Erania Peralta
South Plainfield
Summary
Expert in billing systems and financial operations, ensuring accurate invoicing and efficient payment cycles. Proven capability in resolving discrepancies and enhancing cash collections while fostering teamwork in fast-paced environments.
Overview
16
16
years of professional experience
Work History
Billing Technician
Rutgers
06.2018 - Current
- Analyzed daily credit balance report, implementing necessary corrections to maintain account accuracy.
- Reviewed claims edits from claims clearing house, correcting inaccuracies to ensure timely processing.
- Review daily the aged trial balance for assigned accounts and follow-up on payments
- In coordination with the supervisor, prioritize account follow-up to optimize cash collections
- Process patient payments over the phone
- Respond to inquiries of customers and clinicians regarding regulations, procedures, and billing as observed by supervisor
- Handled patient phone inquiries with professionalism.
- Executed transfers and adjustments per policy and procedures, ensuring compliance and accuracy.
Patient Services Representative
Change Healthcare, A McKesson
04.2017 - 05.2018
- Verify patient insurance for claims processing
- Assisted patients with insurance billing resolutions and documented all communications regarding patient accounts.
- Resolved patient complaints promptly, demonstrating empathy while seeking solutions beneficial to both parties.
- Resolved issues or escalated to managers to de-escalate tense situations with frustrated callers.
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records.
- Medical billing and coding ICD9/CPT
- Work Charity Care accounts and adjust accordingly.
Money Gram Kiosk Representative
Millennium Sales
05.2015 - 10.2015
- Worked as kiosk representative for Money Gram
- Guided customers through kiosk registration and money transfer processes to ensure smooth transactions.
- Facilitated bill payments for various payers to meet customer needs efficiently.
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Resolved customer complaints promptly and professionally to maintain trust and minimize potential business loss.
AR Representative
Children’s Specialized Hospital Mountainside
10.2010 - 02.2011
- Hired to work on psychiatric hospital accounts
- Contacted insurance companies to verify claim statuses, ensuring timely resolution
- Resubmitted claims to insurance carriers, facilitating claim approval process
- Utilized psychiatric billing codes for accurate claims processing
- Drafted appeal letters to contest claim denials, advocating for appropriate reimbursements
- Appealed and resubmitted Medicaid claims.
- Adjusted accounts for write off
Education
High School Diploma -
New Brunswick High School
New Brunswick, NJ07-1997
Skills
- Claims processing
- Insurance verification
- Payment posting
- Denial management
- Claim appeals
- Billing review
- HCPCS coding
- HIPAA compliance
- Patient account management
- Patient billing support
- Patient interaction
- Written communication
Languages
Spanish
Timeline
Billing Technician
Rutgers
06.2018 - Current
Patient Services Representative
Change Healthcare, A McKesson
04.2017 - 05.2018
Money Gram Kiosk Representative
Millennium Sales
05.2015 - 10.2015
AR Representative
Children’s Specialized Hospital Mountainside
10.2010 - 02.2011
High School Diploma -
New Brunswick High School