Work History
Summary
Overview
Education
Skills
Certification
Languages
Timeline
Generic

Anayissel Mota

Bronx,NY

Work History

Supervisor Medical Biller/Collections Specialist

Teamwork Licensed Behavior Analyst Services, PLLC
08.2021 - Current
  • Patient Collections: Generate invoices, follow up on unpaid balances through email reminders, phone calls, and text messages; establish payment plans; escalate delinquent accounts to collection agencies when necessary.
  • Manage medical billing, denials, corrected claims, and collections with a 98–100% success rate.
  • Obtain and appeal authorizations for services, ensuring timely approvals.
  • Handle provider credentialing for individuals and groups.
  • Reconcile accounts, follow up on denials, and submit appeals.
  • Conduct audits to ensure billing accuracy and compliance.
  • Serve as main point of contact for providers regarding billing and authorization inquiries.

Account Receivable/Medical Billing and Coding Supervisor Assistant

HARRISON MEDICAL GROUP
08.2020 - Current
  • Created and billed office and nursing home claims, manually posting payments.
  • Processed denials, corrected claims, and submitted appeals.
  • Reviewed insurance payments, resolved encounter discrepancies, and handled patient collections.
  • Generated patient statements and processed credit card payments.
  • Worked on underpaid claims based on the contract fee schedule, adjusted coding errors, and reconciled accounts.
  • Utilized PointClickCare for billing and account management.

Medical Biller/Physical Therapy Supervisor

Alexandria Medical Pain Management
11.2019 - 07.2020
  • Process and manage in-network and out-of-network authorizations for medical and therapy procedures.
  • Prepare and submit appeals and corrected claims for Workers’ Compensation and No-Fault cases.
  • Accurately post ERA payments in ECW and reconcile accounts.
  • Monitor and follow up on claim denials and pending appeals to ensure timely resolution.
  • Submit secondary claims electronically and by paper (CMS-1500).
  • Review, edit, and correct physical therapy coding to ensure compliance and reimbursement.
  • Research and apply payable therapy codes per insurance guidelines.
  • Prepare and bill Workers’ Compensation and No-Fault claims using paper 1500 forms.
  • Verify and submit physical therapy authorizations to insurance carriers.
  • Generate and analyze yearly reports by CPT code and denial trends to support revenue cycle improvements.
  • Assist with Medicare credentialing for providers and facilities.
  • Support patient engagement efforts, including physical therapy patient recruitment.

Medical Billing and Coding Specialist (INTESHIP)

Jacoby Hospital
02.2018 - 2018
  • Review patient medical records and assign codes to diagnoses and procedures performed so the facility can bill insurance and other third-party payers (such as Medicare or Medicaid) as well as the patient.

Summary

Seeking a position with a company which will require me to utilize my skills, abilities and experience in the nursing, medical biller/coder, collection specialist and administrative/accounting field to ensure and support the company's success. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments and skills.

Overview

8
8
years of professional experience
1
1
Certification
2009
2009
years of post-secondary education

Education

Some College in Diploma - Billing and Coding Specialist

ABC TRAINING CENTER
New York, NY
02.2018

CNA Certification - Nursing

Hudson valley carrier training
New York, NY
04.2016

PCA - Nursing

Community Home Health Care
New York, NY
10.2013

High School Or Equival Diploma -

Fannie Lou Hamer Freedom School
Bronx, NY
01.2004

Skills

  • Microsoft word, Microsoft Office, Excel
  • Outlook, Email
  • ICD 10, ICD 9, CPT
  • Power Point
  • Visual Collection System (VCS)
  • PointClickCare
  • Central Reach
  • AEOS (2 years)
  • EClinicalWorks
  • Epic Hospital System
  • New Rochelle/Mount Vernon Hospital System
  • Northwell Hospital System
  • Eagle Hospital System
  • EMR Systems
  • Workers' Compensation
  • PointClickCare

Certification

  • CPR
  • Certified Nursing Assistant (CNA)
  • Medical Billing and Coding

Languages

Spanish and English - Fluent

Timeline

Supervisor Medical Biller/Collections Specialist

Teamwork Licensed Behavior Analyst Services, PLLC
08.2021 - Current

Account Receivable/Medical Billing and Coding Supervisor Assistant

HARRISON MEDICAL GROUP
08.2020 - Current

Medical Biller/Physical Therapy Supervisor

Alexandria Medical Pain Management
11.2019 - 07.2020

Medical Billing and Coding Specialist (INTESHIP)

Jacoby Hospital
02.2018 - 2018

Some College in Diploma - Billing and Coding Specialist

ABC TRAINING CENTER

CNA Certification - Nursing

Hudson valley carrier training

PCA - Nursing

Community Home Health Care

High School Or Equival Diploma -

Fannie Lou Hamer Freedom School

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Anayissel Mota