Dynamic, results-driven professional with 18+ years of experience in medical billing, insurance verification, and team leadership. Recognized for strong communication skills, innovative problem-solving, patient preregistration procedures
Overview
34
34
years of professional experience
Work History
Access Service Representative
Northwell Health- Long Island Jewish Medical Center
11.2007 - 10.2020
Secure Authorizations for special and elective services, process and collect co-payments.
Notify insurance companies regarding any discrepancies in payments if necessary.
Register and secure authorizations for inpatient acute rehab patients.
Pre-registration of patients, verification of insurance
Medical Biller
Certified Billing Service
01.2005 - 10.2007
Verified and submitted N.Y. workers compensation claims
Prepared and submitted authorization requests for medically necessary services
Served as a liaison between attorneys and patients for Workers Compensation related hearings and independent medical examinations
Front desk duties consisted of preparation of medical charts, scheduling of appointments, collection of copays, referral to outside services for the patient
Claims Specialist/Medical Biller
Program Planners Inc.
10.2000 - 09.2004
Verified and billed all insurance plans
Processed all reimbursed claims for carriers
Billed and corrected all electronic claims
Processed contractual adjustments on paid and denied claims
Medical Biller/Registrar
Concourse Plaza Medical Complex
04.1998 - 10.2000
Verified and submitted No Fault, Workers Compensation, HMO, and commercial insurances
Secured special service authorizations
Prepared super bills for corporate office
Scheduling of patient appointments
Client Service Field Representative
Professional Claims Bureau
06.1989 - 02.1998
Coordinated billing and collection procedures with client
Investigated data entry prepared accounts for collections
Responsible for training of field personnel
Ordered and processed medical records for collection and billing purposes
Outpatient Billing Supervisor
Professional Claims Bureau
06.1987 - 06.1989
Trained staff members in billing and collection procedures of Workers Compensation and No-Fault claims, including follow up procedures, contractual adjustments on paid and denied claims
Medical Biller
Professional Claims Bureau
06.1986 - 06.1987
Verified and billed all Workers Compensation and No-Fault claims
Followed up on all Workers Compensation and No-Fault claims regarding any discrepancies
Education
High School Diploma -
Jamaica High School
Jamaica, NY
06-1976
Skills
Patient confidentiality
Documentation accuracy
Professionalism and courtesy
Insurance verification
Data entry proficiency
Appointment scheduling
Customer service
Strong interpersonal skills
Friendly and outgoing
Multitasking and organization
Team collaboration
HIPAA compliance
Customer follow-up
Verbal and written communication
Patient check-in
Patient education
Registration and admissions
Phone and email etiquette
Patient registration
Medical terminology
Data entry
Insurance billing
Payment processing
Eligibility determination
Information collection
Medical billing
Insurance company billing
Patient identity verification
Insurance authorizations
Scheduling appointments
Timeline
Access Service Representative
Northwell Health- Long Island Jewish Medical Center
Registered Nurse, Emergency Department at Northwell Health Long Island Jewish Medical CenterRegistered Nurse, Emergency Department at Northwell Health Long Island Jewish Medical Center
Diagnostic Medical Sonographer at Northwell Health Long Island Jewish Medical CenterDiagnostic Medical Sonographer at Northwell Health Long Island Jewish Medical Center