Cristina Moisidis
Unionville,CT
Summary
Successful Collections Specialist equipped with strong conversational abilities and a persuasive approach to collecting outstanding balances. Accomplished in bringing accounts current and meeting financial targets. My goal is to grow within a company that will enable me to apply my experience and skills in a position that is both challenging and rewarding.
Professional collections specialist with strong focus on team collaboration and achieving results. Skilled in accounts receivable management, negotiation, and dispute resolution. Reliable, adaptable, and known for maintaining high standards and delivering impactful outcomes in dynamic environments. Excellent communication, problem-solving, and analytical abilities.
Overview
24
24
years of professional experience
Work History
Follow Up Insurance and Collections Specialist
Constitution Billing and Finance Services
12.2022 - Current
- Responsible for AR follow up and collections for 3 different Ambulatory Surgery Centers
- Appealed denials, corrected electronic rejections, followed up on claim status, prior authorizations, and wrote up refunds
- Attended patient calls and resolved billing issues
- Collected payments, updated accounts and notified patients of additional responsibilities.
- Demonstrated professionalism and poise in difficult and tense situations.
- Worked the collections report for all centers assigned to me.
- Used persuasive communication skills to obtain payments from patients.
- Monitored overdue accounts to track new payments and document continued issues.
- AdvantX, Amkai, Epic Billing Software
Medical Reimbursement Specialist
Integrated Physicians Management Services
01.2022 - 11.2022
- Responsible for AR follow up and collections for Integrated Anesthesia Associates group of doctors and nurses.
- Corrected electronic rejections, followed up on claim status, and prior authorizations.
- Followed up on outstanding claims aged 121+ and current.
- Assisted patients in calling regarding billing questions, making payments, and returning voice messages.
- Followed up on denials on coverage termination, duplicate claims, etc.
- Initiated appeals regarding denials for no Auth, coding edits, and medical necessity.
- Monitored claim rejections and/or denials for trends and issues and report to the management team.
- Submitted appropriate adjustments to supervisor with supporting documentation for approval.
- Reviewed billing and collections from assigned payers to determine the correct patient balance or adjustments.
- Filed corrected claims and appeals for different payers for underpaid claims.
- Completed accurate refund, and adjustment calculations.
- HealthPac Billing Software
Hospital Claims Denial Follow-Up, Contractor - fully remote
University Health System
08.2021 - 01.2022
- Followed up on Hospital Inpatient/Outpatient outstanding claims.
- Focused on all A/R aged 90 days for all business units across the enterprise (inpatient and outpatient).
- Followed up on denials on coverage termination, duplicate claims, etc.
- Initiated appeals regarding denials for no Auth, coding edits, and medical necessity.
- Monitored claim rejections and/or denials for trends and issues and report to the management team.
- Submitted appropriate adjustments to supervisor with supporting documentation for approval.
- Reviewed billing and collections from assigned payers to determine correct patient balance or adjustments.
- Filed corrected claims and appeals for different payers for underpaid claims.
- Completed accurate refund, and adjustment calculations in line with the hospital contract for every assigned payer.
- Epic Billing Software
Hospital Follow up Denial Specialist
Hartford Healthcare SSO
02.2016 - 08.2021
- Followed up on Hospital Inpatient/Outpatient claim denials for high & low dollar outstanding claims.
- Reviewed accounts regularly based on A/R Aged Trial Balance Report for different hospitals – Hartford Hospital, Hospital of Central CT, Midstate Medical Center, Windham Hospital, William Backus Hospital, Charlotte Hungerford, St. Vincent's Medical Center.
- Initiated appeal processes for prior auth, medical necessity, and underpayments.
- Prepared and mailed letters to collect on outstanding customer balances.
- Monitored overdue accounts to track new payments and document continued issues.
- Notified customers of payment obligations via telephone calls, and professional mailings.
- Requested medical records and itemized bills as additional information for claims processing.
- Epic Billing Software
Customer Service Representative
Clinical Laboratory Partners, LLC
09.2005 - 02.2016
- Adjudicated, re-submitted, and voided claims on the Medicaid Provider Portal
- Followed up on denials, rejections, and appeals.
- Requested patient and different mayor refunds on overpaid accounts in a timely manner.
- Communicated with patients and physicians for additional/missing insurance information.
- Worked closely with management and provider relation representatives to resolve complex issues.
- Managed approximately 35 incoming calls per day from patients
Medical Accounts Receivable Rep
Clinical Laboratory Partners, LLC
09.2005 - 02.2016
- Adjudicated, re-submitted, and voided claims on the ctdssmap.com Provider Portal.
- Followed up on laboratory claim denials, rejections, and appeals.
- Initiated patient and insurance refunds timely.
- Communicated with patients and physicians for additional/missing insurance information.
- Worked closely with management and provider relation representatives to resolve complex issues.
- Succeeded at identifying denial trends for increased collections.
- Administered Prior Authorization Process for Medicaid.
- Assisted with posting third-party and patient payments.
Billing Clerk/Patient Accounts Rep
Physicians Billing Service
01.2003 - 07.2003
- Collected on outstanding insurance claims.
- Assisted with posting third-party and patient payments.
- Corrected and resubmitted rejected claims.
- Initiated contact with various insurance carriers and patients regarding missing information.
- Verified accuracy of billing data by researching and revising errors.
Third Party Collections Specialist
SSIMED Corporation
01.2002 - 12.2002
- Resolved outstanding insurance claims.
- Posted payments and adjusted balances to reflect correct patient responsibility.
Education
Bachelor of Science - Computer Science
University of California
Hayward, CA01.2003
Certification - Health Claims Specialist, Health Claims, Billing and Coding Specialist
Branford Hall Career Institute
Southington, CT11.2002
Skills
- 20 years of experience in Professional & Institutional Billing
- Proficiency in Microsoft Office and Outlook
- Proficient in use of modifiers, CPT-4, ICD-10, HCPCS codes, and medical terminology (use Codify scrubber) and CMS billing
- 5 years of experience in Epic for institutional billing
- Experienced in eligibility verification, claim and follow up denial management
- Experienced in different billing systems (ie Epic, HealthPac, AdvantX, Amkai)
- Payment posting and credit balances/variances
- Strong customer service abilities
- Experienced in navigating major insurance and government insurance provider portals
- Skilled in navigating various electronic medical record platforms (ie Greenway PrimeSuite, Epic, Azalea, Provation, Charts)
Languages
Spanish
Professional Working
Timeline
Follow Up Insurance and Collections Specialist
Constitution Billing and Finance Services
12.2022 - Current
Medical Reimbursement Specialist
Integrated Physicians Management Services
01.2022 - 11.2022
Hospital Claims Denial Follow-Up, Contractor - fully remote
University Health System
08.2021 - 01.2022
Hospital Follow up Denial Specialist
Hartford Healthcare SSO
02.2016 - 08.2021
Customer Service Representative
Clinical Laboratory Partners, LLC
09.2005 - 02.2016
Medical Accounts Receivable Rep
Clinical Laboratory Partners, LLC
09.2005 - 02.2016
Billing Clerk/Patient Accounts Rep
Physicians Billing Service
01.2003 - 07.2003
Third Party Collections Specialist
SSIMED Corporation
01.2002 - 12.2002
Certification - Health Claims Specialist, Health Claims, Billing and Coding Specialist
Branford Hall Career Institute
Bachelor of Science - Computer Science
University of California