Bebi Ganley
Huntington Station,NY
Summary
Highly- motivated, and dedicated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. adept at working effectively unsupervised and quickly mastering new skills. I can incorporate my medical, administrative and customer service skills to help build your company. My knowledge, Experience and willingness to learn will be able to maintain a positive and professional relationship with client and staff rapport.
Overview
25
25
years of professional experience
Work History
Accounts Receivable Auditor Outpatient
Medisys Management
Melville, NY
05.2022 - Current
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Developed strategies for improving collections performance while reducing bad debt write-offs.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Created and processed claims to third-party payers using specific coding guidelines.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Completed appeals and filed and submitted claims.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Meticulously tracked and resolved underpayments.
- Determined prior authorizations for medication and outpatient procedures.
- Completed and submitted appeals for denied claims.
- Submitted appeals using provider portals and phone communication.
Clinical Laboratory Assistant
Northwell Health System
New Hyde Park, NY
08.2018 - Current
- Maintained strict aseptic fields when collecting biological samples, minimizing staff and patient infection risks.
- alloquat insufficient specimens for testing.
- Relabel specimen tubes as needed and process to correct testing area.
- Process reference testing specimens and facilitates their submission to various testing machines and external labs.
- Processing of BARC specimens.
Physician Follow Up/Customer Service Representative
Medisys Management
Melville, NY
03.2019 - 05.2022
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided primary customer support to internal and external customers.
- Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
- Provides routine information and updates to supervisors and responds to inquiries politely and promptly.
- Updates Insurance eligibility results in billing system in a timely fashion.
- Works and updates special reports and work ques in a timely manner.
MEDICAL ASSISTANT/Receptionist
DR. NANCY WOLFIN
Great Neck, NY
09.2015 - 03.2019
- Checked patient insurance, demographic and health history to keep information current.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Helped patients complete necessary medical forms and documentation.
- Maintained front desk and reception area in a neat and organized fashion.
- Made copies, sent faxes and handled all incoming and outgoing correspondence and authorizations.
- Managed the ordering and maintenance of all medical and office supplies.
- Helped Pt to room and verified vitals prior to them seeing the Dr. and preparing room after visit.
- Trained newly hired staff.
MEDICAL SECRETARY/SURGERY SCHEDULER/Medical Assistant
NORTH SHORE ORTHOPEDICS OF GREAT NECK
Great Neck, NY
08.2001 - 09.2015
- Expertly managed planning, scheduling and coordination of outpatient procedures.
- Verified insurance coverage and obtained pre-authorizations.
- Reviewed medical histories and current information to provide accurate information to surgeons.
- Checked patients in and out and collected payments.
- Educated patients about surgeries and provided treatment plan documentation.
- Coordinated with facilities to set up surgeries for multiple doctors.
- Maintained Doctors surgical Statistics, continuing education credits etc.
- meeting with patients to instruct about special diets, medication, schedule pre-surgical testing, inputting data pertaining to surgery, ordering special surgical equipment, post-surgical care instructions etc.
- taking Pt's vitals, assessing patients medical history, explaining treatment procedure, removing sutures, casts, assisting in application of cast, changing dressings, providing sterilizing techniques.
Administrative Assistant
Own A Home Realty
Ozone Park, NY
06.1999 - 08.2001
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Processed invoices and expenses using QuickBooks to facilitate on-time payment.
- Developed and updated spreadsheets and databases to track, analyze and report on performance and sales data.
- Assisted broker with various tasks.
- Attended realtor courses for certification.
- Counseled clients on current market status for residential and land markets.
Education
CERTIFICATION - MEDICAL ASSISTANT
The New York School For Medical And Dental Assistants
Long Island City, NY02.2001
Certification - Phlebotomy
The New York School For Medical And Dental Assistants
Long Island City, NY02.2001
No Degree - Associates of Science
LaGuardia Community College of The City University of New York
Long Island City, NYSkills
- Verbal and Written Communication
- Staff training and development
- De-escalation Techniques
- Courteous with Strong Service Mindset
- Upbeat and Positive Personality
- Multitasking and Prioritization
- Data Entry and Maintenance
- Calm and Professional Under Pressure
- Responding to Difficult Customers
- Efficient and Detail-Oriented
- Administrative and Office Support
- Team-Oriented and Cooperative
- Multi-Line Phone Systems
SOFTWARE SKILLS:
- EMR experience, Modernizing Medicine(EMA),
- EPIC
- MS Office/Word/Excel/Quickbooks
- Knowledge of medical terminology and insurances
- Familiar with ICD-10 and CPT coding
- HIPAA Compliant
- Issue Resolution
- Account Reconciliation
- Root Cause Analysis
Timeline
Accounts Receivable Auditor Outpatient
Medisys Management
05.2022 - Current
Physician Follow Up/Customer Service Representative
Medisys Management
03.2019 - 05.2022
Clinical Laboratory Assistant
Northwell Health System
08.2018 - Current
MEDICAL ASSISTANT/Receptionist
DR. NANCY WOLFIN
09.2015 - 03.2019
MEDICAL SECRETARY/SURGERY SCHEDULER/Medical Assistant
NORTH SHORE ORTHOPEDICS OF GREAT NECK
08.2001 - 09.2015
Administrative Assistant
Own A Home Realty
06.1999 - 08.2001
CERTIFICATION - MEDICAL ASSISTANT
The New York School For Medical And Dental Assistants
Certification - Phlebotomy
The New York School For Medical And Dental Assistants
No Degree - Associates of Science
LaGuardia Community College of The City University of New York
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