Annalisa Pasqualicchio
Bellmore,NY
Summary
To obtain a full time position where I may utilize my knowledge and experience in a Professional environment.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Senior Patient Account Representative
Northwell Health-Smith Institute for Urology
Huntington, NY
01.2023 - Current
- Obtain Precertification of Surgical procedures for In and Out patient Hospital stays/ Injectable Medications/ Office procedures/Radiology procedures.
- Obtain Referrals for physicians and NP's.
- Resolve inquirie questions for patients, families and external payers by reviewing GECB EOB's/Insurance Claims.
- Applied knowledge of payer requirements and utilized on-line insurance portals to verify patient coverage and policy limitations.
- Review Soarian to Ensure active/terminated Insurance/Enter New insurance policies.
- Communicate financial obligations to patients.
- Process patient responsibility estimate via ECare Next.
- Knowledge of GECB/Allscripts/Cerner Soarian/ECare Next
- Collaborated with clinical and administrative staff to meet patient needs.
Medical Biller/Senior Medical Biller
Northwell Health Smith Institute for Urology
Garden City, NY
01.2017 - 01.2023
- Provide staff support Precertification for injectable medication/Surgical Procedures/In office procedures/Radiological Exams/Routine office visits
- Ensure payments for all Non-Insured/Self Pay patients
- Create and Retrieve Referrals
- Navigate Insurance web portals
- Answer phones
- Check in/Check out patients
- Schedule Patients
- Collect Co-payments.
- Provided customer service to patients and insurance companies for billing inquiries.
Medical Biller
ProHealth Care Associates LLP Part of OptumCare
New Hyde Park, NY
10.2012 - 01.2017
- ICD 10 Billing/Payment Posting
- Insurance Verification to determine paid or unpaid claims
- Work Denials/Rejects/Edits/AR/Appeals/Scrubs for all insurances
- Review CPT codes for charge entry based on notes from Physicians, PA's and NP's
- Hematology Oncology Receptionist
- Retrieved Medical Records
- Answered heavy phones
- Patient Data Entry.
Office Manager/Surgical Coordinator
Premier Orthopaedics & Sports Medicine
Bloomfield, NJ
03.2007 - 10.2012
- Maintained all confidential personnel files, license and CPR compliance records for my Surgeon and PA's
- Interviewed patients to obtain medical information, history and physicals
- Helped physicians examine and treat patients by assisting with instruments and preparing there injections and suture removal kits when needed and requested
- Developed and produced all office notifications
- Trained new staff on quality control procedures and office duty's as well as maintain an efficient and productive staff
- Evaluated patient care needs, prioritized treatment, and maintained patient flow
- Schedule and pre-certified surgical procedures and office visits including all insurance verifications
- Managed staff and Medical Directors
- Coordinate meetings with drug representatives and other organizations including credentialing meetings for my medical doctors and PA's.
Medical Receptionist
Nassau Radiological Group PC
Nassau County, NY
11.2001 - 02.2006
- Provided staff support to Directors in all aspects of operation
- Provided patient care
- Answered heavy phones
- Scheduled and confirmed appointments
- Created charts/data entry/billing/filling
- Followed up on patient reports/mailing out reports
- Closing money books at the end of the day/banking
- Retrieved referrals.
Receptionist
Queens Open MRI
Flushing, NY
04.2001 - 11.2001
- Provided staff support
- Answered heavy phones
- Scheduled and confirmed patient appointments.
Education
Some College (No Degree) - Business Law
Katherin Gibbs
New York , NYGED -
Queensborough Community College
Bayside, NYSkills
- Medical/Insurance ICD-10 Billing
- Insurance Verification/Precertification
- Medical/Surgical/Artical 28 Estimates
- Insurance Web Portal Navigation
- Surgical Coordination
- Excellent People/ Telephone Communication skills
- GE Centricity Business
- ECare Next
- Allscripts/Cerner Soarian Financial
- Provide Support to Doctors/ Staff/ Patients on a daily basis
- Microsoft Word
- Office Management
Certification
CPR certified through American Heart Association
Timeline
Senior Patient Account Representative
Northwell Health-Smith Institute for Urology
01.2023 - Current
Medical Biller/Senior Medical Biller
Northwell Health Smith Institute for Urology
01.2017 - 01.2023
Medical Biller
ProHealth Care Associates LLP Part of OptumCare
10.2012 - 01.2017
Office Manager/Surgical Coordinator
Premier Orthopaedics & Sports Medicine
03.2007 - 10.2012
Medical Receptionist
Nassau Radiological Group PC
11.2001 - 02.2006
Receptionist
Queens Open MRI
04.2001 - 11.2001
Some College (No Degree) - Business Law
Katherin Gibbs
GED -
Queensborough Community College
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