Emily Tercero
Elmwood Park,NJ
Summary
Skillful and dedicated Revenue Cycle Manager with extensive experience in the coordination, planning, and support of daily operational and administrative functions.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Account Manager
Medhealth Financial Services
12.2021 - Current
- Auditing monthly charges for Provider reports
- Preparing and sending out monthly invoices
- Analyzing and finding resolutions to payer denial trends
- Training on and off-site employees on charge entry and AR follow up
- Assigning Denial reports for payer/patient follow-up
- Running and assigning monthly self-pay and pre-collections reports
- Maintaining credentialing files current
- Tracking employee time, write-ups, and evaluations
- Monthly collection write-offs and adjustments
Revenue Cycle Manager
Origin/MTBC
07.2005 - 12.2021
- In charge of running large anesthesia accounts and maintaining them in good standing, with >35 days in AR
- Supervised a staff of 7-10 individuals who handled from demographic entry, charge entry, payment posting, and AR follow up
- Employee Training on the IDX, BICS/BAR, Meditech, Availity, and Vertex billing systems
- Tracking of employee time, write ups, evaluations, and new hire training
- Training off site staff-implemented charge entry, AR followup and payment guidelines to follow
- Monitored payments for consistency and timeliness
- Analyzed payer denial trends
- Followed up with Provider Relations personnel on unpaid claims
- Completed monthly reports-including charge and payment totals and aging analysis
- Ran, assigned, and audited weekly AR reports for follow up.
- Reconciled monthly payments, credits, and transferred accounts to collections
Education
No Degree - Science Courses
Bergen Community College
Paramus, NJ05.2025
Bachelor of Science - Community Health
New Jersey City University
Jersey City, NJ05.2011
Associate of Arts - Liberal Arts And Sciences
Hudson County Community College
Jersey City, NJ05.2005
Skills
- Knowledge of Medicare, Medicaid, and most other commercial payers, in and out of network negotiations
- Medical Billing in Groupcast Systems, Vertex, and Healthpac system software
- Knowledge of revenue cycle management-from charge entry, payment posting, AR reporting, and electronic/clearinghouse submissions
- Experience with EHRs-Epic, Meditech, and BICS/BAR
Languages
Spanish
Native or Bilingual
Certification
Taken at John Hopkins Hospital 2019
- Epic PB Charge Work queues 100
- Epic PB Fundamentals 100
- Epic PB Fundamentals 200
- Epic PB manual Charge Entry 100
Timeline
Account Manager
Medhealth Financial Services
12.2021 - Current
Revenue Cycle Manager
Origin/MTBC
07.2005 - 12.2021
No Degree - Science Courses
Bergen Community College
Bachelor of Science - Community Health
New Jersey City University
Associate of Arts - Liberal Arts And Sciences
Hudson County Community College
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