island, NYStandard Diploma -
New Dorp High School
06.2015
Skills
- Bilingual in English and Italian; Also advanced in reading and writing skills
- Multi-tasking and work well under pressure
- Microsoft Office/ Excel / Epic Software
- Customer Service
- HIPAA Compliance
- Vital Sign Monitoring
- Phlebotomy
- Specimens collection and processing
- Insurance Verification
- OB/GYN procedures
- Medical billing and coding
Timeline
Medical Biller and Coder
RTR Financial Services
06.2023 - 05.2024
Medical Assistant/Medical Biller and Coder
Manhattan Orthopedic Care (MOC)
01.2020 - 05.2023
Medical Assistant/Surgical Technologist
Dr. Tsapok OBGYN
06.2018 - 04.2022
Accounts Receivable Manager
RFM Specialty Cut Meats, Inc.
03.2015 - 01.2020
College of Staten Island
Standard Diploma -
New Dorp High School
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