ANGELA MATOS-ROSARIO
Mount Sinai Urology
Bronx
1
Language
1
Certification
21
years of professional experience
A detail-oriented, quality-focused billing specialist with well-developed communication skills with the ability to effectively multi-task in a fast paced environment. Willing to take initiative and enjoy working as part of a team.
Experienced with managing multiple responsibilities across various domains. Utilize strong organizational and problem-solving skills to enhance efficiency. Bringing [20] years of healthcare experience. Familiar with confidentiality requirements, patient care standards and insurance claims processes. Flexible, reliable, and goal-focused.
Work History
Billing Coordinator Generalist
8 Years 7 Months- Reviewed insurance eligibility, authorizations, and patient coverage with 3 off-sites in maintaining accurate patient details before service scheduling.
- Resolved claim denials by researching coding issues, payer requirements, and documentation gaps.
- Coordinated claim submissions and corrected billing discrepancies to maintain accurate revenue cycle workflows.
- Posted payments, adjustments, and write-offs while reconciling patient and account balances.
- Resolved outstanding credit balances and distributed unassigned payments.
- All the above was done through EPIC WQ.
Billing Coordinator Generalist (Urology)
9 Months- Managed over 50 patient accounts per day to ensure proper insurance requirements are met prior to claim submission for optimum revenue.
- Leveraged knowledge of insurance policies to inform patients and staff while coordinating billing activities.
- Trained staff and developed strategies to ensure accurate patient billing and identify discrepancies, while enhancing attention to detail to minimize claim denials.
- Communicate with insurance carriers to confirm whether visits/procedures/injections require prior authorization and if they are covered under the patient's plan.
- Ensure that office practices are in compliance with HIPAA regulations.
- Facilitated resolution of patient payment and billing concerns for patients and physicians by notifying appropriate personnel.
Billing Coordinator Generalist-Senior
11 Years 2 Months- Confirm and verify insurance coverage prior to patients arriving for appointments, including obtaining authorizations,referrals, etc. when needed.
- Conducted pre-collection assessments, reconciled billing statements, and implemented modifications as needed.
- Facilitated communication with Medicare, Medicaid, and commercial insurance carriers to resolve billing issues.
- Monitor E-Commerce edits ensuring all claims are accurate for successful submission to payer.
- Correct contractual adjustments and write-offs that weren't entered correctly.
- Submit appeals, medical documentation and letters of medical necessity when requested.
- Addressed patient complaints and account inquiries in a timely manner, adhering to customer service standards.
- Processed remittances and addressed insurance denials to ensure accurate account management.
- Strong knowledge of ICD-10, CPT and modifiers.
- Executed various related tasks as directed by the supervisor.
Education
Skills
Healthcare billing proficiency
EPIC software knowledge
Claim resolution strategies
Audit support
Insurance program knowledge
Medical terminology expertise
HIPAA compliance knowledge
Accuracy and precision
Deadline oriented
Certification
Medical Terminology
Languages
Proficiency in English and Spanish
Timeline
Billing Coordinator Generalist
Mount Sinai Urology
03.2018 - 10.2026Read More
Billing Coordinator Generalist (Urology)
REVENTICS PVT LTD
06.2017 - 03.2018Read More
Billing Coordinator Generalist-Senior
Mount Sinai School of Medicine, Urology Associates
04.2006 - 06.2017Read More
Fordham University
Read More