Emily Ferreira
Jersey City,NJ
Summary
Driven individual with a proven record of achievement in growing accounts through proactive and hands on strategies. Adept at managing teams to build revenue and service accounts. Effective communicator and problem solver committed to delivering quality service and achieving goals.
Overview
12
12
years of professional experience
Work History
Account Liaison/Supervisor
CareCloud/Origin Healthcare/Meridian Medical
10.2016 - Current
- Oversee daily operations, including demo/charge entry, coding, payment posting, credentialing, and contracting for multiple practices.
- Train staff and implement updated Standard Operating Procedures (SOPs) to ensure consistency across in-network and out-of-network practices.
- Conduct weekly departmental meetings to monitor progress and resolve operational issues.
- Manage accounts receivable, producing bi-weekly denial reports and identifying trends to enhance reimbursement processes.
- Familiar with Medicare, Medicaid, LCD policies, MIPS/PQRS coding, and billing practices for various specialties, including anesthesia, pain management, surgery centers and telehealth.
- Set up clearinghouse systems and manage Electronic Data Interchange (EDI) and Electronic Funds Transfer (EFT) applications to expedite claims processing.
- Create appeal letters and letters of medical necessity in response to payer concerns, leading to faster resolution times.
- Handle prior authorization requests, patient refunds, and negotiations with payers, establishing global agreements as needed.
- Educate clients on payer policy updates and collaborate with coding teams to address denials effectively.
- Ensure compliance with contracted fee schedules and address escalated patient billing concerns.
- Work directly with clients and address their concerns.
- Manage office correspondence and consistently meet client and company deadlines.
AR Collections Supervisor
PMBC LLC
01.2013 - 10.2016
- Processed and submitted claims to insurance providers.
- Conducted follow-ups on unpaid claims and resolved discrepancies with payers.
- Assisted in the development of billing procedures and training materials to improve operational efficiency and compliance.
- Maintained accurate documentation of billing activities and payment transactions to ensure transparency and accountability.
- Verified patient eligibility and benefits, accurately collecting co-pays and deductibles at the time of service.
- Supervise a team of medical billing and collections specialists, providing training and support to ensure compliance with billing regulations and company policies.
- Manage escalated patient inquiries and disputes, ensuring timely resolution and maintaining high levels of customer satisfaction.
Education
Certificate Medical Billing And Coding -
Eastwick College
Hackensack, NJ06.2012
Nursing
Berkeley College
Woodland Park, NJ2009
Diploma -
Hackensack High School
Hackensack, NJ06.2008
Skills
- Team Leadership: Experience in managing and motivating a team of billers and coding professionals
- Training and Development: Ability to train new staff and provide ongoing education to existing employees
- Conflict Resolution: Competence in resolving disputes between staff or with payers regarding billing issues
- Performance Monitoring: Experience in evaluating employee performance and providing constructive feedback
- Project Management: Skills in managing projects related to billing and collections, ensuring deadlines are met
- Medical Coding Knowledge: Familiarity with ICD-10, CPT, and HCPCS coding systems
- Client Relationship Management: Ability to build and maintain strong client relationships
- Billing Software Proficiency: Experience with medical billing software (eg, Epic, Cerner, Medisoft, Gebbs, Vertex)
- Insurance Verification: Skills in verifying insurance eligibility and benefits
- Claims Management: Ability to manage claim submission process and follow-up on denials
- Microsoft Office Proficiency: Experience with Word, Excel, SharePoint, One Note, Teams and Outlook
Timeline
Account Liaison/Supervisor
CareCloud/Origin Healthcare/Meridian Medical
10.2016 - Current
AR Collections Supervisor
PMBC LLC
01.2013 - 10.2016
Certificate Medical Billing And Coding -
Eastwick College
Nursing
Berkeley College
Diploma -
Hackensack High School
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