EMMANUELLA AGNANT
East Stroudsburg,PA
Summary
To secure a position in a health care environment where I can apply knowledge, abilities and experience. Obtain a challenging career with a company which leads itself to personal and professional growth.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Billing Analyst
Lehigh Valley Health Network
09.2022 - Current
- AIM provider portal, Evi-core, (HIP), Oxford, UHC online to obtain referrals Monitor and follow up on issue referrals when needed
- Keeping track of pending referrals
- Follows and implements required procedures for posting daily office charges and procedures
- Coordinates the submission of electronic bills
- Maintains appropriate control of demographic information including new insurance information, address, and phone numbers changes
- Reviews new and updated billing instructions from clients and ensures adherence to the guidelines.
- Monitor and follow up on issue referrals when needed.
- Cardiology Answer questions regarding billing inquiries, discrepancies and works
- Generates invoices for billable activities
- Maintained strict confidentiality with all personal data as per company guidelines.
Managed Care Coordinator
Wyckoff Heights Medical Center
10.2016 - 03.2022
- Responsible for updating and submitting providers in all 32 Health Plans Hospital is contracted with by credentialing data in delegated credentialing spreadsheets to applicable MCOs on a monthly basis or as needed
- Create credentialing packets for new providers and assists in filling out information where needed
- Provides Malpractice Insurance & License updates and re-credentialing information to all non-delegated MCOs on a regular basis
- Research provider issues and responds to MCO requests via mail, e-mail or verbally in a timely manner, as required
- Enters initial information and performs provider licensure updates in the CAQH on-line credentialing database
- Maintain and update provider files
- Responsible for maintaining CAQH profiles for providers
- Reconcile Medicare & Medicaid list received from billing companies
- Assist the Director with securing physician signatures for their contracts
- Complete and submit individual provider agreements to MCOs as necessary
- Participates in regularly scheduled MCO payor meetings
- Participates in the negotiation of Managed Care contracts with designated HMOs
- Ability to communicate and deal effectively with others.
Medical Biller Coordinator
Allied Healthcare Services
01.2014 - 09.2016
- Applied HIPAA privacy and security regulations while handling patient information
- Completed and submitted appeals for denied claims
- Enter charges for all patient visits; review patient visit documentation and ensure all visit charges are accurately entered
- Ensure correct coding of charges and use coded data to generate and submit appropriate claims to insurance companies, both electronically and manually
- Serve as the primary contact for patients, clerical staff, and insurance companies address and resolve all questions and billing
- Manage the office Accounts Receivables reports; contact patients by phone in a professional manner and resubmit claims to third party payers when necessary.
Financial Coordinator
St. Luke's Hospital
05.2008 - 09.2013
- Effectively communicated answers regarding billing, treatment and scheduling by phone and in-person
- Discussed nuances of insurance benefits to help patients understand financial obligations
- Called insurance companies to find pertinent information regarding policies and payment benefits
- Sent treatment claims to insurance carriers on same day that patients received care
- Monitored accounting, payroll and financial reporting activities
- Input patient and insurance information into company computer system using Eagle
- Posted of charges and checks
- Deposited of checks to the bank.
Accounts Receivable and Medical Billing
New York Presbyterian Hospital, Weill Cornell
01.2001 - 10.2007
- Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs
- Evaluated open accounts to look for past-due balances and pursue collection strategies
- Processed posting and reconciling payments and addressing aged receivables
- Updated customer accounts and processed payments
- Verified, classified, computed, posted and recorded accounts payable data and reconciled daily totals to confirm proper accounting
- Reached out to vendors and customers in order to resolve account problems
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels
- Processed monthly payments, researched payment discrepancies and prepared monthly reports
- Entered, posted and scanned accounts receivable documents into accounting software
- Reconciled accounts receivable and prepared income summary reports and cash reports.
Education
Diploma - Nursing
Center For Allied Health And Nursing Education
Hackensack, NJ02.2013
Certification in Certified Nursing Assistant -
York College of The City University of New York
Jamaica06.2011
Certification - Medical Billing And Coding
York College of The City University of New York
Jamaica, NY07.2009
Skills
- Health information systems
- Patient safety
- Staff supervision
- Acute and rehabilitative care
- Personnel management
- Facility oversight
- Hospital coordination
- IDX
- Allscripts
- Medical Manager
- Omnipro
- Medical Billing & Coding
Certification
- Certified Billing and Coding Specialist (CBCS)
Timeline
Billing Analyst
Lehigh Valley Health Network
09.2022 - Current
Managed Care Coordinator
Wyckoff Heights Medical Center
10.2016 - 03.2022
Medical Biller Coordinator
Allied Healthcare Services
01.2014 - 09.2016
Financial Coordinator
St. Luke's Hospital
05.2008 - 09.2013
Accounts Receivable and Medical Billing
New York Presbyterian Hospital, Weill Cornell
01.2001 - 10.2007
Diploma - Nursing
Center For Allied Health And Nursing Education
Certification in Certified Nursing Assistant -
York College of The City University of New York
Certification - Medical Billing And Coding
York College of The City University of New York
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