DENISE MASSOTTI
North Providence
Summary
Dynamic Patient Access Representative with expertise in insurance verification and billing compliance at New England Medical Billing ( Brown Surgical Associates) and The Miriam Hospital. Proven track record in resolving claim denials and training new staff, enhancing operational efficiency. Skilled in accounts receivable management and payment collection, ensuring accuracy and compliance in all processes.
Overview
20
20
years of professional experience
Work History
Patient Access Representative
The Miriam Hospital
11.2016 - Current
Obtain and review patient information for registration in the Miriam Emergency Department.
Verify insurance eligibility for billing.
Collect patient copays when necessary.
Help new enployees with any questions they have regarding to complete a registration
A/R BILLING SPECIALIST
NEW ENGLAND MEDICAL BILLING
11.2005 - Current
Process, research the rejected claims from the clearing house, and bill
A/R follow-up for the Blue Cross account, i.e., submit documentation as Unlisted Claim Forms, Op Notes, Office Notes, verify payment, and patient responsibility.
Answer patient calls regarding balances, and process payments.
Trained new employees on software and followed up on claims.
Processed and reviewed patient invoices for accuracy and compliance with insurance guidelines.
Identified billing issues with managment regarding denials for our surgical practice
Education
High School Diploma -
North Providence High School
North Providence, RI06-1979
Skills
- Patient registration
- Insurance verification
- Billing compliance
- Accounts receivable management
- Claim processing
- Payment collection
- Medical coding knowledge
- Claim denial resolution
- Training and coaching
- Invoice accuracy review
- Data entry efficiency
Timeline
Patient Access Representative
The Miriam Hospital
11.2016 - Current
A/R BILLING SPECIALIST
NEW ENGLAND MEDICAL BILLING
11.2005 - Current
High School Diploma -
North Providence High School