CORI MATUSEK
Medical Billing / AR Specialist
Deltona,US
Summary
Meticulous Accounts Receivable Specialist with 16+ years experience in accounts receivables, medical coding, billing, and medical office administration. Successfully supporting all financial operations for businesses, proficient in multiple computer programs such as Medstar, Relimed, SPOT, Versaform, Navicure, Emdeon, Several Web Based Systems, Pen Rad, Microsoft Office, Next Gen, MD Office, Rapid and Praxis Management. A dedicated team member with stellar analytical, administrative and organization skills. Expert at managing accounts receivable functions with a well-coordinated and self-directed approach.
Overview
16
16
years of professional experience
Work History
Medical Billing / AR Billing Specialist
Health Ledger Services
08.2022 - 07.2024
- Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
- Provided exceptional customer service when addressing inquiries from patients regarding billing questions or concerns, fostering trust and satisfaction.
- Supported internal audit initiatives, providing thorough documentation of AR activities as requested for review purposes.
- Optimized revenue generation by accurately applying appropriate adjustments, write-offs, and refunds as needed.
- Identified trends in billing issues by analyzing claim denials and implementing corrective actions to prevent future occurrences.
- Assisted in training new team members, sharing knowledge of AR best practices and specific company procedures.
- Expedited the resolution of complex claims by working closely with healthcare providers, patients, and insurance companies.
Medical Biller, Accounts Receivable
AdKore Rehabilitation Chiropractic & Physical Therapy
02.2022 - 06.2022
- Investigated and followed up on insurance claims that were denied
- Oversaw the billing department's day-to-day operations, which included medical coding, payment posting, accounts receivables, and collections
- Investigated insurance denials by reviewing patient files and researching procedures and diagnostic codes to determine proper reimbursement
- Communicated with insurance companies to resolve and resubmit any denied claims
- Examined complicated Explanation of Benefits forms to ensure that insurance carriers were being billed correctly
- Ensured that workers' compensation and MVA claims were properly submitted.
Brand Ambassador
Omni Food Services
09.2019 - 01.2021
- Maintained consistent visual merchandising standards to highlight product features, attract customers and boost sales
- Met and exceeded goals for high-volume personal sales through clientele development and product knowledge
- Organized and carried out promotional events, including setting up and tearing down event sites and interacting with customers
- Determined opportunities and maximized sales within specific market by staying current on industry trends
- Took high-quality photographs of products to support social media campaigns
- Traveled to retail stores, conducted field recruiting and attended industry events to increase brand awareness
- Replenished product stock to maintain appropriate levels and meet expected sales demands
- Created positive and rewarding client experiences through warm and friendly customer interactions
- Collaborated with customer service team members to assist with product information and provide outstanding service.
Medical Biller, Accounts Receivable
Physicians Group Management
01.2014 - 05.2018
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Developed comprehensive reports for management detailing trends in revenue generation, collection efforts, and outstanding balances.
- Investigated insurance denials by reviewing patient files and researching procedures and diagnostic codes to determine proper reimbursement
- Prevented financial delinquencies by resolving billing issues before they became unmanageable working closely with managers
- Communicated with insurance companies to resolve and resubmit any denied claims
- Analyzed medical records in order to meet insurance company requirements
- Double-checked claims for proper ICD-9/10 coding
- Examined complicated Explanation of Benefits forms to ensure that insurance carriers were being billed correctly
- Was the point of contact for patients, insurance companies, and the billing office
- Submitted electronic and paper claims to insurance companies, including Medicare and Medicaid to collect medical payments
- Was in charge of the billing calendar and the submission of claims for payment
- Assisted with staff training on updated medical coding systems, ensuring accuracy across all team members'' workloads.
Medical Biller, AR Specialist, Medical Records
Pink Breast Center
Paterson, NJ
05.2008 - 12.2013
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured accurate coding of diagnoses and treatments by working closely with medical providers.
- Supported accreditation efforts by preparing necessary documentation showcasing compliance with academic standards relevant to Medical Billing programs.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
Education
Associate of Applied Science - Health Administration & Professional Studies
Bergen Community College
Paramus, NJ05.2016
Skills
- Database management
- Medical terminology expert
- Payment processing
- Billing statement review
- Data entry
- Medicare and Medicaid process
- Medical claims submission
- A/P and A/R expertise
- Accounts receivable management
- Dispute Resolution
- Payment posting
- AR Aging Reports
- Teamwork and Collaboration
- Problem-Solving
- Attention to Detail
- Critical Thinking
Timeline
Medical Billing / AR Billing Specialist
Health Ledger Services
08.2022 - 07.2024
Medical Biller, Accounts Receivable
AdKore Rehabilitation Chiropractic & Physical Therapy
02.2022 - 06.2022
Brand Ambassador
Omni Food Services
09.2019 - 01.2021
Medical Biller, Accounts Receivable
Physicians Group Management
01.2014 - 05.2018
Medical Biller, AR Specialist, Medical Records
Pink Breast Center
05.2008 - 12.2013
Associate of Applied Science - Health Administration & Professional Studies
Bergen Community College
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