Cecilia Puglisi

Intake Coordinator and Reimbursement Specialist, 2017-2024.

• Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
• Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
• Inputted patient data into system to ensure accuracy of demographic information.
• Monitored accounts to ensure accurate and timely payment of claims.
• Updated patient accounts with insurance verification information to ensure accurate billing.
• Processed appeals for denied claims in a timely manner while adhering to regulatory standards.
• Submitted electronic and hard-copy claims to various insurance carriers.
• Researched rejections, investigating problems to appeal claims.
• Monitored past due accounts and pursued collections on outstanding invoices.
• Generated detailed financial reports for management review.
• Checked claims coding for accuracy with ICD-10 standards.
• Performed insurance verification, pre-certification and pre-authorization.
• Collected coinsurance and deductibles from patients for rendered services.
• Managed all payments processing, invoicing and collections tasks.
• Reconciled patient accounts with insurance companies to ensure accuracy of payments.

Patient Care Secretary, Medical Records, and Staffer, 2010–2016.

• Scheduled caregivers for our private duty patients.
• Scheduled nurses around the clock for our continuous care cases.
• Organized and maintained client's medical records and documents.
• Provided administrative support to medical staff, including data entry and document preparation.
• I ordered office supplies and managed inventory levels.
• Processed incoming mail and faxes related to patient care services promptly.
• Performed data entry tasks accurately using various computer applications such as Microsoft Office Suite.

• Answered and directed incoming calls using a multi-line telephone system.
• Delivered administrative support to team members by making copies, sending faxes, organizing documents, and rearranging schedules.
• Sorted incoming mail and directed to the correct personnel each day.
• Served visitors by greeting, welcoming, and directing them to the appropriate personnel.
• Handled payment processing, and provided customers with receipts, proper bills, and change.
• Pulled and organized the requested documentation.

• Reviewed and edited documents to fix grammatical and spelling issues.
• Input client information into spreadsheets and the company database to provide leaders with quick access to essential client data.
• Reviewed and updated account information in the company computer system.
• Completed administrative work to support team needs for correspondence, answering phones, and copying documents.
• Organized billing and invoice data, prepared accounts receivable, and generated revenue reports to support audits.
• Responded to daily inquiries and requests within the mandated timeframe to meet deadlines.

• Customer Service.
• Data entry, customer demographics, prepare a chart for processing.
• Filing, mailing, faxing, scanning.

• Customer service front desk.
• Multi-line phone.
• Data entry, client demographic, to prepare a chart for processing.
• Filing, scanning, mailing, faxing.