Summary
Skills
Generic

Carmen Pinto

St Belleville,NJ

Summary

Detail, oriented and experienced professional in managing and monitoring accounts to ensure compliance with state and federal regulations. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality.

Skills

  • MICRO OFFICE 2007 INTERMEDIATE
  • EXPERIENCE IN HANDLING CONFIDENTIAL PAPERWORK
  • ABILITY TO APPEAL CLAIMS
  • KNOWLEDGEABLE IN ALL HEALTHCARE INSURANCE CARRIERS
  • ICD-9, CPT 10, MEDICAL TERMINOLOGY
  • ONLINE CLAIM SUBMISSION & ERA
  • HIPAA COMPLIANCE
  • VARIOUS PRACTICE MANAGEMENT SOFTWARE
  • EMPLOYMENT HISTORY
  • Parabolic Performance & Rehab
  • Manager/ Lead Biller
  • Clifton NJ
  • Oversaw a team of five people
  • 2017- 2021
  • Understanding of Explanations of Benefits
  • Able to set up contracts with insurance companies
  • Call and verify insurances
  • Ability to negotiate on accounts and or with attorneys
  • Ability to appeal on denied accounts
  • Set up new accounts
  • Accurately apply payments to patient accounts
  • Re-submitting insurance claims as necessary
  • Knowledgeable in timely filing restrictions
  • Coordinated/ assembled Billing Teams
  • Administrative duties
  • Audited weekly A/R accounts (company wide)
  • Conducted weekly meetings
  • Excel with all insurance websites
  • SportsCare of America
  • East Hanover, NJ
  • Collection Specialist
  • 2008-2017
  • TECHNOLOGY SUMMARY
  • MS Office (Word, Outlook)
  • WebPT
  • Collaborate
  • Medics
  • Medisoft
  • Medinotes

Similar Profiles

CREATE PROFILE
Carmen Pinto