Claudia Romano
Wrentham,MA
Overview
26
26
years of professional experience
Work History
Medical Billing Specialist
ProEms
Cambridge , MA
05.2022 - Current
- Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
- Reduced financial inconsistencies while assessing and verifying billing invoices and expense reports.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Liaised between patients, insurance companies, and billing office.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Filed and updated patient information and medical records.
- Evaluated patients' financial status and established appropriate payment plans.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Identified and resolved patient billing and payment issues.
- Located errors and promptly refiled rejected claims.
- Prepared billing correspondence and maintained database to organize billing information.
- Adhered to established standards to safeguard patients' health information.
- Delivered timely and accurate charge submissions.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Owner
Salon Innovations
Norwood, MA
01.1999 - 06.2023
- Salon Management, Human Resources, Book-keeping, Training employees, Appointment scheduling, Inventory control, Answering multi-line phone system, Customer Service
EMT basic & Medical Billing Specialist
Brewster Ambulance Service
Weymouth , MA
05.2014 - 05.2022
- Managed day-to-day business operations.
- Conducted equipment and vehicle checks to maintain continuous and safe operation.
- Communicated with patients about pain, comfort, and needs during transportation and preliminary medical care.
- Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care.
- Evaluated patient vital signs and status to determine care needs using pulse oximeters and electronic vital sign machines.
- Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save lives and provide medical care.
- Assisted in removal of patients from hazardous or confined spaces.
- Provided patient education on pre-hospital care and safety.
- Assessed patient conditions, maintaining calm demeanor in urgent situations.
- Responded to emergency medical calls, providing basic life support services in accordance with protocols.
- Utilized ambulances and other vehicles to transport patients to medical facilities.
- Dressed and cleaned wounds, administered medications and performed other duties as needed.
- Performed medical assessments, including airway management and splinting of fractures.
- Used medical equipment and supplies, such as oxygen tanks and intravenous (IV) supplies.
- Responded to calls swiftly, providing life-saving interventions.
- Maintained up-to-date knowledge of protocols, procedures and medical advances.
- Controlled wounds and injuries en-route to hospitals, prepping patients for advanced treatments or maintaining conditions pre-arrival.
- Trained EMTs in basic life support skills, oxygen therapy, and wound care.
- Collaborated with medical professionals to communicate patient needs with accuracy and speed using hospital and medical codes.
- Evaluated patient histories to assess and prioritize levels of care.
- Administered emergency medication to patients, quickly responding to changes in conditions and medication reactions.
- Maintained accurate patient records and documentation of treatments to enable tracking history and safeguard information.
Timeline
Medical Billing Specialist
ProEms
05.2022 - Current
EMT basic & Medical Billing Specialist
Brewster Ambulance Service
05.2014 - 05.2022
Owner
Salon Innovations
01.1999 - 06.2023
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